Wound Care Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Wound Care flashcards as text
A patient has a wound with 100% yellow, soft, moist slough covering the base. The MOST appropriate initial intervention is:
Answer: Using a moisture-donating dressing such as a hydrogel to facilitate autolytic debridement
Hydrogel dressings donate moisture to wounds covered in slough, promoting autolytic debridement to remove non-viable tissue.
Which pressure injury location is MOST common in bedridden patients who spend the majority of time in a supine position?
Answer: Sacrum and coccyx
The sacrum and coccyx bear the greatest pressure in the supine position, making them the most common site for pressure injuries in bed-bound patients.
An LVN is caring for a patient with an arterial (ischemic) leg ulcer. Which intervention is CONTRAINDICATED?
Answer: Elevating the limb above heart level to reduce edema
Elevating an ischemic limb further reduces already compromised arterial perfusion, worsening tissue ischemia.
When assessing a tunneling wound, the LVN should document tunnel depth using:
Answer: A flexible sterile cotton-tipped applicator, measuring the depth and noting the clock position
A sterile cotton-tipped applicator is gently inserted to assess tunnel depth and direction, documented using clock-face positioning.
A patient receiving compression therapy for a venous leg ulcer reports increasing pain and coolness of the foot after the bandage was applied. The LVN should:
Answer: Remove the compression bandage immediately and reassess circulation
Pain, numbness, and coolness after compression application indicate excessive pressure and potential arterial compromise; the bandage must be removed immediately.
Which finding in a diabetic foot wound warrants URGENT referral for further evaluation for osteomyelitis?
Answer: A deep wound that probes to bone with surrounding erythema
The 'probe-to-bone' test — when a sterile instrument contacts bone within a diabetic foot ulcer — has high predictive value for osteomyelitis.
Which dressing type is BEST for a wound with minimal exudate that requires a moist healing environment and protection from external contamination?
Answer: Hydrocolloid dressing
Hydrocolloid dressings create and maintain a moist wound environment, absorb light exudate, and provide a bacterial barrier for wounds with minimal drainage.