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Wound Care

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Question
Answer
A partial-thickness wound caused by the scraping away or rubbing of the skin is a(n)   abrasion  
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A resident has an open wound on the lower left leg. It is caused by poor arterial blood flow. This wound is a(n) ___________ ulcer.   arterial  
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A wound does not heal easily. It is a ___________wound.   chronic  
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A resident has an open wound on her left foot. She has poor circulation in her veins. Her wound is a(n) ___________ulcer.   venous  
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A wound is not infected. It is a(n)   clean wound  
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A resident had lung surgery. The person’s incision is best described as a(n)   clean-contaminated wound  
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Tissues are injured, but the skin is not broken. This is a(n)   closed wound  
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A wound has a high risk for infection. This is a(n) ___________wound.   contaminated  
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A closed wound caused by a blow to the body is a(n)   contusion  
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Wound layers have separated. This is   dehiscence  
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An infected wound is a(n) ___________wound.   full thickness  
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A wound has separated. Abdominal organs are protruding through the wound. This is   evisceration  
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A wound involves the skin, muscle, and bone. This is   full thickness wound  
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A condition in which there is death of tissue is   gangrene  
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A cut has clean, straight edges. It was produced with a sharp instrument. The wound is a(n)   incision  
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A wound has large amounts of microbes. It shows signs of infection. It is a(n) _______ wound.   infected  
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A wound created for therapy is a(n) ___________wound.   intentional  
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A wound has torn tissues and jagged edges. This is a(n)   laceration  
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The skin or mucous membrane is broken. This is a(n) ___________wound.   open  
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The dermis and epidermis of the skin are broken. This is   a partial thickness wound  
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The skin and underlying tissues are pierced. This is a(n)   penetrating wound  
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Phlebitis is   inflammation of a vein  
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An open wound made by a sharp object is a(n)   puncture wound  
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Drainage that is thick green, yellow, or brown is ___________drainage.   purulent  
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Thin, watery, blood-tinged drainage is ___________drainage.   serosanguineous  
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Clear, watery fluid from a wound is ___________drainage.   serous  
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Bloody drainage is ___________drainage.   sanguineous  
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A resident has a rip in the skin. The epidermis is separated from underlying tissue. This is a(n)   skin tear  
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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  
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An accident or violent act that causes injury is   trauma  
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A thrombus is a   blood clot  
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The skin is injured. ___________is a major threat.   infection  
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What are common sites for skin tears?   hands, legs, arms  
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Skin tears are caused by   friction and shearing  
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Skin tears can cause an infection.   True  
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To prevent skin tears, you need to follow the   care plan  
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You are helping a resident dress. What clothing will help prevent skin tears? ___________   a soft, fleece sweatshirt and sweatpants  
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A resident is in bed. The person needs re-positioning. What will prevent skin tears?   using an assist device to move a person  
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Keep your fingernails sort and smoothly filed will help prevent   skin tears  
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Vascular ulcers occur   on the legs and feet  
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Itching is common with   venous ulcers  
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The person with venous ulcers has difficulty walking.   True  
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What will help prevent circulatory ulcers?   keeping the linens clean and dry  
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A resident has a venous ulcer. The person needs re-positioning at least every   2 hours  
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A resident has a venous ulcer. You are helping the person dress. The person can wear what?   a sweatshirt  
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A resident has a venous ulcer. Your care should include keeping the person’s linens   dry and wrinkle free  
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A resident has a venous ulcer. The doctor ordered elastic stockings. What size should you use?   the size directed by the nurse  
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Elastic bandages and elastic stockings do what?   prevent injury  
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Elastic stockings also are called   anti-embolism stockings  
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Elastic stockings are removed every __ hours for ________ minutes.   8 30  
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Elastic bandages are applied to the   arms and legs  
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An elastic bandage is applied from the   lower part to the top part  
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A resident has an elastic bandage on the right leg. The bandage is loose and wrinkled. What should you do?   reapply the bandage  
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The nurse asks you to apply an elastic bandage to a resident’s left arm. You should apply the bandage   with firm, even pressure  
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A resident has an elastic bandage. How often should you check the color and temperature in the bandaged part?   every 60 minutes  
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You are applying an elastic bandage to a person’s left leg. Face the person during the procedure.   True  
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A resident has an arterial ulcer. Remind the person not to sit with   their legs crossed  
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A resident has an arterial ulcer. What will promote healing?   having a bed cradle  
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Bleeding stops and a scab forms during the ___________phase of wound healing.   inflammatory  
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A wound was closed with staples. Wound healing will occur through ___________intention.   secondary  
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___________wound healing involves leaving the wound open and closing it later.   tertiary intention  
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A wound is contaminated and infected. Wound edges are not brought together and the wound gaps. Healing will occur through ___________intention.   secondary  
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Which nutrient is needed for wound healing?   protein  
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When observing a wound, you can   observe the surrounding skin  
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A drain is inserted into a wound. What is its purpose?   drainage leaves the wound through the drain  
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The nurse weighs dressings before and after applying them. Why are they weighed?   to measure the amount of drainage  
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Which is a purpose of wound dressings?   protect the wound, cover the wound  
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______________________ absorb drainage.   gauze dressings  
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Which dressing will most likely stick to a wound?   dry dressings  
