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WorksheetsWound Care
Total questions: 20
Worksheet time: 10mins
The type of intention healing that includes closures with staples or sutures.
Secondary
Primary
Inflammation
Tertiary
Type of wound healing complication that occurs due to incomplete hemostasis.
Abrasion
Dehiscence
Hematoma
Hemorrhage
Sanguineous drainage can indicate
Infection
Healing
Need for a drain
Active bleeding
The image shows which wound healing complication?
Evisceration
Dehiscence
Laceration
Hematoma
The CDC classifies wounds that include entry to GI, GU, or respiratory tracts as
Class I Clean
Class II Clean-contaminated
Class III Contaminated
Class IV Dirty/infected
A pressure ulcer with partial-thickness loss of dermis, that may appear as a red blister is which stage?
Stage II
Stage IV
Stage I
Stage III
Which stage of pressure ulcer includes muscle damage with possible bone exposure?
Stage IV
Stage I
Stage III
Stage II
This pressure ulcer is classified as
Stage III
Stage IV
Unstageable
Stage II
Which of the following is not an appropriate nursing intervention for pressure ulcer treatment?
Reposition patient Q 2 hrs
Use a special mattress to reduce pressure
Encourage ambulation
Strict bedrest
Which of the following is not a treatment for stasis ulcers?
Unna boot
Wet-to-dry dressing
hydrocolloid dressing
Compression therapy
Which phase of wound healing includes the formation of fibrin?
Hemostasis
Inflammatory
Reconstruction
Maturation
A wound that cannot be closed requiring a drain is an example of what kind of intention healing?
Tertiary
Primary
Secondary
None of the above
A balanced diet can help assist in wound healing. Foods that are rich in vitamin C may include
seafood
bananas
tomatoes
avocado
Clear, watery drainage from a wound should be documented as
Serosanguineous
Purulent
Sanguineous
Serous
What intervention should be completed 30 minutes prior to a dressing change?
Administer analgesics
Mark the dressing for drainage
Emptying the bladder
Position change
Which type of dressing is air and water tight, keeping the wound moist?
ABD pads
Occlusive
Telfa pads
semiocclusive
Surgical glue is beneficial for all of the following except
Lower rates of infection
Less time in OR
Can be used for diabetic patients
Less scarring
What nursing interventions are appropriate for a stage I pressure ulcer?
Applying a moisture barrier cream
Hydrocolloid dressing
Cleaning with sterile water
debridement
Which is not true of wound VACs?
Change the dressing Q 24-72 hrs
Helping draw together wound edges
Keeps the wound dry and cool
Decreases inflammation
Cavity containing pus that is surrounded by inflamed tissue is considered to be an
Adhesion
Abrasion
Abscess
Evisceration
