PCT: Care of the Surgical Patient/Care of Wounds & Ulcers

What is primary difference between healing by primary intention and healing by secondary intention?

• secondary healing requires surgical debridement for healing to occur

• primary healing involves suturing two layers of granulous tissue together

• presence of more granulation tissue in secondary healing results in more scarring

• healing by secondary intention takes longer because more steps in the healing process are necessary

On report, you hear the patient has a sore on her sacrum that is deep enough to see the muscle, What stage of pressure ulcer do you expect to see on assessment?

• Stage I

• Stage II

• Stage III

• Stage IV

For a poor healing wound, a patient has been treated with a "wound vac" device, what will the nurse understand about this device?

• the wound must be cleaned daily

• the patient will be placed in a hyperbaric chamber

• the occlusive dressing must be sealed tightly to the skin

• diet will not be as important with this sort of treatment

A large, shiny protrusion of scar tissue extending beyond wound edges would be described as..

• adhesion

• keloid

• dehiscence

• evisceration

A finding of closed, nonblanchable erythema on the skin, would be described as ..

• Stage I pressure ulcer

• Stage II pressure ulcer

• Stage III pressure ulcer

• Stage Iv pressure ulcer

Which patient is at greatest risk for developing pressure ulcers?

• 42 yo obese woman with DM type 2

• 78 yo man who is confused and malnourished

• 30 yo man who is comatose following head injury

• 65 yo woman who has urge and stress incontinence

The process that eliminates most but not necessarily all microorganisms on nonliving surfaces is called:

• fumigation
• disinfection
• extermination
• sterlization

Solutions that destroy microorganisms or inhibit their growth on living tissue

• Disinfecting
• Sterilizing
• Antiseptics
• Cleaning

Handwashing should be done frequently.  It should be done:

• When you arrive to a healthcare facility and before you leave a healthcare facility.
• After you cough, sneeze, or use a tissue.
• After personal use of the restroom.
• All of the above.

____ is the absence of all microogranisms within any type of invasive procedure.

• asepsis

• sterile technique

• surgical asepsis

• clean