Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
concept in nursing 2
wound management
| Question | Answer |
|---|---|
| List the stages of wound healing in the order in which they occur. | 1) vasoconstriction 2)Vasodilation 3)formation of new blood vessels 4) formation of mature scare tissue |
| Which statements indicate that the patient understands the role of inflammation in wound healing? | - “Inflammation is responsible for the redness, heat, and swelling of my wound.” - “The inflammatory response works to clean the wound of organisms and debris.” |
| The nurse is caring for a patient with an uninfected surgical wound. How would the nurse expect this wound to heal? | First intention |
| A patient presents to the clinic with a full-thickness pressure ulcer to the sacrum. Which finding indicates this patient may likely require surgical intervention for the wound? | The patient is a paraplegic who sits in a wheelchair all day. |
| A registered nurse is supervising a student nurse performing a dressing change. Which action made by a student nurse requires intervention by the registered nurse? | Applying debridement enzyme ointment to the healthy tissue |
| A patient presents with a wound dehiscence requiring wet-to-dry dressing changes. The patient asks about trying that “wound vacuum thing” that someone else had. Which finding would make negative-pressure wound therapy (NPWT) contraindicated? | The patient is receiving anticoagulants for atrial fibrillation. |
| A nurse is caring for a patient 2 days postoperative from appendectomy. The patient reports incisional pain of 4/10, and the nurse notes erythema at the margins of the wound, temperature of 100.4° F | -- |
| F orally, and serosanguinous drainage on the dressing. Based on this assessment, what conclusion should the nurse make? | The incision is showing signs of infection and the surgeon should be notified. |
| The nurse is preparing to change the dressing to an ischial wound. The order has been changed from a wet-to-dry dressing to a wet-to-damp dressing. The patient asks the nurse why there is a change to a wet-to-damp dressing. | -- |
| What is the nurse’s best response? | “A wet-to-damp dressing protects the wound bed from trauma during dressing changes.” |
| A 24-year-old sustained a laceration to the lower leg and is having a difficult time healing. Which meal would be appropriate for the nurse to order for the patient? | Scrambled eggs and sausage with orange juice |
Created by:
Lightnning54
Popular Nursing sets