Wound Care & Dressing Techniques 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 & Dressing Techniques flashcards as text
A patient's wound is classified as having 'yellow slough' in the wound bed. What does this indicate about wound healing status?
Answer: Necrotic tissue is present and may impede healing
Yellow slough is devitalized, necrotic tissue that creates a bacterial growth medium and must be removed to allow healing to progress.
When using the RED-YELLOW-BLACK (RYB) wound assessment system, a wound with a black wound bed should be managed by:
Answer: Applying a moisture-retentive dressing to promote autolysis
Black wounds contain eschar that should be debrided; moisture-retentive dressings promote autolytic debridement of the necrotic tissue.
Which action by the LVN demonstrates correct technique when removing an adherent dressing?
Answer: Soak the dressing with normal saline before removal to loosen adherence
Moistening an adherent dressing with saline loosens it and prevents trauma to fragile wound tissue during removal.
A nurse notes that a surgical wound has separated along the suture line with intestines visible through the opening. This is termed:
Answer: Evisceration
Evisceration is the protrusion of internal organs through a wound opening and requires emergency intervention.
A patient has a surgical wound with a Jackson-Pratt (JP) drain. The LVN notes the drain bulb is fully expanded and not compressed. What action should be taken?
Answer: Empty and recompress the bulb to restore suction
A JP drain bulb must be emptied and recompressed to restore the negative pressure suction that removes wound drainage.
Which patient population is at HIGHEST risk for developing a wound infection after a surgical procedure?
Answer: A 70-year-old diabetic with a BMI of 38 receiving corticosteroids
Older age, diabetes, obesity, and immunosuppressant use each independently increase surgical site infection risk; this patient has all four.
An LVN is documenting wound measurements. The wound measures 4 cm long, 2 cm wide, and 1.5 cm deep. How should this be documented in standard format?
Answer: 4 cm × 2 cm × 1.5 cm (L × W × D)
Standard wound measurement documentation follows the format length × width × depth (L × W × D).