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Which type of wound debridement is Dakin's solution used for?
- A. Autolytic debridement
- B. Sharp debridement
- C. Enzymatic debridement
- D. Chemical debridement
Correct Answer: D
Rationale: Dakin's solution is a chemical debridement agent that breaks down necrotic tissue.
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What type of wound heals by edges approximating with a suture?
- A. Secondary intention.
- B. Remodeling phase.
- C. Primary intention.
- D. Tertiary intention.
Correct Answer: C
Rationale: Primary intention healing occurs when wound edges are brought together with sutures, minimizing scarring. Secondary intention heals open wounds, tertiary delays closure, and remodeling is a phase, not a type.
What safety factors should be considered when using an Aquathermia pad unit for a patient? (Select all that apply)
- A. Inspecting the plug and cord for cracks or fraying
- B. Securing the pad to the patient
- C. Instructing the patient not to sleep on the pad
- D. Assisting the patient to lie on top of the pad
- E. Using a thermometer to check the temperature of the pad
Correct Answer: A,C
Rationale: A: Ensures electrical safety. C: Prevents burns from prolonged pressure. Lying on the pad (D) increases burn risk.
The nurse is caring for a 48-year-old female patient with diabetes mellitus (DM), hypertension (HTN), and limited mobility. Upon assessment, she notes that there is a pink, viable wound bed with partial-thickness skin loss. Which stage of wound healing does this describe?
- A. Stage 1
- B. Stage 2
- C. Stage 3
- D. Stage 4
Correct Answer: B
Rationale: Stage 2 involves partial-thickness loss with a pink, viable wound bed, unlike Stage 1 (intact skin) or Stage 3 (full-thickness).
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.
A nurse is selecting dressings for a client who has a full-thickness pressure injury and is experiencing considerable pain during dressing changes, despite the administration of the prescribed analgesic prior to wound care. Which of the following types of dressings should the nurse select to help minimize the pain of dressing changes?
- A. Abdominal pads
- B. Hydrogel
- C. Wet-to-dry
- D. Dry gauze
Correct Answer: B
Rationale: Hydrogel dressings are soothing and reduce pain by maintaining moisture, unlike wet-to-dry, which can stick and hurt.