FREE Wound Care Certification Question and Answers
What is the best dressing to use when a deep ulcerated area has a lot of exudate and the drainage is caused by tumor necrosis?
Alginate, which is derived from seaweed, absorbs exudate and expands to fit the cavity. External dressings are used to protect the alginate. Because uncontrolled leakage can disturb the patient and harm the tissue surrounding the lesion, controlling the exudate is crucial. In some instances, ostomy skin barriers may be put around the edge of the incision to protect the skin from harm from drainage and adhesive stripping. The top dressing is then taped to the skin barrier.
This wound usually heals between days to weeks. Infection is reduced by well-approximated wound edges.
Acute wounds happen quickly and go through the expected stages of healing. Minor cuts, lacerations, bites, abrasions, and surgical wounds are all examples of acute wounds.
Which phase constricts blood vessels to allow blood clotting and dilates to promote capillary permeability, allowing plasma and blood components to leak into the damaged area?
Vasoconstriction and platelet aggregation at the site of vascular injury characterize the first stage of hemostasis, known as primary hemostasis.
A wound exudes light pink and blood-tinged fluid on Peter Griffin. Which drainage is this?
Serosanguineous discharge, a light pink and blood-tinged wound exudate, contains blood and serum. Drainage like this may suggest normal healing or minor inflammation.
Lois Griffin has red blood coming out of a wound. What's this exudate?
Sanguineous drainage is when fresh blood leaks out of an open wound. This drainage is brilliant red and syrup-like.
The main goal of using an Unna boot while ambulating is to
Due to the wrapping's tight yet light compression, the Unna boot is not a compression device in and of itself. The Unna boot, which becomes quite hard after being wrapped in elastic and offering static support, must be worn by the patient while they are moving around in order to be effective. As the person moves around, the stiffness causes the one-way bicuspid valves of the calf muscle pump to open, forcing the blood upward and out of the area and lowering edema. This pressure is brought on by the individual's muscle contractions and is made worse by the rigidity.
What form of drainage is Stewie Griffin experiencing from his wound, which appears clear and watery?
Serous drainage is a thin, watery, and clear fluid that comes out of a wound. It's normal for this type of drainage to happen when your wound is new and going through the inflammatory stages of healing.
The best course of action for a patient who is nearing his death and has begun to form a pressure area on the sacral area but who groans loudly and resists the nurse assistant's attempts to turn him is to
Comfort comes first when a patient is on the verge of passing away, even if this necessitates forgoing some standard patient care, including turning the patient. As much as possible, the patient should be permitted to lie still. As a patient gets closer to passing away, pain medication is typically reduced because increasing it could have worsened side effects. A patient could feel uncomfortable and distressed during the process of being moved to a different bed.
TransCyte is prescribed to treat:
Indicated for partial to full-thickness burns as a temporary covering before autografting as well as for partial-thickness burns that will not require autografting, TransCyte uses human neonatal fibroblasts on a nylon mesh coated by a silicone layer. TransCyte must be put to a clean, recently debrided wound base. TransCyte is applied, and fixed with a compression dressing or negative pressure, and can last up to 100 days. However, if an infection develops or fluid starts to build up below the TransCyte, it must be removed.
When a wound is first starting to heal, the first white blood cells to come are the ones whose job it is to ingest the bacteria and cell debris that have accumulated there.
Primary hemostasis is characterized by constriction of blood vessels (vasoconstriction) and platelet aggregation at the site of vascular damage.
Which support surface is ideal for a palliative care patient who is unable to assume a range of postures without feeling discomfort and putting pressure on two stage I and stage II ulcers?
Because it may help with tissue perfusion even when patients are immobile, the alternating air mattress provides a dynamic support surface that is particularly helpful for palliative care patients who cannot be moved easily without pain. Placing a flat palm beneath the patient's pressure points and making sure there is at least an inch of support will allow you to determine whether the support surface will bottom out while the patient is in various positions. Alternating air mattresses could lead to heat buildup and moisture retention.
Which fistula treatment strategy is likely to be the most effective in preventing wound contamination from drainage for a significant open abdominal lesion that has a fistula on the posterior aspect?
Fistula drainage can be stopped by bridging, which also shields the incision from exudate. Barrier wafers are used to construct a bridge by piling small pieces of them until they match the depth of the wound. Following the application of barrier paste to the incision, an ostomy pouch is subsequently cut to fit the fistula's entrance. On one side, the bridge receives the ostomy pouch, and on the other, the intact skin.
A ____ is a collection of infected fluid that hasn't drained away.
Infected fluid forms an abscess (pus). A needle and syringe or drainage catheter can drain an abscess.
"Pressure ulcer" is synonymous with which of the following?
Bedsores, also known as pressure ulcers and decubitus ulcers, are skin and tissue damage caused by continuous pressure. Most bedsores happen on parts of the skin that cover bones, like the heels, ankles, hips, and tailbone.
What kind of preparation is required for a patient who will be receiving chemical debridement with collagenase and who has a persistent leg ulcer covered in black eschar?
Chronic wounds (burns, ulcers) with necrotic tissue and eschar are treated with chemical debridement. Before administering the enzyme, the eschar must be cross-hatched through the upper layers since the enzymes (collagenase and papain/urea) need a moist environment. The pH must stay between 6 and 8 to prevent the enzyme from becoming inactive. Hexachlorophene is one of the additional sources of inactivation. Heavy metal ions and Burrow's solution. For deep wounds, collagenase is given directly to the wound; for minor wounds, it is applied to gauze packing.
When it comes to bandages and binders, a straight binder is utilized for ______.
Binders support the abdomen, arm, or chest. Wide binder bandages support massive dressings and specific body areas.