ADVANCED WOUND CARE- QUESTIONS FROM THE MODULES AND ANSWERS

ADVANCED WOUND CARE-
QUESTIONS FROM THE MODULES AND
ANSWERS

A new nurse performs a dressing change on a stage II left heel pressure injury. Which action
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by the new nurse indicates a need for further teaching about pressure ulcer care?
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1. The new nurse uses a hydrocolloid dressing (DuoDerm) to cover the ulcer.
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2. The new nurse inserts a sterile cotton-tipped applicator into the pressure ulcer.
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3. The new nurse cleans the ulcer with a sterile dressing soaked in half-strength peroxide
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4. The new nurse irrigates the pressure ulcer with sterile saline using a 30-mL syringe - ans-
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3. The new nurse cleans the ulcer with a sterile dressing soaked in half-strength peroxide
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A patient states that she is unable to get her transparent dressing to stay in place. What instru
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ction should the nurse provide the patient?
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1. "There are many options on the market. Why don't you use a nonadhesive-
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backed transparent dressing instead?" km km km




2. "This type of dressing requires frequent changing because they do not stay in place."
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3. "If you are having difficulty with your dressing changes, we can see if the doctor will give yo
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u a referral to a home care agency."
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4. "Make sure that you have a margin of 1 to 1.5 inches around the wound, and that the skin is
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thoroughly dry before applying the dressing." - ans-
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4. "Make sure that you have a margin of 1 to 1.5 inches around the wound, and that the skin is
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thoroughly dry before applying the dressing."
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When irrigating a wound, the pressure of the lavage should be:
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1. Determined by wound size
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2. Cooled to discourage pathogen growth
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3. Keep between 4-15 psi
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4. Minimal enough to not cause pain - ans-3. Keep between 4-15 psi
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The nurse is caring for a patient with a stage II pressure injury on the left hip. While undertaki
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ng routine wound care, the nurse removes the old dressing and finds that the wound bed is co
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vered with thick, yellow exudate and a hardened black area. The nurse recognizes that the ne
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xt step in caring for this patient includes
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1. Protecting the wound from further pressure
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