PBL Scenario Flashcard

Front

What is the most likely diagnosis for this patient based on the clinical presentation? Options: Wound dehiscence, Postoperative infection, Pulmonary embolism, Hematoma formation

Back

Postoperative infection

Answer explanation

The presence of pain, redness, swelling, fever, and cloudy drainage around the wound suggests a postoperative infection.

Front

Which of the following should be recorded when documenting a wound? The patient's subjective complaints, The appearance of the wound, any drainage, and objective findings like fever, Note that the wound looks fine and there is no evidence of infection, Document the patient’s emotional state and thoughts on their progress.

Back

The appearance of the wound, any drainage, and objective findings like fever

Answer explanation

Accurate and thorough documentation of objective findings is essential for tracking the patient's condition and guiding further interventions. Subjective complaints are important but should be supported by objective data

Front

What is the primary goal of wound care management?

Back

To promote healing and prevent infection

Answer explanation

• The primary goal of wound care is to create an optimal healing environment while minimizing the risk of infection, which can delay recovery and lead to complications.

• Cost-effectiveness is a consideration, but it should never take priority.

• Some drainage is a natural part of the healing process. The goal is to manage drainage effectively, not to eliminate it completely.

• Wound coverage is important but not the primary goal. Some wounds may benefit from exposure to air, depending on the healing stage and wound type.

Front

What is the first step in assessing a wound?

Back

Review the patient's medical history

Answer explanation

• The first step in wound assessment is obtaining a comprehensive history as this information guides further assessment and treatment decisions.

• While measuring the wound and inspecting for signs of infection are an essential part of assessment, it should be done after gathering patient history and performing an initial inspection.

• Cleaning the wound is part of wound care, not the assessment process. Proper assessment must occur before intervention

Front

What is the recommended frequency for changing a wound dressing?

Back

Every 2-3 days or as needed

Answer explanation

Every 2-3 days or as needed aligns with best practices. The specific timing depends on wound characteristics and healthcare provider recommendations.

Frequent dressing changes can disrupt the healing process, remove newly formed tissue, and increase the risk of infection. 

While some advanced dressings can stay on for up to a week, this is not a general guideline for all wounds.