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A dressing is loose. What can happen?   microbes can enter the wound  
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A dressing is secured with tape. When the tape is removed, some skin is removed. This causes a(n)   abrasion  
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Which type of tape allows movement of a body part?   elastic tape  
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You are securing a dressing with tape. Where do you apply the tape?   to the top, middle, and bottom of the dressing  
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The nurse asks you to apply a dry, non-sterile dressing. Remove the old dressing   gently  
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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  
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When changing dressings you need to control your   body language and nonverbal communication  
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The nurse asks you to apply a dry, non-sterile dressing. What should you do after removing the old dressing?   remove your gloves, decontaminate your hands  
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Binders are applied to what areas?   abdomen  
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Pins are used to secure a binder. Pins should point   away from the wound  
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A binder is loose and out of position. What should you do?   re-apply the binder  
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A binder is wet. What should you do?   apply a new binder  
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A person has a wound. You are concerned with the person’s basic needs. A wound can affect breathing and movement.   True  
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A compress is   a soft pad applied over a body area  
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Constrict means to   narrow  
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Dilate means to   expand or open wider  
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Cyanosis is   bluish color  
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Hyperthermia means that the person’s body temperature is   much higher than the normal range  
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Hypothermia means that the person’s body temperature is   very low  
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A pack is a treatment that involves   wrapping a body part with a wet or dry application  
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Warm and cold applications do what?   reduce tissue swelling  
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Warm applications relieve pain.   True  
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Warm applications promote healing.   True  
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When blood vessels dilate, blood flow   increases  
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When blood vessels constrict, blood flow   decreases  
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When heat is applied, the skin is   red and warm  
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When heat is applied too long, blood vessels   constrict  
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When heat is applied too long, blood flow   decreases  
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When heat is applied, older persons are at risk for   burns  
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Heat is applied to a wrist. You need to report excessive redness to   the nurse at once  
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A person has a joint replacement. Heat applications are allowed except   over the implant  
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An aquathermia pad is   a dry warm application  
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In __________________________ applications, water is in contact with the skin.   moist heat  
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Heat and cold applications are applied for ___________minutes.   15-50  
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Before applying moist heat or cold applications, ________________ the water temp.   measure  
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Before applying dry heat or cold applications, cover the device.   True  
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Aquathermia pad is an electrical device.   True  
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When applying warm or cold applications, place the call light   within reach  
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When applying an aquathermia pad follow electrical safety precautions.   True  
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An aquathermia pad is set at 105° F. It is a _____ application.   hot  
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The nurse delegates you to apply a warm compress. To maintain its temperature, the nurse might ask you to   apply an aquathermia pad over the compress  
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A sitz bath involves   the perineal and rectal areas  
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A disposable sitz bath fits on   the toilet seat  
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During a sitz bath, you need to carefully observe the person for   weakness and faintness  
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The nurse delegates you to give a sitz bath. What action protects the person from burns?   measuring the water temperature  
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The nurse delegates you to give a sitz bath. How often should you check the person?   every 5 minutes  
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The nurse asks you to apply a commercial hot pack. How should you warm the pack?   follow the manufactures instructions  
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A hot pack is re-usable. Before storing the pack for future use,   clean it following center policy  
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You are going to apply an aquathermia pad. Pins are used to secure the pad.   False  
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The temperature of an aquathermia pad is usually   105 degrees  
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You are going to apply an aquathermia pad. You fill the heating unit with   distilled water  
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An aquathermia pad is not placed under a body part because   heat cannot escape  
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Before applying an aquathermia pad, you need to   put the pad in a cover  
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When cold is applied to the skin, blood vessels   constrict  
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When cold is applied to the skin, blood flow   decreases  
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A person has a sprained ankle. Cold applications are best applied _______after the injury.   right  
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Cold has what effects?   numbing the skin  
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What can occur from applications that are very cold?   blisters and burns  
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When cold is applied for a long time, blood vessels   dialate  
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Persons with ___________impairment are at risk for complications from cold applications.   sensory  
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Example of moist cold application   cold compress  
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______________________are filled with crushed ice.   ice collar  
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Before applying a dry cold application, put it in a cover.   True  
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When using a commercial cold pack, follow   manufactures instructions  
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After applying a dry cold application, you need to check the application site every _____ minutes.   5  
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You applied a cold compress. How often should you check the application site?   every 5 minutes  
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A cooling blanket is needed. After placing it on the bed, it is covered with a   sheet  
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A warming blanket is needed. After placing it on the bed, it is covered with a   sheet  
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What measurements are needed when a cooling blanket or warming blanket is used?   vital signs  
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A safe, comfortable setting is needed when applying heat or cold. Place the call light within reach to promote the person’s comfort and safety.   True  
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Only the body part involved in the procedure is exposed. This action   protects the right to privacy  
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