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The APRN is consulted to evaluate a malodorous wound. What would
be the most appropriate treatment?
A. Fluconazole
B. Metronidazole
C. Miconazole
D. Minocycline - Correct Answer -B. Metronidazole ← Effective in
controlling odor by reducing the odor-producing anaerobic pathogens
A newly diagnosed patient with diabetes with an A1C of 10.2 has a
wound on the lateral aspect of the foot with evidence of exposed tendon
(Wagner grade 2). What would be the most appropriate intervention for
this patient?
A. Evaluate for hyperbaric oxygen therapy (HBOT)
B. Order a pulse volume recording study
C. Refer to a diabetic educator
D. Start enzymatic debridement - Correct Answer -C. Refer to a diabetic
educator
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You are concerned about the patient's complaints of itching to the skin
around the leg ulcer. You will contact the licensed independent
practitioner (LIP) to apply this substance to the intact periwound skin
before the compression stocking:
A. Lidocaine Gel
B. Topical corticosteroid
C. Neomycin
D. Silver Sulfadiazine - Correct Answer -B. Topical corticosteroid
(mild potency) can be applied to periwound over Short term to decrease
inflammation +itching
Which of the following is likely to have the MOST negative effect on
wound healing for a 65 yo woman?
A. Hypoalbuminemia
B. BMI of 20.2
C. BMI of 28
D. Vegan diet - Correct Answer -A. Hypoalbuminemia (this is an
indication of protein malnutrition and may cause delayed wound healing
Which of the following is the most definitive method for obtaining a
wound specimen for culture and sensitivities?
A. Tissue biopsy
B. Sterile swab of wound
C. Needle biopsy
D Sterile swab of discharge - Correct Answer -A. Tissue biopsy
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A patient with an infected abdominal wound is taking a number of
drugs. Which of the following is most likely to impair healing?
A. Phenytoin
B. Corticosteroid
C. Prostaglandin
D. Estrogen - Correct Answer -B. Corticosteroid may impair wound
healing by interfering with vascular proliferation and epithelialization.
What measure could be implemented to reduce pain in a pediatric patient
receiving negative pressure wound therapy (NPWT)?
A. Contact layer
B. Increase negative pressure setting
C. White foam dressing
D. Silver nitrate - Correct Answer -A. Contact layer
Which one of the following historical risk factors does not contribute to
venous insufficiency ulcerations:
A. Open venous leg ulcer > 6 months
B. Lower extremity deep vein thrombosis
C. Paroxysmal atrial fibrillation
D. Motor vehicle accident involving the lower legs - Correct Answer -C.
Paroxysmal atrial fibrillation
How would the WOC nurse document skin injury present on each
buttock at the site where the buttocks touch each other?
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, Page 4 of 267
A. Intertriginous dermatitis (ITD)
B. Incontinence-associated dermatitis (IAD)
C. Moisture-related pressure injury
D. Stage 2 pressure injury - Correct Answer -A. Intertriginous dermatitis
(ITD)- "Kissing injury"
The WOC nurse is completing an initial assessment on a patient with
controlled type 2 diabetes mellitus (DM) and a chronic diabetic
neuropathic foot ulcer. Which of the following factors has the lowest
risk of impacting the development of a sustainable wound care plan?
A. Cultural factors
B. Financial resources
C. Cognitive ability
D. Disease process - Correct Answer -D. Disease process
When reviewing a patient's medication list, which medication is LEAST
LIKELY to impact wound healing?
A. Warfarin
B. Levothyroxine
C. Infliximab
D. Meloxicam - Correct Answer -B. Levothyroxine (indicated for
thyroid conditions, no known effect on wound healing)
When caring for a 30-year-old man with Stevens-Johnson syndrome,
what topical dressing should be considered?
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