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

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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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
    1. cost of the various dressings.
    2. number of visits to the patient by clinicians.
    3. cleanliness of the patient's home environment.
    4. right match between the wound and the dressing.
  2. According to Dale, wounds heal faster and stronger when clinicians
    1. control contributing factors like infection.
    2. irrigate wounds before applying a dressing.
    3. use moist wound healing principles.
    4. allow exudating wounds to dry out completely.
  3. Wound tissue that is dry is more likely to
    1. leave a scar.
    2. heal promptly.
    3. cause no pain.
    4. drain intermittently.
  4. Alginates are dressings that are made of
    1. porcine tendons.
    2. brown seaweed.
    3. sponge-like material.
    4. medical grade honey.
  5. Alginate wound dressings
    1. must be used as a single layer.
    2. are best for wounds with light drainage.
    3. form a gel that conforms to the wound's shape.
    4. work well for wounds with a dry wound bed.
  6. Iodine-based antimicrobial dressings
    1. do not absorb drainage from the wound.
    2. require the patient to have a clean home environment.
    3. must be applied when the wound is completely dry.
    4. 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?
    1. Honey
    2. Gauze
    3. Iodoform
    4. Petroleum
  8. Some brands of which of the following types of dressing material can stay in place for 21 days?
    1. Crystal violet
    2. Collagen
    3. Silver alginate
    4. Hydrocolloids
  9. Silver dressings can cause some staining that temporarily turns skin or tissue
    1. blue.
    2. brown.
    3. green.
    4. yellow.
  10. Collagen dressings are contraindicated for which of the following types of wounds?
    1. second-degree burns
    2. diabetic ulcers
    3. pressure ulcers
    4. heavily draining wounds
  11. Contact layer wound dressings are a good choice for wounds that
    1. have thick wound exudate.
    2. cause painful dressing removal.
    3. have developed tunneling.
    4. are third-degree burns.
  12. A disadvantage of foam wound dressings is that they
    1. can interfere with certain x-rays.
    2. can cause discoloration of the wound and the surrounding tissue.
    3. can macerate periwound tissue if saturated and left in place too long.
    4. 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?
    1. Alginates
    2. Collagens
    3. Hydrocolloids
    4. 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
    1. absorption of exudate.
    2. autolytic debridement.
    3. antimicrobial action.
    4. skin and tissue maceration.
  15. Hydrogels are dressings that are made of
    1. jelly
    2. seaweed.
    3. foam.
    4. water.
  16. Which of the following is an essential guideline for using negative pressure wound therapy?
    1. Make sure the system runs at least 12 hours a day.
    2. Stop the therapy if there is no drainage for 8 hours.
    3. Apply white moist foam over exposed bone or tendon.
    4. Change the wound dressing once per week.
  17. Which of these is used mainly for intravenous dressings?
    1. Transparent film
    2. Sodium impregnated gauze
    3. Contact layer dressings
    4. Antimicrobial dressings


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