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NRSG 301 Advanced Wound Care – Questions With A+ Solutions

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Terms in this set (122)



What is wound irrigation? applying fluid to a wound to remove exudate, debris, bacterial
contaminants and dressing residue without impacting the
healing process


What is one condition of being able to pack being able to see the bottom of the wound
a wound?


***What kind of wounds should you never one without a known endpoint (fistula)
irrigate? all the added fluid needs to be absorbed by gauze


Wound packing is generally done with what sterile
kind of gloves?


All fluid that enters body through irrigation take or absorbed out
must be ____


T/F Pressure ulcers are down staged as they F, they are NEVER downstaged because lost muscle, fat, and
heal dermis are not replaced by granuu


Stage 1 pressure ulcer intact skin with nonblanchable redness


Stage 2 pressure ulcer partial thickness skin loss (epidermis/dermis)


Stage 3 pressure ulcer full thickness skin loss and subcutaneous tissue can be seen


Stage 4 pressure ulcer full thickness skin loss and may be damage to muscle, bone,
or supporting structures


What is category X or N pressure ulcer? unable to see depth because of eschar


What is suspected deep tissue injur>? usually intact purple or maroon or blood filled blister that's
pain


What are 5 fluids that be used to irrigate sterile normal saline
wounds? sterile water
portable water
commercial cleansing agents
topical antiseptic agents

, Match the treatment to the stage of 3 and 4
pressure ulcers
(stage 1, 2, 3, 4) (one has both) 2


Relieve pressure; debride slough/eschar if 1
present; pack sinus tracts and undermining if
present; dressing to absorb drainage;
decrease bacterial colonization; protect


Relieve pressure; no dressing (barrier
cream) or dressing to absorb drainage;
debride slough if present; protect


Relieve pressure; protect (barrier creams);
prevent from becoming worse


Treatment for category x pressure ulcer (2) surgical debridement to remove eschar


if non-surgical, keep dry and prevent infection


What kind of treatments are used for black iodine
category x wounds? antimicrobial gauze


T/F Wound irrigation tips are used multiple F, disposable and single use
times


Air-fluidized Therapy (Fluidotherapy - Suspected Deep Tissuepressure ulcer
Fluidization causes finely divided particles
to acquire the characteristics of fluid)
Non-Contact Low Frequency Ultrasound
Therapy is used for what kind of pressure
ulcer?


What is treatment of category X pressure surgical debridement to remove eschar
ulcer (black wound) (4)?
keep dry, prevent infection, use iodine


If you suspect a wound infection, you obtain a C&S swab cleaned wound bed
should do what 4 things? anticipate antibiotics before or after culture results
consider treating wound with wound care products to
decrease bacteria


Diagnosis of infection is usually made by____, assessment, culture results
not _____


Wound irrigation tip 3 characteristic? soft (doesn't damage wounds)
flexible
plastic (LATEX FREE)


How much psi of pressure does wound 7-8 psi of pressure
irrigation tip provide? not a lot of pressure so allows gentle removal of debris
What does this allow? without causing additional trauma


What kind of wounds are wound irrigation deep wounds with wide opening
tips used for (3)? wounds with narrow opening
wounds wiht sinus/tunnelling


Irrigation is a ___ technique to fill ___-__ mL sterile, 20, 30
syringe with ordered irrigation fluid

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