Nokea
The nurse places Dakin's solution in a wound for which purpose?
- A. Chemical debridement
- B. Healing
- C. Phagocytosis
- D. Primary intention
Correct Answer: A
Rationale: Dakin's solution chemically debrides by breaking down necrotic tissue.
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The nurse clarifies that a vacuum-assisted closure supports the healing of a wound by:
- A. Drawing the wound edges together using negative pressure.
- B. Strengthening the wall of the wound.
- C. Interrupting the proliferation of bacteria in the wound.
- D. Making and air occlusive cover for the wound
Correct Answer: A
Rationale: Vacuum-assisted closure uses negative pressure to draw wound edges together, promoting granulation and healing.
What type of wound heals by delaying the suturing until the infection is resolved?
- A. Remodeling phase
- B. Primary intention
- C. Tertiary intention
- D. Secondary intention
Correct Answer: C
Rationale: Tertiary intention delays suturing until infection clears, allowing controlled closure.
The nurse is alert to the indication of possible dehiscence of an abdominal surgical wound, which would be evidenced by:
- A. Excessive gas
- B. Complaint of constipation
- C. Increased drainage from the wound
- D. Increased pallor of the surgical site
Correct Answer: C
Rationale: Increased drainage suggests wound separation (dehiscence) as fluid escapes the incision.
Which type of debridement is a hydrocolloid dressing used for?
- A. Autolytic debridement
- B. Sharp debridement
- C. Enzymatic debridement
- D. Chemical debridement
Correct Answer: A
Rationale: Hydrocolloid dressings promote autolytic debridement by maintaining a moist environment for the body's enzymes to break down necrotic tissue.
The patient is undergoing Negative Pressure Wound Therapy (NPWT) treatment for wound healing. Which would be your first priority in caring for this patient?
- A. Assess the patient for any complaints or problems in the wound area.
- B. Check the settings on the NPWT unit.
- C. Document your findings.
- D. Observe the dressing area.
Correct Answer: A
Rationale: Assessing the patient's condition first ensures any immediate issues (e.g., pain, leakage) are addressed.