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Nursing2014 survey results: Wound care and prevention

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doi: 10.1097/01.NURSE.0000445926.42308.85
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INSTRUCTIONS Wound care and prevention


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Wound care and prevention

GENERAL PURPOSE: To provide survey results about current nursing wound care practices. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Identify wound prevention strategies. 2. Describe evidence-based wound care interventions.

  1. Most respondents to this survey were
    1. staff nurses.
    2. advanced practice nurses.
    3. certified in wound care.
    4. members of a wound care association.
  2. Most respondents were ages
    1. 21 to 30.
    2. 31 to 40.
    3. 41 to 50.
    4. 51 to 65.
  3. Wounds with adequate vascular supply should be treated with
    1. wet-to-dry dressings.
    2. protection and moisture reduction.
    3. adherent dressings.
    4. moist wound therapy.
  4. By week 4 in a treatment regimen, healable wounds should be
    1. kept dry.
    2. 30% smaller.
    3. 60% smaller.
    4. completely healed.
  5. Wounds without adequate vascular supply should be
    1. kept dry.
    2. left uncovered.
    3. debrided frequently.
    4. considered untreatable.
  6. Which of the following is correct?
    1. The Braden Scale predicts vascular ulcer risk.
    2. Topical enzymes are ineffective for removing necrotic tissue in chronic wounds.
    3. Diabetic neuropathic foot ulcers aren't painful.
    4. Wound length, width, and depth measurement should be documented.
  7. Which tool is used to predict pressure ulcer risk?
    1. OASIS-C
    2. Braden Scale
    3. ISTAP
    4. NDNQI
  8. The Braden Scale includes a subscale for
    1. medications.
    2. BP.
    3. skin temperature.
    4. nutrition.
  9. Which statement is correct about the Braden Scale?
    1. It has seven subscales.
    2. It helps clinicians assess risk for neuropathic ulcers.
    3. It identifies all pressure ulcer risk factors.
    4. It's been recognized as a research validated tool.
  10. Wet-to-dry dressings can be used for what type of wound?
    1. clean granulating chronic wounds
    2. full-thickness skin tears
    3. wounds with necrotic debris
    4. wounds without exudate
  11. Adherent dressings aren't indicated for skin tears because they
    1. aren't cost effective.
    2. cause contact irritation.
    3. don't provide adequate protection.
    4. damage healing skin during removal.
  12. All patients at risk for pressure ulcers should be
    1. repositioned every 2 hours.
    2. positioned using donut-shaped devices.
    3. positioned with head-of-bed elevation of 90 degrees whenever possible.
    4. repositioned on schedules influenced by their support surface.
  13. NPUAP recommendations supported by indirect evidence are characterized as
    1. A level.
    2. B level.
    3. C level.
    4. unrated.
  14. In patients with darkly pigmented skin, stage I pressure ulcers
    1. are rarely painful.
    2. can be difficult to identify.
    3. exhibit visible blanching.
    4. don't need skin temperature assessments.
  15. Which statement is correct about the use of a topical enzyme?
    1. It's considered safe but ineffective.
    2. It works as fast as surgical debridement.
    3. It requires twice-daily dressing changes.
    4. It requires a prescription.
  16. A pressure ulcer with full-thickness tissue loss without visible tendon, muscle, or bone is classified as
    1. stage I.
    2. stage II.
    3. stage III.
    4. stage IV.
  17. The current NPUAP pressure ulcer classification has
    1. four stages.
    2. five stages.
    3. six stages.
    4. seven stages.
  18. In 2012, 94% of survey respondents were aware that their facilities used
    1. wound assessment policies.
    2. pressure redistribution products.
    3. commercial wound cleansers.
    4. patient repositioning policies.
  19. Most respondents to both surveys obtain wound culture specimens by which method?
    1. swab
    2. fluid aspiration
    3. tissue biopsy
    4. debridement
  20. For routine dressing changes to chronic wounds, nurses should use
    1. sterile gloves.
    2. a sterile field.
    3. clean gloves.
    4. topical enzymes.
  21. The gold standard for treating venous ulcers is
    1. systemic antibiotics.
    2. pentoxifylline .
    3. topical corticosteroids.
    4. compression wraps.
  22. Those nursesleastlikely to feel competent applying a compression wrap worked in
    1. hospitals.
    2. home healthcare.
    3. long-term care.
    4. wound care clinics.
  23. The best choice for routinely cleaning chronic wounds is
    1. sterile water.
    2. a commercial wound cleanser.
    3. povidone-iodine.
    4. diluted hydrogen peroxide.
  24. Minor surgical debridement can be performed by
    1. unlicensed assistive personnel.
    2. physicians only.
    3. certified wound specialists only.
    4. licensed healthcare professionals specified by each state.
  25. In the 2012 survey, what percentage of long-term-care nurses reported performing daily skin assessments on all patients?
    1. 72%
    2. 82%
    3. 87%
    4. 98%
  26. Respondents in 2012 were much more likely than those in 2005 to use
    1. a pressure ulcer classification system.
    2. a computerized wound assessment tool.
    3. topical enzymes.
    4. sterile gloves for dressing changes.
  27. Which of the following is an NDNQI nurse-sensitive indicator?
    1. enteral nutrition
    2. parenteral nutrition
    3. pressure ulcer rate
    4. readmission rate
  28. In the 2012 survey, which nurses were best informed about their facility's pressure ulcer incidence rate?
    1. hospital nurses
    2. home health nurses
    3. hospice nurses
    4. community health nurses
  29. What percentage of respondents to the 2012 survey reported knowing their unit's pressure ulcer incidence rate?
    1. 27%
    2. 38%
    3. 48%
    4. 55%
  30. In written comments from survey respondents, a common theme was the need for
    1. simplified wound care certification processes.
    2. standardization of wound staging.
    3. more wound care education for practitioners.
    4. improved commercial wound products.
  31. How many respondents said they feel comfortable recommending dressings to practitioners all the time?
    1. 52%
    2. 41%
    3. 36%
    4. 15%
  32. Nurses most comfortable making wound care recommendations were ages
    1. 21 to 35.
    2. 40 to 50.
    3. 51 to 65.
    4. 66 and over.
  33. Pressure ulcer prevention is best managed by
    1. unlicensed assistive personnel.
    2. primary care nurses.
    3. advanced practice nurses.
    4. an interdisciplinary wound care team.
  34. In which setting did 77% of respondents report having a designated wound care team?
    1. hospice
    2. hospital
    3. long-term care
    4. community health
  35. Which of the following was a limitation of this study?
    1. randomized study design
    2. self-selected sample
    3. length of the questionnaire
    4. lack of prior studies
  36. The survey results suggest a need for
    1. better supervision of inexperienced nurses.
    2. more effective commercial dressings.
    3. better wound assessment documentation.
    4. more wound care education.
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