ADVANCED WOUND CARE-
QUESTIONS FROM THE MODULES AND
ANSWERS
A new nurse performs a dressing change on a stage II left heel pressure injury. Which action
km km km km km km km km km km km km km km km km km
by the new nurse indicates a need for further teaching about pressure ulcer care?
km km km km km km km km km km km km km
1. The new nurse uses a hydrocolloid dressing (DuoDerm) to cover the ulcer.
km km km km km km km km km km km km
2. The new nurse inserts a sterile cotton-tipped applicator into the pressure ulcer.
km km km km km km km km km km km km
3. The new nurse cleans the ulcer with a sterile dressing soaked in half-strength peroxide
km km km km km km km km km km km km km km
4. The new nurse irrigates the pressure ulcer with sterile saline using a 30-mL syringe - ans-
km km km km km km km km km km km km km km km km
3. The new nurse cleans the ulcer with a sterile dressing soaked in half-strength peroxide
km km km km km km km km km km km km km km
A patient states that she is unable to get her transparent dressing to stay in place. What instru
km km km km km km km km km km km km km km km km km
ction should the nurse provide the patient?
km km km km km km
1. "There are many options on the market. Why don't you use a nonadhesive-
km km km km km km km km km km km km km
backed transparent dressing instead?" km km km
2. "This type of dressing requires frequent changing because they do not stay in place."
km km km km km km km km km km km km km km
3. "If you are having difficulty with your dressing changes, we can see if the doctor will give yo
km km km km km km km km km km km km km km km km km km
u a referral to a home care agency."
km km km km km km km
4. "Make sure that you have a margin of 1 to 1.5 inches around the wound, and that the skin is
km km km km km km km km km km km km km km km km km km km km
thoroughly dry before applying the dressing." - ans-
km km km km km km km km
4. "Make sure that you have a margin of 1 to 1.5 inches around the wound, and that the skin is
km km km km km km km km km km km km km km km km km km km km
thoroughly dry before applying the dressing."
km km km km km km
When irrigating a wound, the pressure of the lavage should be:
km km km km km km km km km km
1. Determined by wound size
km km km km
2. Cooled to discourage pathogen growth
km km km km km
3. Keep between 4-15 psi
km km km km
4. Minimal enough to not cause pain - ans-3. Keep between 4-15 psi
km km km km km km km km km km km km
The nurse is caring for a patient with a stage II pressure injury on the left hip. While undertaki
km km km km km km km km km km km km km km km km km km
ng routine wound care, the nurse removes the old dressing and finds that the wound bed is co
km km km km km km km km km km km km km km km km km
vered with thick, yellow exudate and a hardened black area. The nurse recognizes that the ne
km km km km km km km km km km km km km km km
xt step in caring for this patient includes
km km km km km km km
1. Protecting the wound from further pressure
km km km km km km
QUESTIONS FROM THE MODULES AND
ANSWERS
A new nurse performs a dressing change on a stage II left heel pressure injury. Which action
km km km km km km km km km km km km km km km km km
by the new nurse indicates a need for further teaching about pressure ulcer care?
km km km km km km km km km km km km km
1. The new nurse uses a hydrocolloid dressing (DuoDerm) to cover the ulcer.
km km km km km km km km km km km km
2. The new nurse inserts a sterile cotton-tipped applicator into the pressure ulcer.
km km km km km km km km km km km km
3. The new nurse cleans the ulcer with a sterile dressing soaked in half-strength peroxide
km km km km km km km km km km km km km km
4. The new nurse irrigates the pressure ulcer with sterile saline using a 30-mL syringe - ans-
km km km km km km km km km km km km km km km km
3. The new nurse cleans the ulcer with a sterile dressing soaked in half-strength peroxide
km km km km km km km km km km km km km km
A patient states that she is unable to get her transparent dressing to stay in place. What instru
km km km km km km km km km km km km km km km km km
ction should the nurse provide the patient?
km km km km km km
1. "There are many options on the market. Why don't you use a nonadhesive-
km km km km km km km km km km km km km
backed transparent dressing instead?" km km km
2. "This type of dressing requires frequent changing because they do not stay in place."
km km km km km km km km km km km km km km
3. "If you are having difficulty with your dressing changes, we can see if the doctor will give yo
km km km km km km km km km km km km km km km km km km
u a referral to a home care agency."
km km km km km km km
4. "Make sure that you have a margin of 1 to 1.5 inches around the wound, and that the skin is
km km km km km km km km km km km km km km km km km km km km
thoroughly dry before applying the dressing." - ans-
km km km km km km km km
4. "Make sure that you have a margin of 1 to 1.5 inches around the wound, and that the skin is
km km km km km km km km km km km km km km km km km km km km
thoroughly dry before applying the dressing."
km km km km km km
When irrigating a wound, the pressure of the lavage should be:
km km km km km km km km km km
1. Determined by wound size
km km km km
2. Cooled to discourage pathogen growth
km km km km km
3. Keep between 4-15 psi
km km km km
4. Minimal enough to not cause pain - ans-3. Keep between 4-15 psi
km km km km km km km km km km km km
The nurse is caring for a patient with a stage II pressure injury on the left hip. While undertaki
km km km km km km km km km km km km km km km km km km
ng routine wound care, the nurse removes the old dressing and finds that the wound bed is co
km km km km km km km km km km km km km km km km km
vered with thick, yellow exudate and a hardened black area. The nurse recognizes that the ne
km km km km km km km km km km km km km km km
xt step in caring for this patient includes
km km km km km km km
1. Protecting the wound from further pressure
km km km km km km
