Lesson 19: Wound
Care
Reading Assignment in Potter, P., Perry, A., Stockert, P., & Hall, A. (2013).
Fundamentals of nursing (8th ed.). St. Louis, MO: Elsevier Mosby.
• Skin Integrity and Wound Care (Chapter 48)
Patients:
• Harry George, Medical-Surgical Floor, Room 401
• Goro Oishi, Skilled Nursing Floor, Room 505
Objectives:
• Describe risk factors contributing to the formation of pressure ulcers.
• Use a pressure ulcer risk assessment tool for a patient.
• Explain factors that slow or promote wound healing.
• Describe characteristics of a wound.
• Identify interventions used to prevent the formation of pressure ulcers.
• Explain the purpose of a wound dressing.
• Discuss factors to consider when selecting a wound dressing.
Exercise 1
Writing
This exercise will take approximately 10 minutes to complete.
1. List at least three nursing actions that are important when preparing
a patient for a dressing change.
1- Review previous wound assessment.
2- Evaluate pain and, if indicated, administer analgesics so peak
effects occur during dressing change.
3- Describe procedure steps to lessen patient
anxiety. 4- Gather all supplies.
5- Recognize normal signs of healing.
6- Answer questions about the procedure or wound.
Indicate whether each of the following statements is true or false.
2. Hydrocolloid dressings support wound healing by debriding
necrotic wounds.
True
3. Before removing a wet-to-dry dressing, you should moisten
the dressing with saline.
, Lesson 19: Wound
Care
False
4. When selecting a dressing, you should choose one that keeps
the surrounding intact skin dry.
True
5. When completing the assessment of a pressure ulcer, you note
the presence of yellow exudate. The ulceration extends into the
subcutaneous tissue. Which stage of ulcer does this represent?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV
C
6. A patient is planning to increase zinc intake to promote wound
healing. Which of the following foods should be included in the diet to
address this plan?
a. Eggs
b. Oranges
c. Broccoli
d. Fish
e. Potatoes
C
7. A pressure ulcer has the presence of stringy tissue attached to
the wound bed. Which of the following terms may be used to
correctly describe this manifestation?
a. Eschar
b. Slough
c. Pus
d. Granulation tissue
B
Exercise 2
Online
This exercise will take approximately 20 minutes to complete.
Sign in to work at Pacific View Regional Hospital on the Medical-Surgical Floor for
Period of Care 1. (Note: If you are already in the virtual hospital from a previous
Care
Reading Assignment in Potter, P., Perry, A., Stockert, P., & Hall, A. (2013).
Fundamentals of nursing (8th ed.). St. Louis, MO: Elsevier Mosby.
• Skin Integrity and Wound Care (Chapter 48)
Patients:
• Harry George, Medical-Surgical Floor, Room 401
• Goro Oishi, Skilled Nursing Floor, Room 505
Objectives:
• Describe risk factors contributing to the formation of pressure ulcers.
• Use a pressure ulcer risk assessment tool for a patient.
• Explain factors that slow or promote wound healing.
• Describe characteristics of a wound.
• Identify interventions used to prevent the formation of pressure ulcers.
• Explain the purpose of a wound dressing.
• Discuss factors to consider when selecting a wound dressing.
Exercise 1
Writing
This exercise will take approximately 10 minutes to complete.
1. List at least three nursing actions that are important when preparing
a patient for a dressing change.
1- Review previous wound assessment.
2- Evaluate pain and, if indicated, administer analgesics so peak
effects occur during dressing change.
3- Describe procedure steps to lessen patient
anxiety. 4- Gather all supplies.
5- Recognize normal signs of healing.
6- Answer questions about the procedure or wound.
Indicate whether each of the following statements is true or false.
2. Hydrocolloid dressings support wound healing by debriding
necrotic wounds.
True
3. Before removing a wet-to-dry dressing, you should moisten
the dressing with saline.
, Lesson 19: Wound
Care
False
4. When selecting a dressing, you should choose one that keeps
the surrounding intact skin dry.
True
5. When completing the assessment of a pressure ulcer, you note
the presence of yellow exudate. The ulceration extends into the
subcutaneous tissue. Which stage of ulcer does this represent?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV
C
6. A patient is planning to increase zinc intake to promote wound
healing. Which of the following foods should be included in the diet to
address this plan?
a. Eggs
b. Oranges
c. Broccoli
d. Fish
e. Potatoes
C
7. A pressure ulcer has the presence of stringy tissue attached to
the wound bed. Which of the following terms may be used to
correctly describe this manifestation?
a. Eschar
b. Slough
c. Pus
d. Granulation tissue
B
Exercise 2
Online
This exercise will take approximately 20 minutes to complete.
Sign in to work at Pacific View Regional Hospital on the Medical-Surgical Floor for
Period of Care 1. (Note: If you are already in the virtual hospital from a previous
