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Which of the following is an example of healing by secondary intention? (Select all that
apply.) - ✔✔-A full-thickness pressure ulcer
-A dog bite
-A burn
It is suspected that a patient is developing a wound infection. Which assessment data
would support this conclusion? - ✔✔-Yellow-tinged drainage
-Temperature 100.3°F (37.94°C)
-Increased complaints of pain at wound site
-White blood cell count 13,000 mm3 (elevated)
-Foul odor noted from previous dressing
Which of the following lab results or measurements indicate a risk for impaired wound
healing? - ✔✔-A BMI (body mass index) of 35 (elevated)
-Fasting blood glucose of 215 mg/dl (elevated)
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, -A serum albumin of 2.9 g/dl (decreased)
-A hemoglobin of 10.0 g per dL (decreased)
Identify the functions of dressings. - ✔✔-maintaining a moist environment
-control bleeding and drainage
-Protection from outside contaminants and further tissue injury
-increased patient comfort
Which of the following regarding removal of the old dressing on a surgical incision are
accurate? - ✔✔-If dressing is over a hairy area, remove tape in the direction of hair
growth.
-Use caution to avoid tension on any drains that are present.
Which of the following is a method of wound debridement? - ✔✔Moist-to-dry dressing
The nurse is teaching the NAP in a nursing home about daily routine measures to
reduce the incidence of pressure ulcers within the facility. Which of the following
should the nurse include in the teaching? - ✔✔-Turning patients at least every 2 hours
-Use of pillow bridging when needed
-Positioning the patient in the 30-degree lateral position
-Using a turn sheet to reposition patients
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