TestTest
#3 Practice
Questions
TestTest
#3&Practice
Notes_
Questions
Kozier
Test
& Notes_
Questions
Chapter
Kozier
36
& Notes_
_Chapter
Skin Integrity
Kozier
36 _Chapter
Skin
& Wound
Integrity
36 Care
_ Skin
& Wound
_ Integrity
Complete
Care& Nursing
Wound
_ Complete
Care
Study
Nursing
_Guide.pdf
Complete
Study
Nursing
Guide.pdf
Study Guide.pdf
Test #3 Practice Test Questions &
Notes: Kozier Chapter 36 | Skin Integrity
& Wound Care | Complete Nursing
Study Guide
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_
Test #3 Practice
TestTest
#3 Practice
Questions
TestTest
#3&Practice
Notes_
Questions
Kozier
Test
& Notes_
Questions
Chapter
Kozier
36
& Notes_
_Chapter
Skin Integrity
Kozier
36 _Chapter
Skin
& Wound
Integrity
36 Care
_ Skin
& Wound
_ Integrity
Complete
Care& Nursing
Wound
_ Complete
Care
Study
Nursing
_Guide.pdf
Complete
Study
Nursing
Guide.pdf
Study Guide.pdf
,Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Terms in this set (16)
Proper technique for performing a wound culture 1. Cleansing the wound prior to obtaining the specimen; Wound culture
includes what? specimens should be obtained from a cleaned area of the wound. Microbes
responsible for infection are more likely to be found in viable tissue.
1. Cleansing the wound prior to obtaining the specimen.
2. Swabbing for the specimen in the area with the Collected drainage contains old and mixed organisms. An appropriate
largest collection of drainage. specimen can be obtained without causing the client the discomfort of
3. Removing crusts or scabs with sterile forceps and debriding. The nurse does not generally debride a wound to obtain a specimen.
then culturing the site beneath. Once systemic antibiotics have been begun, the interval following a does will
4. Waiting 8 hours following a dose of antibiotic to not significantly affect the concentration of wound organisms.
obtain the specimen.
Which of the following items are used to perform 1, 2, and 4; To irrigate a wound, the nurse uses clean gloves to remove the old
wound care irrigation? Select all that apply. dressing and to hold the basin collecting the irrigating fluid plus sterile gloves
to apply the new dressing. A 60-mL syringe is the correct size to hold the
1. Clean gloves volume of irrigating solution plus deliver safe irrigating pressure. The irrigation
2. Sterile gloves fluid should be at room or body temperature-- certainly not refrigerated.
3. Refrigerated irrigating solution
4. 60-mL syringe
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
,Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
A client has a pressure ulcer with a shallow, partial skin 3. Hydrocolloid; Hydrocolloid dressings protect shallow ulcers and maintain an
thickness, eroded area but no necrotic areas. The nurse appropriate healing environment.
would treat the area with which dressing?
Alginates (option 1) are used for wounds with significant drainage; dry gauze
1. Alginate (option 2) will stick to granulation tissue, causing more damage. A dressing is
2. Dry Gauze needed to protect the wound and enhance healing.
3. Hydrocolloid
4. No dressing indicated.
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
, Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Which of the following are primary risk factors for 1, 3, & 4; Risk factors for pressure ulcers include a low-protein diet, lengthy
pressure ulcers? Select all that apply. surgical procedures, and fever.
1. Low-protein diet Protein is needed for adequate skin health and healing. During surgery, the
2. Insomnia client is on a hard surface and may not be well protected from pressure on
3. Lengthy surgical procedures bony prominences. Fever increases skin moisture, which can lead to skin
4. Fever breakdown, plus the stress on the body from the cause of the fever could impair
5. Sleeping on a waterbed circulation and skin integrity. Insomnia (option 2) would generally involve
restless sleeping, which transfers pressure to different parts of the body and
would reduce chances of skin breakdown. A waterbed (option 5) distributes
pressure more evenly than a regular mattress and, thus, actually reduces the
chance of skin breakdown.
Thirty minutes after application is initiated, the client 1. Heat application for longer than thirty minutes can actually cause the opposite
requests that the nurse leave the heating pad in place. effect (constriction) of the one desired (dilation); The heating pads need to be
The nurse explains to the client that: removed. After 30 minutes of heat application, the blood vessels in the area will
begin to exhibit the rebound effect resulting in vasoconstriction.
1. Heat application for longer than thirty minutes can
actually cause the opposite effect (constriction) of the Lowering the temperature, but still delivering heat -dry or moist- will not
one desired (dilation) prevent the rebound effect. The visual appearance of the site on inspection
2. It will be acceptable to leave the pad in place for (option 3) does not indicate if rebound is occurring.
another thirty minutes
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf
Test #3_ Practice Test Questions & Notes Kozier Chapter 36; Skin Integrity & Wound Care.pdf