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Wound Final Study Guide In assessing a surgical wound for healing, the WOC nurse suspects impending fistula development. Which of the following would be a definitive indicator? - 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? - Application of vitamin A to the wound bed. What is the best method to administer meds via percutaneous feeding tube? - 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? - Apply stockings in the AM and increase walking. Which response best describes teaching routine tube care for a newly placed PEG? - 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? - Inflammatory. A full thickness wound with undermining is being managed with moist saline gauze. Which of the following techniques best promotes healing? - Fluff gauze and loosely pack into wound. What type of skin injury could occur with use of vigorous rubbing while cleansing the perineal area? - Friction. Which of the following demonstrates appropriate use of product in the nursing manage of fistula? - 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? - Pain triggers release of proinflammatory cytokines. The wound care nurse is planning evidence-based wound care for a patient with a bullous pemphigoid. Which intervention is recommended? - Puncture and drain large blisters in a sterile environment. NPWT would be indicated for which wound types? - Skin flap closures and pressure injuries. In assessing for the appropriate filler product in a wound managed with NPWT, the WOC nurse notes the black foam the black foam is sticking to the wound bed. Which


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