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Palliative Wound Care, Part 2: Application of Principles

doi: 10.1097/NHH.0000000000000070
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Palliative Wound Care, Part 2: Application of Principles


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GENERAL PURPOSE: To provide information about practical topical wound management by common wound etiologies for patients who would benefit from palliative wound care.

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

  1. Recognize would care program fundamentals and strategies for wound prevention.
  2. Identify various types of wounds and recommended treatments.
  1. According to the article, the foundation of any wound care program or practice is
    1. symptom management.
    2. gentle cleansing.
    3. wound prevention.
    4. bacterial control.
  2. In addition to promoting healing, moisture balance helps
    1. reduce pain.
    2. prevent odor.
    3. control bleeding.
    4. minimize drainage.
  3. Keeping wounds dry is an essential goal when managing
    1. malignant lesions.
    2. pressure ulcers.
    3. skin tears.
    4. dry gangrene.
  4. A palliative care prevention program is likely to include which of these strategies for preventing and treating pressure ulcers?
    1. Massaging bony prominences
    2. Changing turning frequency
    3. Applying cornstarch to vulnerable skin
    4. Increasing the frequency of skin inspection
  5. A fungating wound
    1. rarely heals.
    2. is slow-growing.
    3. traps infected tissue.
    4. has a flat appearance.
  6. A common symptom of an ulcerating or fungating tumor is
    1. edema.
    2. paresthesia.
    3. esthetic distress.
    4. eschar overgrowth.
  7. When bathing a patient who is prone to skin tears, caregivers should
    1. use cool water.
    2. bathe the skin daily.
    3. avoid using ointments.
    4. use a pH-balanced soap.
  8. Which of these dressing materials is recommended for treating skin tears?
    1. Stockinette
    2. Hydrocolloids
    3. Paper tape
    4. Transparent films
  9. Which therapy is suggested for treating venous leg ulcers?
    1. Moisturizers with lanolin
    2. Exposure to cool air
    3. Aloe-based topical products
    4. Light compression wrapping
  10. For patients who have diabetes mellitus, caregivers should
    1. apply moisturizing lotion between the toes.
    2. use toe spacers.
    3. apply socks when the skin surface is moist from bathing.
    4. use a fungicide daily.
  11. The World Health Organization Clinical Ladder for systemic pain medication begins with
    1. opioids.
    2. salicylates.
    3. adjuvant medications.
    4. nonsteroidal anti-inflammatories.
  12. Which class of medications is particularly helpful for relieving neuropathic pain?
    1. Anticonvulsants
    2. Antihistamines
    3. Monoamine oxidase inhibitors
    4. Angiotensin-converting enzyme inhibitors
  13. Selecting an appropriate dressing for managing exudate involves choosing a product that
    1. dries the wound bed to arrest bacterial growth.
    2. leaves minimal dressing debris in the wound.
    3. is atraumatic as it is removed from the wound.
    4. contains offensive vapors within the dressing.
  14. Which of the following products has demonstrated effectiveness in reducing bacterial loads and odor?
    1. Cadexomer iodine
    2. Hydrogen peroxide
    3. Sucralfate paste
    4. Diphenhydramine cream
  15. Which of these medications, applied topically, is very useful for managing malignant wound odor?
    1. Liquid antacid
    2. Metronidazole
    3. Epinephrine
    4. Lidocaine
  16. Which of these medications, applied topically, is indicated for stopping widespread oozing of blood?
    1. Doxepin
    2. Capsaicin
    3. Dakin's solution
    4. Aminocaproic acid
  17. Pruritoceptive itching is caused by
    1. drug reactions.
    2. postherpetic effects.
    3. hepatic failure.
    4. diabetic neuropathies.
  18. Of the topical antihistamines, which of the following is the only medication shown to significantly relieve itching?
    1. Diphenhydramine
    2. Hydroxyzine
    3. Doxepin
    4. Menthol


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