BSN 206 : WOUND CARE questions and answers A+ Grade
A contaminated or traumatic wound may show signs of infection within 24 hours. A surgical wound
infection usually develops postoperatively within 14 days
OPTIONS:
> True
> False
- correct answer TRUE
Healing by primary intentionn is expected when the edges of a clean surgical incision are sutured or
stapled together, tissue loss is minimal or absent, and the wound is uncontaminated by microorganisms
OPTIONS:
>True
> False
- correct answer True
Which of the following may indicate internal hemorrhage?
Select all that apply
> distention or swelling of the affected body part
> elevated white blood cell count
> decreased blood pressure and increased pulse
> change in the type and amount of drainage from a surgical drain
> purulent drainage and tenderness at wound site
- correct answer distention or swelling of the affected body part
decreased blood pressure and increased pulse
change in the type and amount of drainage from a surgical drain
Which of the following patient has the least risk for developing a wound infection ?
, OPTIONS:
> 80 year old man who has a burn
> 17 year old patient who has metal fragment lodged in his thigh
> 30 year old women who had an episiotomy with child birth
> patient recieving chemotherapy who has a surgical incision
- correct answer 30 year old women who had an episiotomy with child birth
When teaching a patient abount wounnd healing, what should the nurse tell the patient?
OPTIONS:
> inadequate nutrition delays wound healing and increases risk of infection
> chronic wound heal more efficiently in a dry, open environment, so leave them open to air when
possible
> long term steroid therapy diminishes the inflammatory response and speed wound healing
> fat tissue heals because there is less vascularization
- correct answer inadequate nutrition delays wound healing and increases risk of infection
Nurse is caring for a patient who had a knee replacement surgery 5 days ago. the patients knee appears
red and is very warm to the touch. the patient request pain medication. which of the following would be
a correct explanation of what nurse has assessed?
OPTIONS:
> these are expected findings for this postoperative period
> the patient Is becoming dependent on pain medication
> the nurse should observe the patient more for wound dehiscence
> the patient is demonstrating signs of a postoperative wound infection
- correct answer the patient is demonstrating signs of a postoperative wound infection
The nurse is caring for a patient after major abdominal surgery. Which of the following demonstrates
correct understanding of wound dehiscence ?
OPTIONS:
> the nurse should be alert for an increase in serosanguineous drainage from the wound
> wound dehiscence is most likely to occur during the first 24 to 48 hours after surgery
A contaminated or traumatic wound may show signs of infection within 24 hours. A surgical wound
infection usually develops postoperatively within 14 days
OPTIONS:
> True
> False
- correct answer TRUE
Healing by primary intentionn is expected when the edges of a clean surgical incision are sutured or
stapled together, tissue loss is minimal or absent, and the wound is uncontaminated by microorganisms
OPTIONS:
>True
> False
- correct answer True
Which of the following may indicate internal hemorrhage?
Select all that apply
> distention or swelling of the affected body part
> elevated white blood cell count
> decreased blood pressure and increased pulse
> change in the type and amount of drainage from a surgical drain
> purulent drainage and tenderness at wound site
- correct answer distention or swelling of the affected body part
decreased blood pressure and increased pulse
change in the type and amount of drainage from a surgical drain
Which of the following patient has the least risk for developing a wound infection ?
, OPTIONS:
> 80 year old man who has a burn
> 17 year old patient who has metal fragment lodged in his thigh
> 30 year old women who had an episiotomy with child birth
> patient recieving chemotherapy who has a surgical incision
- correct answer 30 year old women who had an episiotomy with child birth
When teaching a patient abount wounnd healing, what should the nurse tell the patient?
OPTIONS:
> inadequate nutrition delays wound healing and increases risk of infection
> chronic wound heal more efficiently in a dry, open environment, so leave them open to air when
possible
> long term steroid therapy diminishes the inflammatory response and speed wound healing
> fat tissue heals because there is less vascularization
- correct answer inadequate nutrition delays wound healing and increases risk of infection
Nurse is caring for a patient who had a knee replacement surgery 5 days ago. the patients knee appears
red and is very warm to the touch. the patient request pain medication. which of the following would be
a correct explanation of what nurse has assessed?
OPTIONS:
> these are expected findings for this postoperative period
> the patient Is becoming dependent on pain medication
> the nurse should observe the patient more for wound dehiscence
> the patient is demonstrating signs of a postoperative wound infection
- correct answer the patient is demonstrating signs of a postoperative wound infection
The nurse is caring for a patient after major abdominal surgery. Which of the following demonstrates
correct understanding of wound dehiscence ?
OPTIONS:
> the nurse should be alert for an increase in serosanguineous drainage from the wound
> wound dehiscence is most likely to occur during the first 24 to 48 hours after surgery
