Surgical Wound Care, Healing Phases, Hemostasis, Inflammatory Response, Reconstruction, Maturation, Drain Management, Jackson-Pratt, Penrose, Dressing Techniques, Occlusive Dressings, Wet-to-Dry Debridement, Wound Irrigation, Evisceration, Dehiscence, Sta

Surgical Wound Care, Healing Phases, Hemostasis, Inflammatory Response, Reconstruction, Maturation, Drain Management, Jackson-Pratt, Penrose, Dressing Techniques, Occlusive Dressings, Wet-to-Dry Debridement, Wound Irrigation, Evisceration, Dehiscence, Staple and Suture Removal, Drainage Assessment, Serous, Sanguineous, Serosanguineous, Purulent, Pain Management, Patient Positioning, Postoperative Education, Nutrition, Smoking Effects, Diabetes Implications Exam Questions Verified and Complete with A+ Graded Rationales Latest Updated 2026 1. The nurse instructs a patient who has a drain in a surgical wound that the wound will heal by: ry intention. dary intention. ary intention. erate intention. ary intention. When wounds are kept open by a drain, they heal by tertiary intention. -delayed primary intention -practitioner leaves a contaminated wound open and closes it later, after the infection is controlled by suturing two layers of granulation tissue together. pg. 616 1:primary intention: skin edges are closed: Fine scar 2: secondary intention: skin edges are not closed together or when pus has formed: Large scar 3: Tertiary: wound is open and closed later. 2. To assist the postoperative patient to cough, the nurse: rts the patient's back. s an antitussive. ts the abdomen with a pillow. patient against the bedside table. ts the abdomen with a pillow. To assist a postoperative patient to cough, splinting the abdomen with pillow, hands, or a towel roll is helpful to relieve stress on the suture line. pg 618 *3. The day following surgery, the nurse notes bloody drainage on the dressing. The nurse will record this drainage as: anguineous. ineous. s. ent. ineous. The term sanguineous means bloody. It is indicative of active bleeding. -Serous: Clear, watery plasma -Purulent: Thick, yellow, green, tan, or brown -Serosanguineous: Pale, red, watery, mixture of serous and sanguineous -Sanguineous: bright, red, indicative active bleeding pg. 619 Box: 22.2 *4. The nurse explains that the advantage of an occlusive dressing is that it: s air to the incision. the incision moist. s epithelialization. not have to be changed. the incision moist. Occlusive (transparent) dressings keep the incision moist and increase epithelialization. do not permit air nor oxygen to pass -Thin. self-adhesive transparent film dressings (op-site, tegaderm) -barrier to external fluids and bacteria -can stay up to 7 days -allows for wound assessment without removal of the protective film stage 1 - 2 pressure injuries secondary dressing to alginate and foam pg.620 & 625 skill 22.3 5. When the nurse discovers that the gauze dressing has adhered to the wound, the nurse should: the RN. y remove the gauze with sterile forceps. with occlusive dressing. en the dressing with sterile water. en the dressing with sterile water. When a dressing has adhered to the wound, the nurse may moisten the dressing with sterile water or sterile normal saline to loosen it. Moistening decreases adherence of the dressing to the wound and reduces the risk of further trauma to the wound pg 621 6. The nurse instructs the patient in home wound irrigation to hold the hand-held showerhead approximately ______ inches from the wound . a.2.5 b.6 c.12 d.18 c.12 When wound irrigation is done at home with a hand-held showerhead, the showerhead should be held approximately 12 (30.48 cm) inches from the wound. If force of the spray results in too much pressure for comfort, tie a clean washcloth around shower head to disperse the force pg 628 *7. The nurse follows the basic