Surgical Wound care Quiz

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1. Definition of a Keloid

Explanation

p. 311

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About This Quiz
Surgical Wound care Quiz - Quiz

Do you know how to take care of surgical wounds? Take this surgical wound care quiz to expand your knowledge about how to properly take care of such... see morewounds! If proper care is not given to wounds of such nature, it is entirely possible to develop an infection that can even be life-threatening. Let's dive headfirst into this quiz. All the best! Source: Foundations of Nursing by Christensen and Kockrow, pages 310-342.
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2. Gentle washing of an area with a stream of solution delivered through a syringe. 

Explanation

p. 321

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3. A one day postoperative patient is scheduled to have an initial wound dressing. What would be an appropriate thing to do before doing the intervention? 

Explanation

p. 316

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4. Best Definition of EXUDATE

Explanation

p. 311

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5. Which of the following groups are not a factor that could impair wound healing?

Explanation

p. 313

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6. When a post-operative patient states that something has given way and the feeling is brought on by periods of sneezing, coughing or vomiting, what could have possibly happened? 

Explanation

p. 324

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7. A patient who had an appendicitis removed early in the morning is having a hard time going to sleep because of coughing. What is the best non-pharmacological intervention that a nurse could provide him?

Explanation

p. 312

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8. Wire sutures are removed by physician

Explanation

Wire sutures are typically used in surgical procedures to hold together tissues or close incisions. These sutures are made of wire and require a physician to remove them after a certain period of time. This is because wire sutures are more durable and can cause more discomfort if left in for too long. Therefore, it is true that wire sutures are removed by a physician.

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9. A cut produced surgically by a sharp instrument creating an opening into an organ or space in the body

Explanation

p. 310

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10. Steri-strips are not removed and are allowed to loosen and peel off gradually

Explanation

p. 326

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11. Stab wound for a drainage system 

Explanation

p. 310

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12. Since it is not an invasive procedure, a  Wound Vacuum Assisted Closure (Wound VAC)  device does not require a Physician's order.   

Explanation

p. 331

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13. A chronic disease that impairs wound healing because it causes hemoglobin to have greater affinity for oxygen, so it fails to release oxygen to tissues. An effect of this disease alters ability of leukocytes to perform phagocytosis needed for wound healing. This same effect will also support overgrowth of fungal and yeasts infection which are both contraindicated for wound healing

Explanation

p. 313

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14. During hemostasis, termination of bleeding begins and blood clots are formed.  What is in the blood clot that helps hold the wound together?

Explanation

p. 311

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15. When doing wound care, in order to prevent fluid from being retained in the wound, how should a patient be positioned?

Explanation

p. 323

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16. During the first day after surgery, how often would you inspect the dressings? 

Explanation

p. 314

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17. Which of the following is not an evidence of infection?

Explanation

p. 314

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18. What is granulation tissue?

Explanation

p. 311

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19. Cavity containing pus and surrounded by inflamed tissue, formed as a result of suppuration in a localized infection 

Explanation

p. 323

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20. Without a physician's order, what do you do with a dressing that is saturated with exudate?

Explanation

p. 338

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21. Removal of fluids from a body cavity, wound or other source of discharge by one or more methods. 

Explanation

p. 325

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22. A device that assists in wound closure by applying localized negative pressure to draw the edges of a wound together. It accelerates wound healing by promoting the formation of granulation tissue, collagen, fibroblasts, and inflammatory cells in order to close or improve the condition of a wound in preparation for a skin graft.  

Explanation

p. 330

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23. What is the primary purpose of wet-to-dry dressing?

Explanation

p. 318

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24. After an abdominal surgery, abdominal muscles contract and cause intraabdominal pressure. If the incisional area is weak, what is possible to happen?

Explanation

p. 310

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25. A moist environment may damage the wound edges (peri-wound skin). It is classified as moisture-associated skin damage (MASD). What do you call this damage?

Explanation

p. 333

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26. If hemorrhage is  not detected or stopped, what is most likely to happen?

Explanation

p. 324

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27. After applying a transparent dressing, it is labeled with which information? Select all that apply:

Explanation

p. 321

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28. When using an occlusive dressing, where will the tape strips be attached?  

Explanation

p. 315

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29. A strip or roll of cloth or other material can be wound around a part of the body in a variety of ways for multiple purposes.

Explanation

p. 333

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30. Match the following wound drainage on the left with its appearance on the right

Explanation

p. 314

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31. When changing a sterile dry dressing, which of the following is a proper way of cleaning a wound?

Explanation

p. 317

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32. Collection of extravasated blood trapped in the tissues or in an organ resulting from incomplete hemostasis after surgery or injury

Explanation

A hematoma is a collection of extravasated blood that becomes trapped in the tissues or an organ due to incomplete hemostasis after surgery or injury. This can occur when blood vessels are damaged and blood leaks out into the surrounding area, forming a localized clot. Hematomas can vary in size and severity, and may cause swelling, pain, and discoloration of the skin. Treatment for a hematoma may involve monitoring, applying ice or heat, elevating the affected area, or in some cases, draining the blood.

