NUR 3028 MOSBY NURSING VIDEO SKILLS REVIEW QUESTIONS - SKIN INTEGRITY, WOUND CARE QUESTIONS WITH CORRECT ANSWERS

1. A patient who had surgery yesterday has the initial dressing covering the surgical site. What is the nurse's responsibility in assessing this patient's wound? a. Remove the dressing, inspect the wound, and reapply a new dressing. b. Inspect the wound and reapply the surgical dressing every 2 hours. c. Inspect the wound, and keep the dressing off until the health care provider arrives. d. Wait until the health care provider orders the removal of the surgical dressing. CORRECT ANSWER d. Wait until the health care provider orders the removal of the surgical dressing. 2. When emptying a Jackson-Pratt drain, which issue should nursing assistive personnel (NAP) report immediately to the nurse as a potential abnormality? a. The drainage is odorless. b. The drainage is straw colored. c. The patient doesn't like looking at the drainage tubing. d. The amount of drainage was greater today than yesterday. CORRECT ANSWER d. The amount of drainage was greater today than yesterday. 3. Which action can the nurse delegate to nursing assistive personnel (NAP) to help prevent the development of pressure ulcers in an older adult patient? a. Reposition the patient at least every 2 hours. b. Assess the patient's bony prominences every shift. c. Educate the family about the importance of healthy skin. d. Assist the patient in the selection of high-protein foods. CORRECT ANSWER a. Reposition the patient at least every 2 hours. 4. How would the nurse safely apply an enzyme debridement ointment? a. Daub ointment on dead tissue at the wound edges. b. Put ointment on a tongue blade, and gently spread it on the center of the wound. c. Apply ointment to necrotic tissue in the wound while avoiding contact with surrounding skin. d. Apply a gauze dressing to ensure contact with the ointment. CORRECT ANSWER c. Apply ointment to necrotic tissue in the wound while avoiding contact with surrounding skin.