Question 1

When assessing a patient with a hydrocolloid dressing,the nurse finds the formation of a soft,white-yellow gel that is adherent to the wound and has a very slight odor.How does the nurse evaluate this outcome?

Accepted Answer

A)   As an expected occurrence
B)   As a wound infection requiring a culture
C)   As an adverse reaction to the hydrocolloid components
D)   As excessive exudate requiring a different type of dressing A

Question 2

___________ healing takes place when tissue is cleanly cut and the margins are reapproximated.

Accepted Answer

Primary
Primary heal...

Question 3

_______________ dressings are used for wounds that require debridement.

Accepted Answer

Moist-to-dry
Moist-t...

Question 4

The _____________ dressings (DuoDERM,Restore,Tegasorb)provide a moist environment for wound healing while facilitating the softening and subsequent removal of wound debris.

Accepted Answer

hydrocolloid
The hydrocolloid dressings ...

Question 5

____________ dressings contain a shiny,nonadherent surface on one side that does not stick to the wound.Drainage passes through the nonadherent surface to the outer gauze dressing.

Accepted Answer

Telfa gauze
Telfa gauze dressings contain a shiny,nonadherent surface on one side that does not stick to the wound.Drainage passes through the nonadherent surface to the outer gauze dressing.

Question 6

What must the nurse remember when using a foam dressing?

Accepted Answer

A)   No secondary dressing is required
B)   Either side may be applied facing the wound
C)   Not all foam dressings are the same
D)   Foam cannot be used in the presence of an infection

Question 7

In caring for a patient who has an abdominal binder,it is expected that the nurse will do which of the following? (Select all that apply.)

Accepted Answer

A)   Remove the binder at least every 8 hours
B)   Evaluate the patient's ability to ventilate every 4 hours
C)   Evaluate the patient's ability to ventilate every 8 hours
D)   Remove the binder at least daily

Question 8

How does a nurse categorize for documentation exudate that is clear and watery?

Accepted Answer

A)   Serous
B)   Purulent
C)   Sanguineous
D)   Serosanguineous

Question 9

The nurse would consider a dry dressing appropriate for a wound that requires which of the following?

Accepted Answer

A)   Protection
B)   Debridement
C)   Absorption of heavy exudate
D)   Healing by second intention

Question 10

How should the nurse proceed when applying a pressure bandage?

Accepted Answer

A)   Elevate the extremity or area of bleeding
B)   Wrap pressure-bandage gauze in a proximal-to-distal direction
C)   Apply pressure to diminish the pulse to the distal body part
D)   Wrap tape around the circumference of the site to secure the gauze padding A

Question 11

The nurse is changing a film dressing over a wound that is showing a large amount of drainage.How should the nurse proceed?

Accepted Answer

A)   Apply a film dressing after culturing the wound
B)   Apply a film dressing after cleansing the area
C)   Choose another type of dressing for this wound
D)   Keep the wound open to air

Question 12

The patient is brought from a construction site to the emergency department with a pipe puncturing his abdomen.The pipe is still in place.The patient is triaged and is scheduled for the operating room.What should the nurse do while waiting for the surgeon?

Accepted Answer

A)   Pull the pipe out in the direction of entry
B)   Push the pipe through to the other side, then out
C)   Leave the pipe in place
D)   None of the above

Question 13

The patient has a large,deep wound on the sacral region.How would the nurse correctly pack the wound?

Accepted Answer

A)   By filling two thirds of the wound cavity
B)   By leaving saline-soaked folded gauze squares in place
C)   By putting the dressing in very tightly
D)   By extending only to the upper edge of the wound

Question 14

A _______________ is a clear,adherent,nonabsorptive,polyurethane moisture- and vapor-permeable dressing that often is used following laparoscopic surgery,for protection over high-friction areas,and as a dressing over an intravenous (IV)catheter.

Accepted Answer

transparent dressing
A transparent dress...

Question 15

Healing by __________ intention occurs when a wound is left open.Healing results in the formation of granulation tissue from the bottom of the wound and eventual epithelialization from the sides of the wound to close the defect.

Accepted Answer

secondary
Healing by secondary intention...

Question 16

Which of the following are examples of wounds that heal by secondary intention? (Select all that apply.)

Accepted Answer

A)   Burns
B)   Surgical incisions
C)   Infected wounds
D)   Deep pressure ulcers

Question 17

The patient is being sent home from the hospital following a cardiac catheterization.What should the nurse instruct the patient to do,if bleeding should occur at the femoral artery puncture site?

Accepted Answer

A)   Call the physician immediately
B)   Call 9-1-1
C)   Apply pressure to the site
D)   Apply a new bandage

Question 18

Which of the following is an appropriate procedure for the nurse to implement during the application of an absorption or alginate dressing?

