HOPE COLLEGE NURSING SKILLS FINAL EXAM STUDY GUIDE QUESTIONS WITH ANSWERS ALL VERIFIED BY AN EXPERT A+ GRADED (LATEST UPDATE)

the nurse is caring for a patient who has a dressing over a surgical wound created the night before. the dressing has never been changed. how should the nurse proceed? A: change the dressing so she can assess the wound B: administer analgesic 30 to 45 min before a dressing change C: culture the wound if wound exudate is present D: administer analgesic 30 min after the dressing change - ANS B: Administer analgesic 30 to 45 min before a dressing change the nurse is in the process of irrigating the wound for a patient who has a large pressure ulcer on his buttock. how should the nurse proceed? A: use irrigation pressures of less than 4 psi B: cleanse in a direction from most contaminated with least contaminated C: irrigate so the solution flows from least contaminated to most D: irrigate with clean irrigation solution only - ANS C: irrigate so the solution floes from least contaminated to most The nurse is changing a surgical dressing and is culturing the wound. she knows that: A: she should start at one end of the incision line and swab the entire length B: she should swab from margin to margin C: she should work in a circular motion around the incision line - ANS B: she should swab from margin to margin the nurse prepares to irrigate that patient's wound. what is the primary reason for this procedure? A: decrease scar formation B: remove debris from the wound C: improve circulation to the wound D: Decrease irritation from wound damage - ANS B: remove debris from the wound When should a nurse consider culturing a wound? A: when the tissue is clean and dry B: when exudate is not present C: when the patient is afebrile D: when there is a lack of healing after two weeks in a clean wound - ANS D: when there is a lack of healing after two weeks in a clean wound What should the nurse do when removing intermittent sutures? A: snip both sides of the suture after removing B: snip the suture as close to the knot as possible C: Snip the suture as close to the skin as possible D: pull up the knot to apply as much tension as possible - ANS C: Snip the suture as close to the skin as possible What should the nurse do to reestablish the vacuum of the hemovac system after emptying? (more than one answer) A: place the evacuator on a flat surface with open outlet facing upward B: press downward until bottom and top are in contact C: replace the cap immediately after emptying D: Quickly cleanse opening and plug with one hand, and immediately replace plug - ANS A:place the evacuator on a flat surface with open outlet facing upward B: press downward until bottom and top are in contact D: Quickly cleanse opening and plug with one hand, and immediately replace plug The nurse is changing a dry, woven gauze dressing when she notices that the gauze has inadvertently stuck to the wound. What should the nurse do? A: pull the dressing off to aid in debridement B: recover the dressing and leave in place C: moisten the gauze to minimize the trauma D: ensure that the tiny side of the dry gauze dressing does not stick - ANS C: moisten the gauze to minimize the trauma what should the nurse do for a patient who is having a wet-to-dry dressing applied: A: moisten the old inner dressing to remove it B: pack the gauze in flat pieces into the wound C: wet the new inner dressing with a cytotoxic solution D: apply a secondary dressing over the wet inner packing - ANS D: apply a secondary dressing over the wet inner packing What should the nurse do for a patient with a sudden severe hemmorage? A: go for help B: drape the patient C: apply direct pressure D: assess the patient's pulse - ANS C: apply direct pressure The nurse is changing a film dressing over a wound that is showing a large amount of drainage. How should the nurse proceed? A: apply a film dressing after culturing the wound Apply a film dressing after cleansing the area C: Choose another type of dressing for this wound D: keep the wound open to air - ANS C: Choose another type of dressing for this wound Hydrocolloid dressings are used for which of the following? (more than one answer) A: maintaining a moist wound environment B: autolytic debriding of necrotic wounds C: absorption of profusely draining wounds D: Protecting from friction - ANS A: maintaining a moist wound environment B: autolytic debriding of necrotic wounds D: Protecting from friction Negative-pressure wound therapy (NPWT) enhances wound healing by which of the following? (more than one answer) A: Decreases the rate of tissue granulation B: reduces moisture in a wound C: decreases oxygen tension in a wound D: decreases bacterial counts in a wound - ANS B: reduces moisture in a wound D: decreases bacterial counts in a wound A wound should be cleanses from: A: least contaminated area to most contaminated area B: front to back C: most contaminated to least contaminated - ANS A: least contaminated area to most contaminated area