Questions & Answers
1. Describe the characteristics and implications of slough in wound care.
Slough is a type of necrotic tissue that is moist, yellowish, and may
indicate the presence of infection.
Slough is a type of dressing used to cover wounds.
Slough is healthy tissue that promotes healing in wounds.
Slough is a dry, black tissue that indicates a well-healed wound.
2. What is the term for a wound that penetrates the skin and underlying tissues,
typically resulting from an unintentional injury?
Pressure ulcer
Closed wound
Laceration
Open wound
3. Which of the following factors affect respiratory function?
body position
environment
lifestyle/habits
all of the above
4. Describe the characteristics of a dressing suitable for managing pressure
ulcers with moderate exudate.
, A suitable dressing for pressure ulcers with moderate exudate is a
foam dressing, which absorbs moisture while maintaining a moist
wound environment.
A transparent film dressing is used for heavy exudate.
A hydrocolloid dressing is best for dry wounds only.
Gauze dressings are the most effective for all types of wounds.
5. The nurse cares for the client who had a modified radical mastectomy
yesterday. The client has portable wound suction in place. How should the
nurse empty the suction apparatus?
Remove the plug from the opening while keeping it sterile, empty
the contents, compress the container, and replace the plug into the
opening.
Disconnect the tubes from the suction device, empty the container,
and reconnect the tubes.
Remove the dressing, advance the drainage tube, and redress the
wound.
Turn off the suction machine, empty the bottle into a measuring
container, and reconnect after washing the bottle with soapy water.
6. In a clinical scenario, if a patient presents with a closed surgical wound that
shows signs of infection but minimal inflammation, what type of wound would
this likely be classified as?
Clean wound
Contaminated wound
Clean-contaminated wound
Dirty wound
,7. Describe the characteristics that differentiate an abrasion from other types of
wounds.
An abrasion involves a deep cut that penetrates through multiple
layers of skin.
An abrasion is a surgical cut made with a scalpel.
An abrasion is characterized by the removal of the outer layer of
skin, typically resulting from friction or scraping.
An abrasion is a wound caused by a sharp object puncturing the skin.
8. Describe how hypoxia can impact a patient's overall health and wound
healing.
Hypoxia enhances oxygen delivery, promoting faster wound healing.
Hypoxia has no effect on wound healing or overall health.
Hypoxia only affects respiratory function without impacting wound
care.
Hypoxia can lead to decreased oxygen supply, impairing wound
healing and increasing the risk of infection.
9. Describe the key considerations when applying an abdominal binder to a
patient.
Ensure the binder is snug but not too tight, and check for proper
alignment and comfort.
Place the binder over the wound without any padding.
Use the binder only for patients with pressure ulcers.
Apply the binder loosely to allow for movement.
, 10. What is the term for the clear, amber liquid found in exudate?
Purulent fluid
Sanguineous fluid
Serous fluid
Necrotic fluid
11. What is the first step in managing a patient who is experiencing
hemorrhaging?
Elevate the patient's legs.
Administer oxygen immediately.
Call for emergency assistance.
Apply direct pressure to the wound.
12. Describe the characteristics of a Stage I pressure ulcer and the rationale
behind the recommended care.
A Stage I pressure ulcer presents as a non-blanchable redness of
intact skin, and the recommended care is to relieve pressure to
prevent further skin damage.
A Stage I pressure ulcer is characterized by blister formation and
requires a wet dressing.
A Stage I pressure ulcer is an open wound requiring immediate
debridement.
A Stage I pressure ulcer is a deep tissue injury that needs surgical
intervention.