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Home Healthcare Nurse:
doi: 10.1097/NHH.0b013e3182965bd5
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Wound Care Dressings and Choices for Care of Wounds in the Home

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Wound Care Dressings and Choices for Care of Wounds in the Home

TEST INSTRUCTIONS

* To take the test online, go to our secure Web site at http://www.nursingcenter.com/HHN.

* On the print form, record your answers in the test answer section of the CE enrollment form on page 269. Each question has only one correct answer. You may make copies of these forms.

* Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.

* You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no mini- mum passing grade.

* Registration deadline is May 31, 2015.

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PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of Home Healthcare Nurse, will award 2.4 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.4 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223. Your certificate is valid in all states.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

CE TEST QUESTIONS

GENERAL PURPOSE: To identify and categorize types of wound care products appropriate for the various types of wounds that clinicians care for and manage in the home.

LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:

1. Explain the essential information clinicians need to know to choose and implement the optimal therapy for a particular wound.

2. Compare and contrast the various types of wound dressings according to their properties, actions, availability, and guidelines for use.

1. The most important consideration for home care clinicians managing wounds is the

a. cost of the various dressings.

b. number of visits to the patient by clinicians.

c. cleanliness of the patient's home environment.

d. right match between the wound and the dressing.

2. According to Dale, wounds heal faster and stronger when clinicians

a. control contributing factors like infection.

b. irrigate wounds before applying a dressing.

c. use moist wound healing principles.

d. allow exudating wounds to dry out completely.

3. Wound tissue that is dry is more likely to

a. leave a scar.

b. heal promptly.

c. cause no pain.

d. drain intermittently.

4. Alginates are dressings that are made of

a. porcine tendons.

b. brown seaweed.

c. sponge-like material.

d. medical grade honey.

5. Alginate wound dressings

a. must be used as a single layer.

b. are best for wounds with light drainage.

c. form a gel that conforms to the wound's shape.

d. work well for wounds with a dry wound bed.

6. Iodine-based antimicrobial dressings

a. do not absorb drainage from the wound.

b. require the patient to have a clean home environment.

c. must be applied when the wound is completely dry.

d. need replacement when they change from brown to gray.

7. Which of the following types of dressing material is available in creams, gels, ointments, alginates, hydrocolloids, and contact layers?

a. Honey

b. Gauze

c. Iodoform

d. Petroleum

8. Some brands of which of the following types of dressing material can stay in place for 21 days?

a. Crystal violet

b. Collagen

c. Silver alginate

d. Hydrocolloids

9. Silver dressings can cause some staining that temporarily turns skin or tissue

a. blue.

b. brown.

c. green.

d. yellow.

10. Collagen dressings are contraindicated for which of the following types of wounds?

a. second-degree burns

b. diabetic ulcers

c. pressure ulcers

d. heavily draining wounds

11. Contact layer wound dressings are a good choice for wounds that

a. have thick wound exudate.

b. cause painful dressing removal.

c. have developed tunneling.

d. are third-degree burns.

12. A disadvantage of foam wound dressings is that they

a. can interfere with certain x-rays.

b. can cause discoloration of the wound and the surrounding tissue.

c. can macerate periwound tissue if saturated and left in place too long.

d. cannot be used on lightly or moderately draining wounds.

13. 13. Which of the following types of dressings specifically inhibit the growth of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci?

a. Alginates

b. Collagens

c. Hydrocolloids

d. Hydrofera Blue Foam

14. When a hydrocolloid dressing is removed, its inner surface may appear to have the consistency of honey or pudding due to

a. absorption of exudate.

b. autolytic debridement.

c. antimicrobial action.

d. skin and tissue maceration.

15. Hydrogels are dressings that are made of

a. jelly

b. seaweed.

c. foam.

d. water.

16. Which of the following is an essential guideline for using negative pressure wound therapy?

a. Make sure the system runs at least 12 hours a day.

b. Stop the therapy if there is no drainage for 8 hours.

c. Apply white moist foam over exposed bone or tendon.

d. Change the wound dressing once per week.

17. Which of these is used mainly for intravenous dressings?

a. Transparent film

b. Sodium impregnated gauze

c. Contact layer dressings

d. Antimicrobial dressings

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