Submit
33. Which of the following four phases of wound healing are arranged accordingly

Explanation

p. 311

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34. It is a factor that impairs wound healing by interfering with normal cellular mechanisms that promote release of oxygen to tissues. It reduces the amount of functional hemoglobin in blood. 

Explanation

p. 319

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35. Match the terms used in wound care on the left with wound complications on the right. 

Explanation

p. 323

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36. How long does the outer edge of a wound appear inflamed?

Explanation

p. 338

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37. In a Wound VAC assisted closure procedure, foams are used, Match the type of foam on the left with its properties on the right

Explanation

p. 332

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38. When doing wound irrigation for a deep wound with small opening (deep ulcers), which of the following devices should you use?

Explanation

p. 332

Submit
39. Upon doing wound care of a patient who had an abdominal surgery this morning , nurse observes 325 mL of exudate extracted from patient's Hemovac. What would she do next?

Explanation

p. 327 - Treat exudate or drainage in quantities greater than 300 mL in the first 24 hours as abnormal and report it immediately

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40. The process of applying a pillow, rolling a bath blanket, or the palms of the hands to an incisional area to decrease intraabdominal pressure is called what?. 

Explanation

p. 312

Submit
41. A nurse is removing a suture. Which of the following would be a sign that this nurse needs further training?  

Explanation

pages 326-327

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42. When doing a wound irrigation, how should the syringe be positioned? 

Explanation

p. 322

Submit
43. Existence of a wound indicates what kind of nursing diagnosis?

Explanation

p. 338

Submit
44. When doing wound care, which of the following should not be done? 

Explanation

p. 317. Don clean gloves and remove dressing and discard

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45. A system of tubing and other apparatus attached to the body to remove fluid in an airtight circuit that prevents environmental contaminants from entering the wound.   

Explanation

p. 328

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46. When are sutures and staples generally removed?

Explanation

Sutures and staples are typically removed 7 to 10 days after surgery once the wound has sufficiently healed to maintain closure. Removing them too early can risk wound reopening, while removing them later may cause unnecessary scarring.

Submit
47. In changing a wet-to-dry dressing, what happens when you apply dry dressing over wet gauze? 

Explanation

p. 319

Submit
48. Classification of wound according to the CDC. Select all that apply:

Explanation

p. 311

Submit
49. After opening and partially using a 10 ml bottle of a normal saline wetting agent for wound care, what should be done next?

Explanation

p. 320

Submit
50. Unless otherwise directed by physician, how often do you remove and reapply elastic bandage?

Explanation

p. 337

Submit
51. How often should a Davol or Hemovac systems  be observed?

Explanation

p. 329

Submit
52. When applying a triangular blinder (Sling), where do you tie the square knot?

Explanation

p. 334

Submit
53. Passage or escape into the tissues, usually of blood, serum or lymph 

Explanation

p. 323

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54. A type of bandage that is made of large pieces of material to fit a specific body part mostly made of elastic, cotton, muslin or flannel 

Explanation

p. 334

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55. Before applying a steri-srip, what is applied to make the skin tacky and cause the steri-strip to adhere more securely?

Explanation

p. 326 - Apply this to skin on each side of suture line over an area 1.5 to 2 inches wide, and allow to dry for a few minutes

Submit
56. What should be the position of a Wound VAC system for it to work?

Explanation

p. 333 - Note: The VAC system will alarm and deactivate therapy if the unit is tilted beyond 45 degrees.

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57. Match the wound classification on the left with an example on the right 
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58. When bandaging extremities, how do you apply them?

Explanation

p. 337

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59. Fluid that have slowly discharged from cells or blood vessels through small pores or breaks in cell membrane. 

Explanation

p. 325

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60. When a patient has steri-strips, what would be the recommended form of body hygiene?

Explanation

p. 326

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61. When doing wound care, which of the following should be the first thing to do?

Explanation

p. 314

Submit
62. Use  _____  _______ rather than _____   ______ to fasten bandages on small children or infants. 

Explanation

p. 337

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63. When does wound dehiscence primarily take place?

Explanation

p. 311

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64. How long would a normally healing wound fill withe epithelial cells and edge closely

Explanation

p. 338

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65. A nurse was asked to document the amount of exudate from a post-op patient who does not have a wound vacuum bag. She observes that the dressing was soaked in blood. After weighing the dressing, she noted that it weighed 2 oz. What is the proper amount of exudate that should be documented?       

