Practice Test Questions Chapter 36Practice
Skin Integrity
Test Questions
and Wound
Chapter
Care Study
36Practice
Skin
Guide.pdf
Integrity
Test Questions
and Wound
Chapter
Care Study
36 Skin
Guide.pdf
Integrity and Wound Care Study Guide.pdf
Practice Test Questions Chapter 36 Skin
Integrity and Wound Care Study Guide
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_
Practice Test Questions Chapter 36Practice
Skin Integrity
Test Questions
and Wound
Chapter
Care Study
36Practice
Skin
Guide.pdf
Integrity
Test Questions
and Wound
Chapter
Care Study
36 Skin
Guide.pdf
Integrity and Wound Care Study Guide.pdf
,Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf
Terms in this set (34)
Your client has a Braden scale score of 17. Which is the 2. Implement a turning schedule; the client is at increased risk for skin
most appropriate nursing action? breakdown; A score ranging from 15 to 18 is considered at risk and a turning
schedule is appropriate.
1. Assess the client again in 24h; the score is within
normal limits. Option 1 requires a score above 18 (normal and ongoing assessment indicated).
2. Implement a turning schedule; the client is at Option 3, moderate risk, for which a transparent barrier would be appropriate, is
increased risk for skin breakdown. applied to persons with scores of 13 to 14. Option 4, very high risk, is assigned
3. Apply a transparent wound barrier to major pressure for those with a score of 9 or less.
sites; the client is at moderate risk for skin breakdown.
4. Request an order for a special low-air-loss bed; the
client is at very high risk for skin breakdown.
Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf
,Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf
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
Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf
, Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions 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.
Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf
Skin Integrity
Test Questions
and Wound
Chapter
Care Study
36Practice
Skin
Guide.pdf
Integrity
Test Questions
and Wound
Chapter
Care Study
36 Skin
Guide.pdf
Integrity and Wound Care Study Guide.pdf
Practice Test Questions Chapter 36 Skin
Integrity and Wound Care Study Guide
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_
Practice Test Questions Chapter 36Practice
Skin Integrity
Test Questions
and Wound
Chapter
Care Study
36Practice
Skin
Guide.pdf
Integrity
Test Questions
and Wound
Chapter
Care Study
36 Skin
Guide.pdf
Integrity and Wound Care Study Guide.pdf
,Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf
Terms in this set (34)
Your client has a Braden scale score of 17. Which is the 2. Implement a turning schedule; the client is at increased risk for skin
most appropriate nursing action? breakdown; A score ranging from 15 to 18 is considered at risk and a turning
schedule is appropriate.
1. Assess the client again in 24h; the score is within
normal limits. Option 1 requires a score above 18 (normal and ongoing assessment indicated).
2. Implement a turning schedule; the client is at Option 3, moderate risk, for which a transparent barrier would be appropriate, is
increased risk for skin breakdown. applied to persons with scores of 13 to 14. Option 4, very high risk, is assigned
3. Apply a transparent wound barrier to major pressure for those with a score of 9 or less.
sites; the client is at moderate risk for skin breakdown.
4. Request an order for a special low-air-loss bed; the
client is at very high risk for skin breakdown.
Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf
,Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf
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
Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf
, Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions 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.
Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf Practice Test Questions Chapter 36; Skin Integrity & Wound Care.pdf
