CWCN Review Book – Questions & Accurate Solutions
Which of the following is the best approach to management of a fungating
breast tumor with very malodorous exudate and a friable surface that bleeds
with dressing removal? the wound is currently managed with damp gauze
dressings.
a. dakins soaked WTD dressing
b. DSD + charcoal dressing secured with surgical netting
c. amorphous gel + damp gauze covered with dry gauze and surgical netting
d. crushed metronidazole tablets to wound surgcace + adaptic + DSD and
surgical netting Right Ans - d. crushed metronidazole tablets to wound
surgcace + adaptic + DSD and surgical netting
The most critical intervention in management of a blistering weeping allergic
reaction is:
a. systemic antihistamines
b. antibiotics to prevent secondary infection
c. avoidance of contact with allergen
d. topical therapy to control edema and itching Right Ans - C. avoidance of
contact with allergen.
You are assessing a 56 YO female who is 5 days s/p cholecystectomy and is
now complaining of feeling "really awful, like I have the flu or something" and
also reports intense pain medial to incision. on inspection, you note a
petechial rash. temp 101, WBC 15,000. these findings are most consistent
with:
a. cellulitis and impending incisional dehiscence
b. necrotizing fasciitis
c. toxic epidermal necrolysis syndrome
d. allergic reaction to tape on incisional dressing. Right Ans - B. necrotizing
fasciitis
Ms. J is a 44 YO female with AIDS who is referred to your HHA for
management of dehisced incisional wound. on assessment, wound measures
10x5x3. base clean but not granulating. small amt serosanguineous drainage,
and faint halo erythema 2cm from wound edges. which of the following is
most accurate:
a. these are normal findings for wound at end of inflammatory phase.
b. these findings are indicative of wound infection (cellulitis).
, c. these findings are consistent with early proliferative phase of repair.
d. these findings are consistent with critical colonization. Right Ans - b.
these findings are indicative of wound infection (cellulitis)
Which of the following is MOST likely to minimize pain associated with
dressing changes:
a. ATC analgesics
b. nonadherent or silicone adhesive dressings
c. use of NPWT to accelerate healing
d. use of imagery during dressing changes. Right Ans - b. nonadherent or
silicone adhesive dressings
Jim B. presents to your wound clinic with an ulcer on the anterior aspect of the
right leg that measures 6x5x1, acutely painful, ragged wound edges with
purple halo, and mod amounts exudate. only PMH mild RA controlled with
NSAIDs. normal pulses, warm feet, and normal hair growth. no edema.
findings consistent with:
a. pyoderma gangrenosum
b. vasculitic ulcer
c. calciphylaxis
d. necrobiosis lipoidica Right Ans - A. pyoderma gangrenosum
You are consulted on a patient with a pressure ulcer that measures 8x6x4,
tunnel 0.3x3 @ 6o'clock. which of the following is the best approach to
manage tunnel:
a. nugauze strips
b. alginate rope
c. no dressing to tunnel so tunnel is allowed to close
d. amorphous gel Right Ans - a. nugauze strips.
In writing a protocol for mgmt of surgical incisions, you should include which
of the following:
a. paint with betadine solution daily
b. leave OTA after 24 hours. monitor for s/s infection
c. triple antibiotic ointment and nonadherent gauze changed daily with clean
technique
d. sterile occlusive dressings first 24-48 hours post-operatively. Right Ans -
d. sterile occlusive dressing first 24-48 hours post-operatively.
Which of the following is the best approach to management of a fungating
breast tumor with very malodorous exudate and a friable surface that bleeds
with dressing removal? the wound is currently managed with damp gauze
dressings.
a. dakins soaked WTD dressing
b. DSD + charcoal dressing secured with surgical netting
c. amorphous gel + damp gauze covered with dry gauze and surgical netting
d. crushed metronidazole tablets to wound surgcace + adaptic + DSD and
surgical netting Right Ans - d. crushed metronidazole tablets to wound
surgcace + adaptic + DSD and surgical netting
The most critical intervention in management of a blistering weeping allergic
reaction is:
a. systemic antihistamines
b. antibiotics to prevent secondary infection
c. avoidance of contact with allergen
d. topical therapy to control edema and itching Right Ans - C. avoidance of
contact with allergen.
You are assessing a 56 YO female who is 5 days s/p cholecystectomy and is
now complaining of feeling "really awful, like I have the flu or something" and
also reports intense pain medial to incision. on inspection, you note a
petechial rash. temp 101, WBC 15,000. these findings are most consistent
with:
a. cellulitis and impending incisional dehiscence
b. necrotizing fasciitis
c. toxic epidermal necrolysis syndrome
d. allergic reaction to tape on incisional dressing. Right Ans - B. necrotizing
fasciitis
Ms. J is a 44 YO female with AIDS who is referred to your HHA for
management of dehisced incisional wound. on assessment, wound measures
10x5x3. base clean but not granulating. small amt serosanguineous drainage,
and faint halo erythema 2cm from wound edges. which of the following is
most accurate:
a. these are normal findings for wound at end of inflammatory phase.
b. these findings are indicative of wound infection (cellulitis).
, c. these findings are consistent with early proliferative phase of repair.
d. these findings are consistent with critical colonization. Right Ans - b.
these findings are indicative of wound infection (cellulitis)
Which of the following is MOST likely to minimize pain associated with
dressing changes:
a. ATC analgesics
b. nonadherent or silicone adhesive dressings
c. use of NPWT to accelerate healing
d. use of imagery during dressing changes. Right Ans - b. nonadherent or
silicone adhesive dressings
Jim B. presents to your wound clinic with an ulcer on the anterior aspect of the
right leg that measures 6x5x1, acutely painful, ragged wound edges with
purple halo, and mod amounts exudate. only PMH mild RA controlled with
NSAIDs. normal pulses, warm feet, and normal hair growth. no edema.
findings consistent with:
a. pyoderma gangrenosum
b. vasculitic ulcer
c. calciphylaxis
d. necrobiosis lipoidica Right Ans - A. pyoderma gangrenosum
You are consulted on a patient with a pressure ulcer that measures 8x6x4,
tunnel 0.3x3 @ 6o'clock. which of the following is the best approach to
manage tunnel:
a. nugauze strips
b. alginate rope
c. no dressing to tunnel so tunnel is allowed to close
d. amorphous gel Right Ans - a. nugauze strips.
In writing a protocol for mgmt of surgical incisions, you should include which
of the following:
a. paint with betadine solution daily
b. leave OTA after 24 hours. monitor for s/s infection
c. triple antibiotic ointment and nonadherent gauze changed daily with clean
technique
d. sterile occlusive dressings first 24-48 hours post-operatively. Right Ans -
d. sterile occlusive dressing first 24-48 hours post-operatively.
