QUESTIONS WITH ANSWERS
◉ What are clinical pathways? Answer: Care maps that outline
events which are critical for outcomes.
◉ What are all the different types of dressings? Answer: Gauze, telfa,
ABD, and hydrocolloid.
◉ Describe a gauze dressing. Answer: A loose weave dressings that's
very absorbant.
◉ Describe a telfa dressing. Answer: A non-stick dressing that's less
absorbant.
◉ Describe an ABD dressing. Answer: A thick and very absorbant
dressing that's usually the outer layer.
◉ Describe an hydrocolloid dressing. Answer: An opaque,
nonbreathable dressing.
◉ What is another name for hydrocolloid? Answer: Occlusive.
,◉ What is the purpose of a dressing? Answer: A protection and
cover for impaired skin and tissue.
◉ What are the appropriate assessments for a pre-dressing change?
Answer: Pain assessment, type of dressing, amount of drainage,
wound assessment, skill performed, toleration of procedure, and any
variances.
◉ What are the appropriate assessments for a post-dressing
change? Answer: Dressing integrity, tolerance of dressing change,
the procedure, and pain assessment.
◉ What is the purpose of a wound drainage? Answer: Removes and
decreases fluid build-up, and allows the body to heal quicker.
◉ What does the nurse need to do before discontinuing a wound
drain? Answer: Cleanse the peri-skin, drain the drainage, and make
sure to decompress before closing the cap.
◉ What is the purpose of packing a complex wound? Answer: To
absorb drainage, keep the wound moist, and encourage proper
wound healing.
◉ How many stages are in the development of a pressure ulcer?
Answer: 4.
, ◉ Describe the first stage of a pressure ulcer. Answer: Non-
blanchable, erythemic skin that's intact.
◉ Describe the second stage of a pressure ulcer. Answer: Partial
thickness of skin loss involving epidermis, dermis, or both.
◉ What is the third stage of a pressure ulcer? Answer: Full thickness
skin loss involving damage to or necrosis of SC tissue that may
extend to, but not through the underlying fascia.
◉ What is the fourth stage of a pressure ulcer? Answer: Full
thickness skin loss with extensive descruction, tissue necrosis, or
damage to muscle, bone, or supporting structures.
◉ What does the body need diet wise to heal? Answer: Protein and
vitamin C.
◉ How do we determine oxygen saturation? Answer: Pulse oximetry
or ABG test.
◉ What specific assessments would you do for O2? Answer: LOC,
skin assessment, respiratory assessment, and pain.