PCT PCT Wound Care 2 — Questions and Answers
Question 1: Wet-to-dry dressings are primarily used for:
- Keeping wounds moist at all times
- Mechanical debridement of necrotic tissue (Correct answer)
- Preventing pressure ulcers on heels
- Covering clean surgical incisions
Correct answer: Mechanical debridement of necrotic tissue
Wet-to-dry dressings debride wounds mechanically as the dried dressing is removed along with adherent dead tissue.
Question 2: Healthy granulation tissue in a healing wound appears:
- Black and leathery
- Yellow and stringy
- Red and bumpy (Correct answer)
- White and flat
Correct answer: Red and bumpy
Granulation tissue is healthy, red, bumpy connective tissue that forms as a wound fills in during the healing process.
Question 3: Which positioning technique best prevents pressure injuries on the heels?
- Place heels flat on the mattress with extra padding
- Elevate heels completely off the mattress using pillows (Correct answer)
- Apply tight compression bandages to both heels
- Keep the patient in supine position continuously
Correct answer: Elevate heels completely off the mattress using pillows
Elevating heels off the mattress with pillows or a heel suspension device fully offloads pressure and prevents heel ulcers.
Question 4: Eschar on a wound is best described as:
- Healthy pink granulation tissue
- Thick, dry, black or brown dead tissue (Correct answer)
- A fluid-filled blister over the wound
- New skin regenerating over the wound surface
Correct answer: Thick, dry, black or brown dead tissue
Eschar is thick, hard, necrotic tissue that must often be debrided before the underlying wound can heal properly.
Question 5: A patient reports pain and burning around a wound dressing. The PCT should:
- Reassure the patient that this is normal healing
- Remove the dressing immediately without guidance
- Report to the nurse and document the observations (Correct answer)
- Apply more tape to better secure the dressing
Correct answer: Report to the nurse and document the observations
Pain and burning around a wound may indicate infection or a skin reaction, requiring prompt nurse notification and thorough documentation.
Question 6: What does wound tunneling indicate?
- The wound is nearly healed
- The wound extends beneath the skin surface (Correct answer)
- Healthy tissue regeneration is occurring
- The wound is too dry and needs moisture
Correct answer: The wound extends beneath the skin surface
Wound tunneling indicates the wound extends under the skin surface and requires nurse assessment and specialized wound care.
PCT PCT Wound Care 2
Wet-to-dry dressings are primarily used for: