Wound Final Study Guide (WOCN Continence) Questions and Correct answers

Wound Final Study Guide (WOCN Continence) Questions and Correct answers In assessing a surgical wound for healing, the WOC nurse suspects impending fistula development. Which of the following would be a definitive indicator? - CORRECT ANSWER-Passage of GI secretions or urine into an open wound bed. A patient with a chronic wound demonstrates stalled healing. The list of meds include an anti-hypertensive, a corticosteroid, and a mutlivitamin. Which of the following would best address this problem? - CORRECT ANSWER-Application of vitamin A to the wound bed. What is the best method to administer meds via percutaneous feeding tube? - CORRECT ANSWER-Flush with 10ml of water before/after each med. A patient with chronic venous insufficiency requires compression tx. Which of the following should be included in the patient education plan? - CORRECT ANSWERApply stockings in the AM and increase walking. Which response best describes teaching routine tube care for a newly placed PEG? - CORRECT ANSWER-The tube site should be washed daily with mild soap and water, rinsed, and dried. During which phase of wound healing does leukocytosis play a key role? - CORRECT ANSWER-Inflammatory. A full thickness wound with undermining is being managed with moist saline gauze. Which of the following techniques best promotes healing? - CORRECT ANSWER-Fluff gauze and loosely pack into wound. What type of skin injury could occur with use of vigorous rubbing while cleansing the perineal area? - CORRECT ANSWER-Friction. Which of the following demonstrates appropriate use of product in the nursing manage of fistula? - CORRECT ANSWER-Pouching system for high or low output fistula. Pain control is part of the WOC nursing plan of care for individuals with wounds. What best describes the physiologic effect pain has on wound healing? - CORRECT ANSWER-Pain triggers release of proinflammatory cytokines.