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A family member calls you to relay their concern that their
mother's abdominal incision has "popped open" and is
draining a moderate amount of clear yellow fluid. When
you arrive at their home, you find that the central area of
the incision has opened without any evidence of tunneling,
undermining or evisceration. What is the most appropriate
primary dressing?
A. Calcium alginate packing
B. Wet-to-dry gauze packing
C. Amorphous hydrogel
D. Enzymatic ointment - Answer-A. Calcium alginate
packing
A patient's chronic, nonhealing left neuropathic plantar
ulcer appears stalled. The patient has a history of a below-
the-knee amputation (BKA) secondary to osteomyelitis.
You recommend the following adjunctive therapy in
addition to local wound care and offloading to prevent an
additional major amputation:
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A. Hyperbaric oxygen therapy (HBOT)
B. Whirlpool treatments
c. A low-grade compression stocking
d. Total contact casting - Answer-A. Hyperbaric oxygen
therapy (HBOT)
A patient and her husband present to the clinic with a
lateral lower leg ulcer. The patient's Ankle Brachial Index
(ABI) = 0.5. The spouse tells the clinician that the wound
has always healed in the past with an Unna Boot dressing
on the affected leg, changed weekly. You reply:
A. This will be an appropriate compression dressing to
help the wound heal
B. The medicated zinc in the wrap is known to heal arterial
ulcers
C. It is important to visualize the ulcer more than once a
week
D. Zinc application to the periwound will help prevent
infection - Answer-C. It is important to visualize the ulcer
more than once a week
A 73-year-old patient presents with a weeping wound on
the right leg gaiter region with associated long-standing
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lower leg edema. The patient reports leg pain that worsens
during the day. In discussing treatment recommendations
with the patient, the CWCN provides education that:
A. Solo therapy with absorptive dressing is indicated.
B. Compression therapy assists with increased healing
rates, improved symptoms, and reduction of edema.
C. Limb elevation for extending periods throughout the day
is the best method for edema reduction
D. Pharmacotherapy with diuretics for fluid reduction is the
best treatment option for edema. - Answer-B.
Compression therapy assists with increased healing rates,
improved symptoms, and reduction of edema.
You suspect that a patient may have a wound infection.
What is the best technique to obtain a wound culture?
A. Flush the wound with sterile water followed by a 10-
point swab covering all the areas of the wound surface
B. Use a 19-gauge angiocatheter and a 10-cc syringe to
aspirate purulent fluid from the wound bed
C. Flush the wound with normal saline and swab 1 square
cm of the viable tissue with enough force to produce fluid
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D. Clean the wound with providone iodine, then use a10-pt
swab to cover all the areas of the wound surface - Answer-
C. Flush the wound with normal saline and swab 1 square
cm of the viable tissue with enough force to produce fluid
A 73-year-old woman with irritable bowel hesitantly reports
occasional bowel leakage. Which of the following
strategies can the Certified Continence Care Nurse
(CCCN) employ to help reduce her reluctance to share
with her health care team?
A. Suggest a referral to a psychologist.
B. Offer body-worn absorbent product information.
C. Communicate consistently and avoid blaming
language.
D. Provide a handout of pelvic floor exercises. - Answer-C.
Offer body-worn absorbent product information.
Comprehensive exam of a 50-year-old man with
inflammatory bowel disease reveals chronic diarrhea with
occasional fecal incontinence. His International
Consultation on Incontinence Questionnaire-Bowel
Symptoms (ICIQ-B) indicates a poor quality-of-life related
to fecal incontinence. Further interview provides evidence