LVN Wound Care 3

Question 1

Which solution is considered the safest and most recommended for routine wound irrigation?

Accepted Answer

Normal saline (0.9% sodium chloride)

Answer

Povidone-iodine (Betadine)

Answer

Hydrogen peroxide

Answer

Acetic acid

Question 2

Autolytic debridement is best achieved by which wound care intervention?

Accepted Answer

Covering the wound with a moisture-retentive dressing to allow the body's enzymes to dissolve dead tissue

Answer

Applying enzymatic ointment such as collagenase

Answer

Using a scalpel to remove necrotic tissue at the bedside

Answer

Irrigating the wound with high-pressure saline

Question 3

A patient with a diabetic foot ulcer has a wound with a dry, black eschar firmly adhered to the heel. What is the priority LVN action?

Accepted Answer

Leave the eschar intact and do not debride without physician orders

Answer

Immediately debride the eschar with scissors

Answer

Apply a hydrogel dressing to soften the eschar

Answer

Soak the foot in warm water to loosen the eschar

Question 4

A foam dressing is MOST appropriate for which type of wound?

Accepted Answer

A heavily exudating wound requiring absorption

Answer

A dry wound with minimal exudate needing moisture donation

Answer

A wound with exposed tendon needing a non-adherent surface only

Answer

A superficial abrasion in a dry environment

Question 5

Which clinical finding indicates that a wound is in the proliferative phase of healing?

Accepted Answer

Bright red, moist granulation tissue is filling the wound from the base

Answer

The wound has a pale, fibrinous slough covering the base

Answer

The wound edges show no signs of tissue approximation

Answer

Copious purulent drainage is present

Question 6

When applying a wet-to-dry dressing for mechanical debridement, the LVN should:

Accepted Answer

Place moist gauze into the wound and allow it to dry before removal to debride non-viable tissue

Answer

Moisten the gauze and remove it while still wet to minimize patient discomfort

Answer

Pack dry gauze into the wound and moisten it just before removal

Answer

Saturate the dressing heavily and seal with an occlusive film to retain moisture

Question 7

A patient receiving negative pressure wound therapy (NPWT/wound VAC) should be monitored for which priority complication?

Accepted Answer

Bleeding or hemorrhage at the wound site

Answer

Hyperthermia from the vacuum seal

Answer

Hypertension from the negative pressure

Answer

Skin breakdown from excessive moisture