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CNA 2023
Chapter 31 Wound Cae
| Question | Answer |
|---|---|
| A partial-thickness wound caused by the scraping away or rubbing of the skin is a(n): | abrasion |
| A resident has an open wound on the lower left leg. It is caused by poor arterial blood flow. This would is a(n) _____ulcer. | Arterial |
| A wound does not heal easily. It is a _____ wound. | Chronic |
| A resident has an open wound on her left foot. She has poor circulation in her veins. He wound is a(n) ____ ulcer. | venous |
| A wound is not infected. It is a(n): | clean wound |
| A resident had lung surgery. The person's incision is best described as a(n): | clean-contaminated wound |
| Tissues are injured, but the skin is not broken. This is a(n): | closed wound |
| A wound has a high risk for infection. This is a(n) _____ wound. | contaminated |
| A closed-wound caused by a blow to the body is a(n): | contusion |
| Wound layers have separated. This is: | dehiscence |
| An infected wound is a(n) _____ wound. | dirty |
| A wound has separated. Abdominal organs are protruding through the wound. This is: | evisceration |
| A wound involves the skin, muscle, and bone. This is: | a full-thickness wound |
| A condition in which there is death of tissue is: | gangrene |
| A cut has clean, straight edges. It was produced with a sharp instrument. The wound is a(n): | incision |
| A wound has large amounts of microbes. It shows signs of infection. It is a(n) ______ wound. | Infected |
| A wound created for therapy is a(n) ________ wound | Intentional |
| The skin or mucous membrane is broken. This is a(n) _______ wound. | open |
| The dermis and epidermis of the skin are broken. This is: | a partial-thickness wound |
| The skin and underlying tissues are pierced. This is a(n): | penetrating wound |
| Phlebitis is: | inflammation of a vein |
| An open wound made by a sharp object is a(n): | puncture wound |
| Drainage that is thick green, yellow, or brown is _____ drainage | pirulent |
| Thin, watery, blood-tinged drainage is ______ drainage. | serosanguineous |
| Clear, watery fluid from a wound is _____ drainage. | serous |
| Blood drainage is _____ drainage. | Sanguineous |
| A resident has a rip in the skin. The epidermis is separated from underlying tissue. This is a(n): | skin tear |
| A resident has an open wound on the right lower leg. The person has poor blood return through her veins. Her wound is a(n): | stasis ulcer |
| An accident or violent act that causes injury is: | trauma |
| A thrombus is a: | blood clot |
| The skin is injured. Which is a major threat? | Infection |
| Which of the following are common sites for skin tears? | hands |
| Skin tears are caused by which of the following? | Friction and shearing |
| Which statement about skin tears is correct? | Skin tears can cause an infection |
| To prevent skin tears, you need to: | the person's care plan |
| A resident is in bed. The person needs repositioning. Which of the following will help prevent skin tears: | Using and assist device to move the person |
| You are helping a resident dress. Which clothing will help prevent skin tears? | A soft fleece sweatshirt and sweatpants |
| Which will help prevent skin tears? | Keep your fingernails short and smoothly filed |
| Vascular ulcers occur: | on the legs and feet |
| Which of the following are common with venous ulcers? | Itching |
| Which statement about venous ulcers is correct? | The person has difficulty walking |
| Which will help prevent circulatory ulcers? | Keeping linens clean and dry |
| A resident has a venous ulcer. The person needs repositioning at least every: | 2 hours |
| A resent has a venous ulcer. You are helping the person dress. The person can wear which of the following? | A sweatshirt |
| A resident has a venous ulcer. Your care should include: | keeping the person's linens dry and wrinkle-free |
| A resident has a venous ulcer. The doctor ordered elastic stockings. What size should you use? | The size directed by the nurse |
| Elastic bandages and elastic stockings do which of the following? | Prevent injury |
| Elastic stockings also are called: | anti-embolism stockings |
| Which statement about elastic stockings is correct? | They are removed every 8 hours for 30 minutes |
| Elastic bandages are applied to the: | arms and legs |
| An elastic bandage is applied from the: | lower part to the top part |
| A resident has an elastic bandage on the right leg. The bandage is loose and wrinkled. What should you do? | Reapply the bandage |
| The nurse asks you to apply an elastic bandage to a resident's left arm. You should apply the bandage: | with firm, even pressure |
| A resident has an elastic bandage. How often should you check the color and temperature in the bandaged part? | Every 60 minutes |
| You are applying an elastic bandage to a person's left leg. Which is correct? | Face the person during the procedure |
| A resident has an arterial ulcer. The person's care includes which of the following? | Reminding the person not to sit with crossed legs |
| A resident has an arterial ulcer. Which will promote healing? | Having a bed cradle on the bed |
| A wound has torn tissues and jagged edges. This is a(n): | laceration |
| Bleeding stops and a scab forms during the_____ phase of wound healing. | inflammatory |
| A wound was closed with staples. Wound healing will occur through _____ intention. | primary |
| Which type of wound healing involves leaving the wound open and closing it later? | Tertiary intention |
| A wound is contaminated and infected. wound edges are not brought together and the wound gaps. Healing will occur through _____ intention. | secondary |
| Which nutrient is needed for wound healing? | Protein |
| When observing a wound, you can do which of the following? | Observe the surrounding skin. |
| A drain is inserted into a wound. What is its purpose? | Drainage leave the wound through the drain. |
| The nurse weighs dressings before and after applying them. Why are they weighed? | To measure the amount of drainage |
| Which is a purpose of wound dressings? | Protect the wound |
| Which is a purpose of wound dressings? | Cover wounds |
| Gauze dressings: | absorb drainage |
| Which dressing will most likely stick to a wound? | dry dressing |
| A dressing is loose. What can happen? | Microbes can enter the wound |
| A dressing is loose. What can happen? | Drainage can escape |