Explanation

p. 328 - Documenting the amount of exudate should be according to volume and not according to weight. There are 2 conversions in this problem:
a) 1 oz = 30 g
b) 1 g = 1 ml

If it weights 2 oz, therefore it weights 60 g (30g x 2 oz)
If for every gram, there is 1 ml. then the answer follows that it is 60 ml

Submit
66. When evisceration follows dehiscence, what interventions are needed? Select all that apply:

Explanation

p. 324

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67. Which of the following is not an appropriate response to wound evisceration?

Explanation

p. 324 - Help the patient into a low Fowler's position with knees slightly flexed. This will ease pressure on the wound and prevent further tearing of the wound edges.

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68. Match the process of wound healing on the left with a definition, description or example on the right

Explanation

p. 312

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69. Often the choice for management of wound with little exudate or drainage such as abrasions and non-draining postoperative incisions. 

Explanation

p. 316

Submit
70. Match the type of dressing on the left with its specific purpose on the right

Explanation

p. 315

Submit
71. What is the appropriate way of removing sutures or staples?

Explanation

p. 324

Submit
72. A method and a trend that allows atmospheric oxygen to circulate above the wound, aiding in the healing process

Explanation

p. 316

Submit
73. For best results, when or how should transparent dressings be used? Select all that apply; 

Explanation

p. 320

Submit
74. Also known as separate sutures characterized with knots that are lined up on the same side of incision. 

Explanation

p. 325 and 326

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75. In a Wound VAC system, what is the negative pressure required for it to work?  

Explanation

p. 332

Submit
76. How often should a Wound Vac dressing be changed for a patient with a clean wound?

Explanation

p. 330

Submit
77. When Montgomery straps are soiled, when do they get replaced? 

Explanation

p. 316

Submit
78. What kind of dressings promote healing by keeping wounds moist yet sterile? 

Explanation

p. 315

Submit
79. A patient who recently suffered a vehicular accident is using a Wound Vac device. Due to the severity of the accident, the patient has purulent drainage. How often should his dressing be changed?   

Explanation

p. 330

Submit
80. When are dressings over closed wound usually removed?

Explanation

p. 315

Submit
81. Which of the following statements about wound healing are true? Select all that apply:

Explanation

p. 312

Submit
82. How are wounds classified? Select all the apply:

Explanation

p. 310

Submit
83. When does wound dehiscence most frequently take place? 

Explanation

p. 324

Submit
84. In order to determine whether a patient is hemorrhaging, what do you need to observe? Select all that apply:

Explanation

p. 324

Submit
85. How long do retention sutures remain in place?

Explanation

p. 325 - Retention sutures are covered with rubber and used primarily for obese patients who have had an abdominal surgery

Submit
86. Which of the following are commonly used wetting agents? Select all that apply:

Explanation

p. 318

Submit
87. What are the advantages of a transparent dressing? Select all that apply: 

Explanation

p. 320

Submit
88. Dressing selection will be done according to agency policy and traditional universal care plans. 

Explanation

Dressing selection needs to be individualized to the type of wound and wound-healing goals. (p. 333 - evidence based practice)

Submit
89. Wound irrigation promotes wound healing through the following reasons. Select all that apply:

Explanation

p. 322

Submit
90. When assessing the drainage of a T-Tube Drainage System, which of the following should be expected? Select all that apply:  

Explanation

p. 330

Submit
91. Common solutions used for irrigation. Select all that apply

Explanation

p. 322

Submit
92. The principles of basic wound irrigation include the following. Select all that apply

Explanation

p. 321

Submit
93. Match the draining system on the left with its purpose on the right  

Explanation

pages 328-329

Submit
94. Which of the following statements about dry dressing are true? Select all that apply 

Explanation

p. 316 - If dry dressing adheres to a wound, moisten dressing with NORMAL SALINE OR STERILE (not distilled) water before removing the gauze.

Submit
95. Which of the following is NOT a characteristic of a healthy healing surgical wound?

Explanation

Purulent discharge, or pus, is a sign of infection in a wound. A healthy healing wound should have pink granulation tissue (new connective tissue), minimal exudate (clear or slightly bloody drainage), and well-approximated edges (wound edges that are closed together).

Submit
96. Which of the following are effective antimicrobial agents either for Psuedomonas Aeruginosa or other pathogens but  are toxic to fibroblasts in standard solutions?

Explanation

pages 318 and 320

Submit
97. Match the basic bandage turns on the left with their specific purpose on the right 

Explanation

p. 336

Submit
98. The following are steps on applying a triangular binder (sling). Rearrange by matching them with the number on the right according to the order of their priority.  

