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A patient who had surgery yesterday has the initial dressing covering the surgical site.
What is the nurse's responsibility in assessing this patient's wound?
A. Remove the dressing, inspect the wound, and reapply a new dressing.
B. Inspect the wound and reapply the surgical dressing every 2 hours.
C. Inspect the wound, and keep the dressing off until the health care provider arrives.
D. Wait until the health care provider orders the removal of the surgical dressing. -
Answer- Wait until the health care provider orders the removal of the surgical dressing.
Which wound would be allowed to heal by secondary intention?
A. Cleft lip repair
B. Infected hysterectomy incision
C. Exploratory laparoscopy incision
D. Facial laceration caused by a pocket knife - Answer- Infected hysterectomy incision
Before performing a wound assessment, which nursing action would reduce the
patient's risk for infection?
A. Taking the patient's temperature
B. Applying clean gloves
C. Assessing the wound for drainage
D. Assessing the dressing for drainage - Answer- Applying clean gloves
Which intervention can the nurse delegate to nursing assistive personnel (NAP) in
caring for a patient with a wound?
A. Assessing the site for signs of redness or swelling
B. Reporting the presence of wound odor
C. Removing a soiled outer dressing
D. Opening sterile dressings during the dressing change - Answer- Reporting the
presence of wound odor
The nurse notes that a patient's surgical wound is healing slowly. Which health problem
would contribute to slow wound healing?
A. Osteoarthritis
B. Glaucoma
C. Deafness