| A dressing is secured with tape. When the tape is removed, some skin is removed. This causes a(n): | abrasion |
| Which type of tape allows movement of a body part? | Elastic |
| You are securing a dressing with tape. Where do you apply the tape? | To the top, middle, and bottom of the dressing |
| The nurse asks you to apply a dry, non-sterile dressing. Which action is correct? | Removing the old dressing gently |
| The nurse asks you to apply a dry, non-sterile dressing. The dressing change causes pain and discomfort. What should you do? | Ask the nurse when a pain-relief drug was given. |
| Which statement about dressing changes is correct? | You need to control your nonverbal communication and body language during dressing changes |
| The nurse asks you to apply a dry, non-sterile dressing. What should you do after removing the old dressing? | Remove your gloves and decontaminate your hands |
| Binders are applied to which area? | Abdomen |
| Pins are used to secure a binder. Pins should point: | Away from the wound |
| A binder is loose and out of position. What should you do? | Reapply the binder |
| A binder is wet. What should you do? | Apply a new binder |
| A person has a wound. You are concerned with the person's basic needs. Which statement is correct? | A wound can affect breathing and movement. |
| A compress is: | a soft pad applied over a body area |
| Constrict means to: | narrow |
| Dilate means to : | expand or open wider |
| Cyanosis is: | a bluish color |
| Hyperthermia means that the person's body temperature is: | much higher than the normal range |
| Hypothermia means that the person's body temperature is; | very low |
| A pack is a treatment that involves: | wrapping a body part owith a wet or dry application |
| Warm and cold applications do which of the following? | Reduce tissue swelling |
| Warm applications do which of the following? | Relieve pain |
| Warm applications: | Promote healing |
| When blood vessels dilate, blood flow: | increases |
| When blood vessels constrict, blood flow: | decreases |
| When heat is applied, the skin is: | red and warm |
| When heat is applied too long, blood vessels: | constrict |
| When heat is applied too long, blood flow: | decreases |
| when heat is applied, older persons are at risk for: | burns |
| Heat is applied to a wrist. Which of the following are reported to the nurse at once? | Excessive redness |
| A person has a joint replacement. Which statement is correct? | Heat applications are allowed except over the area of implant |
| Which is a dry warm application? | Aquathermia pad |
| Which statement about moist heat applications is correct? | Water is in contact the skin |
| Heat and cold applications are applied for _____ minutes | 15 to 20 |
| Before applying moist heat or cold application, which is correct? | Measure water temperature |
| Before applying dry heat or cold applications, which is correct? | Cover the device |
| Which of the following is an electrical device? | Aquathermia pad |
| When applying warm or cold applications, which is correct? | Place the call light within the person's reach |
| Which is a safety measure for applying an aquathermia pad? | Follow electrical safety precautions |
| An aquathermia pad is set at 105 degrees Fahrenheit. it is a _______ applicaton. | hot |
| The nurse delegates you to apply a warm compress. To maintain its temperature, the nurse might ask you to: | apply a aquathermia pad over the compress |
| A sitz bath involves: | the perineal and rectal areas |
| A disposable sitz bath: | fits on the toilet seat |
| During a sitz bath, you need to carefully observe the person for: | Weakness and faintness |
| The nurse delegates you to give a sitz bath. Which action protects the person from burns? | measuring water temperature |
| The nurse delegates you to give a sitz bath. How often should check the person? | Every 5 minutes |
| The nurse asks you to apply a commercial hot pack. How should you warm the pack? | Follow the manufacturer's instructions |
| A hot pack is reusable. Before storing the pack for future use, which is correct? | clean it following center policy |
| You are going to apply an aquathermia pad. Which statement is incorrect? | Pins at used to secure the pad in place |
| The temperature of an aquatermia pad is usually: | 105 degrees fahrenheit |
| You are going to apply an aquathermia pad,. You fill the heating unit with: | Distilled water |
| An aquathermia pad is not placed under a body part because: | heat cannot escape |
| Before applying an aquathermia pad, you need to: | put the pad in a cover |
| When cold is applied to the skin, blood vessels: | constrict |
| When cold is applied to the skin, blood flow: | decreases |
| A person has a sprained ankle. Cold applications are best applied _______ after the injury. | immediately |
| Cold has which of the following effects? | Numbing the skin |
| Which of the following can occur from applications that are very cold? | Blisters and burns |
| When cold is applied for a long time, blood vessels: | dilate |
| Which of the following person are at risk for complications from cold applications? | Person with sensory impairment |
| Which is a moist cold application? | Cold compress |
| Which of the following devices are filled with crushed ice? | Ice collar |
| Before applying a dry cold application, which is correct? | Put it in a cover |
| When using a commercial cold pack, which is correct? | Follow the manufacturer's instructions |
| After applying a dry cold application, you need to check the application site every ______ minutes. | 5 |
| You applied a cold compress. How often should you check the application site? | Every 5 minutes |
| A cooling blanket is needed. After placing it on the bed, it is covered with a: | Sheet |
| A warming blanket is needed. After placing it on the bed, it is covered with a: | sheet |
| What measurements are needed when a cooling blanket or warming blanket is used? | Vital signs |
| A safe, comfortable setting is needed when applying heat or cold. Which will promote the person's comfort and safety? | Place the call light within the person's reach |
| Only the body part involved in the procedure is exposed. This action: | protects the right to privacy |
| Which will promote safety when applying a warm or cold application? | Place the call light within the person's reach |
Created by:
Healthtrade