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Wound Care 101

doi: 10.1097/01.NURSE.0000585888.40312.16
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Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity. Lippincott Professional Development 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 1.0 contact hour, and the District of Columbia, Georgia, and Florida CE Broker #50-1223.

Payment: The registration fee for this test is $12.95.

Wound Care 101

GENERAL PURPOSE: To provide practical guidelines for wound assessment and an appropriate treatment plan. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Describe the components of a wound assessment. 2. Determine wound etiology. 3. Identify appropriate nursing interventions based on wound type.

  1. A wound's location may provide clues about the
    1. degree of pain the patient may experience.
    2. degree of tissue damage.
    3. wound etiology.
  2. A wound with damage to the subcutaneous layer is described as
    1. superficial.
    2. partial thickness.
    3. full thickness.
  3. The color of viable tissue may be
    1. beefy red.
    2. tan.
    3. yellow.
  4. Which statement is correct about measuring wound depth?
    1. Measure the wound's deepest and shallowest points and calculate the average.
    2. Measure wound depth at the top of the head-toe axis.
    3. Measure from the deepest point in the base to the wound surface.
  5. Sinus tracks located in a full-thickness wound may contribute to
    1. abscess formation.
    2. pain from undermining.
    3. periwound maceration.
  6. Which statement is correct about biofilm in chronic wounds?
    1. It delays healing.
    2. It destroys microorganisms.
    3. It protects the wound base from contamination.
  7. Which type of wound is typically circular and occurs over bony prominences?
    1. arterial ulcer
    2. pressure injury
    3. venous ulcer
  8. Dark discoloration of the skin surrounding a venous ulcer is called
    1. hemosiderosis.
    2. lipodermatosclerosis.
    3. poikiloderma.
  9. Peripheral neuropathy is present in over what percentage of patients with foot ulcers?
    1. 20%
    2. 60%
    3. 80%
  10. According to ISTAP, a skin tear with a fully intact flap is classified as
    1. type 1.
    2. type 2.
    3. type 3.
  11. Which of the following solutions is best for routine wound cleaning?
    1. betadine
    2. hydrogen peroxide
    3. 0.9% sodium chloride
  12. Maintaining a moist wound environment
    1. decreases exudate.
    2. facilitates healing.
    3. prevents periwound maceration.
  13. Which of the following is the best choice for packing a wound that is too moist?
    1. hydrogel
    2. foam
    3. hydrofiber
  14. Use barrier creams and skin protective wipes to prevent
    1. wound bed infections.
    2. periwound skin maceration.
    3. skin tears.
  15. Which type of dressing can be applied to the sacrum or heel to prevent pressure injury in high-risk patients?
    1. calcium alginate
    2. hydrocolloid
    3. silicone
  16. The treatment plan for a patient with venous ulcers should include
    1. revascularization of the affected extremity.
    2. keeping the affected extremity in a dependent position.
    3. multilayer bandaging and compression dressings.
  17. Which of the following describes MASD?
    1. painful with well-defined edges
    2. erythematous and macerated with denuded areas
    3. punched-out appearance
  18. Transparent film dressings are recommended
    1. as a secondary dressing to secure other dressing materials.
    2. to protect skin tears.
    3. to manage heavy exudate.
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