Accepted Answer

A)   Never cut the dressing to fit the wound
B)   Irrigate the wound gently to remove residual gel
C)   Fill the wound cavity entirely with the dressing material
D)   Never use a secondary dressing

Question 19

Dressings serve several functions.Which of the following is a function of a dressing? (Select all that apply.)

Accepted Answer

A)   Maintains a moist environment
B)   Prevents the spread of microorganisms
C)   Increases patient comfort
D)   Controls bleeding
E)    None of above

Question 20

The nurse is preparing to apply a bandage to a dressing on the wrist of a small child.How should the nurse proceed?

Accepted Answer

A)   Use a 3-inch bandage
B)   Use a 2-inch bandage
C)   Apply from the elbow toward the wrist
D)   Secure the bandage with a safety pin

Exam 39: Dressings,bandages,and Binders

When assessing a patient with a hydrocolloid dressing,the nurse finds the formation of a soft,white-yellow gel that is adherent to the wound and has a very slight odor.How does the nurse evaluate this outcome?

Correct AnswerverifiedA

___________ healing takes place when tissue is cleanly cut and the margins are reapproximated.

Correct AnswerverifiedPrimaryPrimary heal...View AnswerShow Answer

_______________ dressings are used for wounds that require debridement.

Correct AnswerverifiedMoist-to-dryMoist-t...View AnswerShow Answer

The _____________ dressings (DuoDERM,Restore,Tegasorb)provide a moist environment for wound healing while facilitating the softening and subsequent removal of wound debris.

Correct AnswerverifiedhydrocolloidThe hydrocolloid dressings ...View AnswerShow Answer

____________ dressings contain a shiny,nonadherent surface on one side that does not stick to the wound.Drainage passes through the nonadherent surface to the outer gauze dressing.

Correct AnswerverifiedTelfa gauze Telfa gauze dressings contain a shiny,nonadherent surface on one side that does not stick to the wound.Drainage passes through the nonadherent surface to the outer gauze dressing.

What must the nurse remember when using a foam dressing?

Correct AnswerverifiedShow Answer

In caring for a patient who has an abdominal binder,it is expected that the nurse will do which of the following? (Select all that apply.)

Correct AnswerverifiedShow Answer

How does a nurse categorize for documentation exudate that is clear and watery?

Correct AnswerverifiedShow Answer

The nurse would consider a dry dressing appropriate for a wound that requires which of the following?

Correct AnswerverifiedShow Answer

How should the nurse proceed when applying a pressure bandage?

Correct AnswerverifiedA

The nurse is changing a film dressing over a wound that is showing a large amount of drainage.How should the nurse proceed?

Correct AnswerverifiedShow Answer

The patient is brought from a construction site to the emergency department with a pipe puncturing his abdomen.The pipe is still in place.The patient is triaged and is scheduled for the operating room.What should the nurse do while waiting for the surgeon?

Correct AnswerverifiedShow Answer

The patient has a large,deep wound on the sacral region.How would the nurse correctly pack the wound?

Correct AnswerverifiedShow Answer

A _______________ is a clear,adherent,nonabsorptive,polyurethane moisture- and vapor-permeable dressing that often is used following laparoscopic surgery,for protection over high-friction areas,and as a dressing over an intravenous (IV)catheter.

Correct Answerverifiedtransparent dressingA transparent dress...View AnswerShow Answer

Healing by __________ intention occurs when a wound is left open.Healing results in the formation of granulation tissue from the bottom of the wound and eventual epithelialization from the sides of the wound to close the defect.

Correct AnswerverifiedsecondaryHealing by secondary intention...View AnswerShow Answer

Which of the following are examples of wounds that heal by secondary intention? (Select all that apply.)

Correct AnswerverifiedShow Answer

The patient is being sent home from the hospital following a cardiac catheterization.What should the nurse instruct the patient to do,if bleeding should occur at the femoral artery puncture site?

Correct AnswerverifiedShow Answer

Which of the following is an appropriate procedure for the nurse to implement during the application of an absorption or alginate dressing?

Correct AnswerverifiedShow Answer

Dressings serve several functions.Which of the following is a function of a dressing? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is preparing to apply a bandage to a dressing on the wrist of a small child.How should the nurse proceed?

Correct AnswerverifiedShow Answer

Correct Answer
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A

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Primary
Primary heal...
View Answer

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Moist-to-dry
Moist-t...
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hydrocolloid
The hydrocolloid dressings ...
View Answer

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Telfa gauze Telfa gauze dressings contain a shiny,nonadherent surface on one side that does not stick to the wound.Drainage passes through the nonadherent surface to the outer gauze dressing.

Correct Answer
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A

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transparent dressing
A transparent dress...
View Answer

Correct Answer
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secondary
Healing by secondary intention...
View Answer

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