BSN 205 Final week 8 Questions with Verified
Correct Answers
Identify which of the following wounds would heal by secondary intention.
An open surgical wound requiring packing
A full-thickness burn
A pressure injury
Which of the following are examples of a chronic wound?
A peripheral vascular venous stasis injury
A pressure injury
A wound that has healed by primary intention will have more scar formation than a
wound that has healed by secondary intention.
False, Wounds that heal by secondary intention have more scar tissue formation because of
the volume of tissue needed to fill the defect.
The nurse enters the patient's room to answer the call light. The patient states he
coughed and it felt liked "something has given way." The nurse observes the patient's
abdominal wound and finds the wound edges have separated and the intestine appears
to be bulging out of the incision. What complication of wound healing is the nurse
seeing in the scenario above?
Evisceration
The nurse enters the patient's room to answer the call light. The patient states he
coughed and it felt liked "something has given way." The nurse observes the patient's
abdominal wound and finds the wound edges have separated and the intestine appears
,to be bulging out of the incision. What should the nurse's next action be after applying
sterile gloves?
Apply sterile gauze saturated with sterile normal saline.
What may primarily contribute to the development of dehiscence and evisceration,
rather than fistula formation?
Obesity
Malnutrition
What factors can impedes wound healing?
Smoking
Malnutrition
Diabetes
Steroid therapy
What factors can promote wound healing?
Normal weight
Young age
Absence of infection
Moist wound environment
patients who may be at risk for impaired wound healing
An obese patient who had abdominal surgery
An elderly patient who has peripheral vascular disease and a foot injury
A malnourished patient with AIDS and an injury on his buttocks
A 17-year-old girl who smokes and has purulent drainage from an open wound obtained a
week ago in a motor vehicle accident
, A contaminated or traumatic wound may show signs of infection within 24 hours. A
surgical wound infection usually develops postoperatively within 14 days.
False, contaminated wound may show signs on infection 2-3 days. Surgical wound infection
usually develops post op in 4-5 days
Healing by primary intention 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.
True
What can indicate internal hemorrhage?
Distention of swelling of the affected body part
Dec BP and inc pulse
Change in type and amount of drainage from a surgical drain
When teaching a patient about wound healing what should the nurse tell the patient?
Inadequate nutrition delays wound healing and increases risk of infection
The nurse is caring for a patient who had knee replacement surgery 5 days ago. The
patients knee appears red and is very warm to the touch. The patient requests pain
medication. What is a correct explanation of what the nurse has assessed.
The patient is demonstrating signs of a postoperative wound infection
The nurse is caring for a patient after a major abdominal surgery. Which of the
following demonstrates correct understanding of wound dehiscence.
The nurse should be alert for an increase in serosanguineous drainage from the wound
Correct Answers
Identify which of the following wounds would heal by secondary intention.
An open surgical wound requiring packing
A full-thickness burn
A pressure injury
Which of the following are examples of a chronic wound?
A peripheral vascular venous stasis injury
A pressure injury
A wound that has healed by primary intention will have more scar formation than a
wound that has healed by secondary intention.
False, Wounds that heal by secondary intention have more scar tissue formation because of
the volume of tissue needed to fill the defect.
The nurse enters the patient's room to answer the call light. The patient states he
coughed and it felt liked "something has given way." The nurse observes the patient's
abdominal wound and finds the wound edges have separated and the intestine appears
to be bulging out of the incision. What complication of wound healing is the nurse
seeing in the scenario above?
Evisceration
The nurse enters the patient's room to answer the call light. The patient states he
coughed and it felt liked "something has given way." The nurse observes the patient's
abdominal wound and finds the wound edges have separated and the intestine appears
,to be bulging out of the incision. What should the nurse's next action be after applying
sterile gloves?
Apply sterile gauze saturated with sterile normal saline.
What may primarily contribute to the development of dehiscence and evisceration,
rather than fistula formation?
Obesity
Malnutrition
What factors can impedes wound healing?
Smoking
Malnutrition
Diabetes
Steroid therapy
What factors can promote wound healing?
Normal weight
Young age
Absence of infection
Moist wound environment
patients who may be at risk for impaired wound healing
An obese patient who had abdominal surgery
An elderly patient who has peripheral vascular disease and a foot injury
A malnourished patient with AIDS and an injury on his buttocks
A 17-year-old girl who smokes and has purulent drainage from an open wound obtained a
week ago in a motor vehicle accident
, A contaminated or traumatic wound may show signs of infection within 24 hours. A
surgical wound infection usually develops postoperatively within 14 days.
False, contaminated wound may show signs on infection 2-3 days. Surgical wound infection
usually develops post op in 4-5 days
Healing by primary intention 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.
True
What can indicate internal hemorrhage?
Distention of swelling of the affected body part
Dec BP and inc pulse
Change in type and amount of drainage from a surgical drain
When teaching a patient about wound healing what should the nurse tell the patient?
Inadequate nutrition delays wound healing and increases risk of infection
The nurse is caring for a patient who had knee replacement surgery 5 days ago. The
patients knee appears red and is very warm to the touch. The patient requests pain
medication. What is a correct explanation of what the nurse has assessed.
The patient is demonstrating signs of a postoperative wound infection
The nurse is caring for a patient after a major abdominal surgery. Which of the
following demonstrates correct understanding of wound dehiscence.
The nurse should be alert for an increase in serosanguineous drainage from the wound
