GUIDE WITH COMPLETE SOLUTION!!
Wound Care & Dressing Changes
Q: What should the nurse do immediately after completing a dressing change?
A:
After a dressing change, the nurse should complete the following steps:
Label the new dressing – include date, time, and initials.
Perform hand hygiene and teach proper handwashing to the patient if needed.
Document thoroughly, which includes:
The patient’s response to the procedure
Expected outcomes (e.g., cleaner wound, decreased drainage)
Unexpected outcomes (e.g., increased pain, signs of infection)
Q: What key components are included in a wound assessment?
A:
,A wound assessment includes:
Checking for inflammation
Measuring the size of the wound
Assessing the type and amount of drainage
Observing for redness or warmth, which may indicate infection
Q: What are the common signs of wound infection?
A:
Signs include:
Increasing redness, especially spreading beyond the wound edges
Swelling (edema)
Purulent (pus-like) drainage
Pain or tenderness
Elevated body temperature
Cognitive Impairment (CI)
Q: At what age should children with cognitive impairments be referred for
treatment?
A:
Children should be referred for evaluation and treatment as early as possible,
ideally during early infancy when delays are first noticed.
,Q: What is the definition of cognitive impairment?
A:
Cognitive impairment refers to significant limitations in intellectual functioning
and adaptive behaviors, generally associated with an IQ below 70–75.
Q: How is intellectual disability defined?
A:
Intellectual disability includes:
Reduced intellectual functioning
Limitations in adaptive skills
Onset before age 18
Q: What categories are used to evaluate adaptive functioning in cognitive
impairment?
A:
Impairments are assessed across 10 domains:
Communication
Leisure
Academics
Self-care
Health
Work
, Home living
Self-direction
Community skills
Social skills and safety awareness
Q: What signs may indicate cognitive impairment in a child?
A:
Possible signs include:
Missing or delayed developmental milestones
Limited or absent interest in the environment
Poor eye contact
Decreased reaction to voice or movement
Irritability
Challenges with learning or communication
Q: What are common causes of cognitive impairment?
A:
Causes may be related to:
Infections (prenatal or postnatal)
Nutritional deficiencies
Genetic or chromosomal abnormalities (e.g., Down syndrome)
Brain disorders or injuries