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When preparing to change a sterile dressing over an incision, it is most important to remember to:
- A. Prepare a discard bag next to the wound.
- B. Remain very still during the procedure.
- C. Restrain from moving the patient.
- D. Change gloves after removing the old dressing.
Correct Answer: D
Rationale: Changing gloves after removing the old dressing maintains sterility, as the old dressing is contaminated.
You may also like to solve these questions
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.
What stage is a wound if the epidermis is closed and has unblanchable redness?
- A. Stage 1
- B. Stage 2
- C. Stage 3
- D. Stage 4
Correct Answer: A
Rationale: Stage 1 pressure injuries show unblanchable redness with intact skin.
Many factors aid in healing. You can assist the patient in improving their healing ability by encouraging the following (Select all that apply):
- A. Keeping skin and surrounding tissue clean and dry.
- B. Proper nutrition with adequate protein and vitamins.
- C. Resting as much as possible and keeping the incisional area still.
- D. Increasing fluid intake to at least 4000 mL per day.
- E. Exercise and deep breathing to increase oxygen.
Correct Answer: A,B,C,E
Rationale: A: Reduces infection risk. B: Supports tissue repair. C: Minimizes tension on the wound. E: Oxygen aids healing. 4000 mL (D) is excessive unless specified.
While changing a wet-to-dry normal saline dressing for a patient with an ulcer on the heel, the nurse finds that the old dressing is stuck to the wound bed. What would be the most beneficial intervention by the nurse?
- A. Leave it in place and cover it with new, wet dressings.
- B. Moisten it with povidone-iodine.
- C. Add normal saline to loosen it.
- D. Pull it off using slow, steady pressure.
Correct Answer: C
Rationale: Adding saline loosens the dressing without damaging new tissue, unlike pulling it off dry.
When giving a hot soak treatment, what is most important to ensure?
- A. Soak only the affected area.
- B. Position the patient comfortably.
- C. Monitor the temperature of the water.
- D. Check the patient's skin integrity.
Correct Answer: C
Rationale: Monitoring water temperature prevents burns, the primary safety concern with hot soaks.