Explanation

p. 334

Submit
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Definition of a Keloid
Gentle washing of an area with a stream of solution delivered through...
A one day postoperative patient is scheduled to have an initial wound...
Best Definition of EXUDATE
Which of the following groups are not a factor that could impair wound...
When a post-operative patient states that something has given way and...
A patient who had an appendicitis removed early in the morning is...
Wire sutures are removed by physician
A cut produced surgically by a sharp instrument creating an opening...
Steri-strips are not removed and are allowed to loosen and peel off...
Stab wound for a drainage system 
Since it is not an invasive procedure, a  Wound Vacuum Assisted...
A chronic disease that impairs wound healing because it causes...
During hemostasis, termination of bleeding begins and blood clots are...
When doing wound care, in order to prevent fluid from being retained...
During the first day after surgery, how often would you inspect the...
Which of the following is not an evidence of infection?
What is granulation tissue?
Cavity containing pus and surrounded by inflamed tissue, formed as a...
Without a physician's order, what do you do with a dressing that...
Removal of fluids from a body cavity, wound or other source of...
A device that assists in wound closure by applying localized negative...
What is the primary purpose of wet-to-dry dressing?
After an abdominal surgery, abdominal muscles contract and cause...
A moist environment may damage the wound edges (peri-wound skin). It...
If hemorrhage is  not detected or stopped, what is most likely to...
After applying a transparent dressing, it is labeled with which...
When using an occlusive dressing, where will the tape strips be...
A strip or roll of cloth or other material can be wound around a part...
Match the following wound drainage on the left with its appearance on...
When changing a sterile dry dressing, which of the following is a...
Collection of extravasated blood trapped in the tissues or in an organ...
Which of the following four phases of wound healing are arranged...
It is a factor that impairs wound healing by interfering with normal...
Match the terms used in wound care on the left with wound...
How long does the outer edge of a wound appear inflamed?
In a Wound VAC assisted closure procedure, foams are used, Match...
When doing wound irrigation for a deep wound with small opening (deep...
Upon doing wound care of a patient who had an abdominal surgery this...
The process of applying a pillow, rolling a bath blanket, or the palms...
A nurse is removing a suture. Which of the following would be a sign...
When doing a wound irrigation, how should the syringe be...
Existence of a wound indicates what kind of nursing diagnosis?
When doing wound care, which of the following should not be...
A system of tubing and other apparatus attached to the body to remove...
When are sutures and staples generally removed?
In changing a wet-to-dry dressing, what happens when you apply dry...
Classification of wound according to the CDC. Select all that apply:
After opening and partially using a 10 ml bottle of a normal saline...
Unless otherwise directed by physician, how often do you remove and...
How often should a Davol or Hemovac systems  be observed?
When applying a triangular blinder (Sling), where do you tie the...
Passage or escape into the tissues, usually of blood, serum or...
A type of bandage that is made of large pieces of material to fit a...
Before applying a steri-srip, what is applied to make the skin tacky...
What should be the position of a Wound VAC system for it to work?
Match the wound classification on the left with an example on the...
When bandaging extremities, how do you apply them?
Fluid that have slowly discharged from cells or blood vessels through...
When a patient has steri-strips, what would be the recommended form of...
When doing wound care, which of the following should be the first...
Use  _____  _______ rather than _____   ______ to...
When does wound dehiscence primarily take place?
How long would a normally healing wound fill withe epithelial cells...
A nurse was asked to document the amount of exudate from a post-op...
When evisceration follows dehiscence, what interventions are needed?...
Which of the following is not an appropriate response to wound...
Match the process of wound healing on the left with a definition,...
Often the choice for management of wound with little exudate or...
Match the type of dressing on the left with its specific purpose on...
What is the appropriate way of removing sutures or staples?
A method and a trend that allows atmospheric oxygen to circulate above...
For best results, when or how should transparent dressings be used?...
Also known as separate sutures characterized with knots that are lined...
In a Wound VAC system, what is the negative pressure required for it...
How often should a Wound Vac dressing be changed for a patient with a...
When Montgomery straps are soiled, when do they get replaced? 
What kind of dressings promote healing by keeping wounds moist yet...
A patient who recently suffered a vehicular accident is...
When are dressings over closed wound usually removed?
Which of the following statements about wound healing are true? Select...
How are wounds classified? Select all the apply:
When does wound dehiscence most frequently take place? 
In order to determine whether a patient is hemorrhaging, what do you...
How long do retention sutures remain in place?
Which of the following are commonly used wetting agents? Select all...
What are the advantages of a transparent dressing? Select all that...
Dressing selection will be done according to agency policy and...
Wound irrigation promotes wound healing through the following reasons....
When assessing the drainage of a T-Tube Drainage System, which of the...
Common solutions used for irrigation. Select all that apply
The principles of basic wound irrigation include the following. Select...
Match the draining system on the left with its purpose on the right...
Which of the following statements about dry dressing are true? Select...
Which of the following is NOT a characteristic of a healthy healing...
Which of the following are effective antimicrobial agents either for...
Match the basic bandage turns on the left with their specific purpose...
The following are steps on applying a triangular binder (sling)....
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