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Pressure Ulcers and Wound CareFundamentals of Nursing

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Question Answer
A dressing is sticking to a surgical incision, what should you do?
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Lightly moisten with saline
What should you do prior to applying elastic bandages to a client's lower extremities?
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Elevate dependent extremities to enhance venous return, apply before client sits or stands
When is cold therapy contraindicated?
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Edematous tissue, decreased circulation (arteriosclerosis), neuropathy, shivering
What conditions can be contraindications for heat therapy?
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Bleeding, inflammation (such as appendicitis), cardiac problems
Irrigation solution should be the same temperature as _____.
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Body Temperature
Irrigation of an open wound requires ____ technique.
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Sterile
What is the difference between black (PU) foam and white (PVA) foam (for V.A.C.)?
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Black foam stimulates granulation and wound contraction. White foam restricts granulation.
You notice purulent drainage when changing a dressing. No culture is ordered for this change, so you?.
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Obtain a wound culture anyway.
When changing a NPWT unit dressing, the system should be in de vac mode for ____ minutes.
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30-45
____ dressings are for infected wounds. They shouldn't be used in dry wounds.
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Calcium alginate
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____ dressings provide a moist environment, are soothing, and decrease pain in a wound.
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Hydrogel
____ is most useful on shallow, or moderately deep dermal ulcers.
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Hydrocolloid
____ dressings can be used on clean, granulating wounds.
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Hydrocolloid
This type of dressing is self adhesives and traps the wound's moisture over the wound. It is ideal for small, superficial wounds or to protect high risk skin?
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Film Dressing
4X4s are used in wounds that?
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Have exudate or red wound drainage (blood or seronsanguinous drainage)
A Tefla is used on wounds?
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That are clean and with little or no drainage
When removing tape from a wound, it should be pulled _____ (toward or away from) the wound.
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Toward
What type of clients are at an increased risk of developing pressure ulcers?
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Neurologically impaired, chronically ill in LTC, decreased mental status, ICU, oncology, hospice, orthopedic patients
A surgical wound heals by ____.
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Primary intention.
A wound involving loss of tissue like a burn, pressure ulcer, or severe laceration heals by ____.
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Secondary intention.
  
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