11 Week 11 Dressing And Wound Care

Question 1

Describe methods for preserving Skin Integrity around a wound Push Pull technique

Answer 1

Push Pedal Pull technique releases tape from skin, reducing chance of skin damage. Gently push skin away from tape while pulling adhesives from skin

Question 2

Describe methods for preserving Skin Integrity around of what wound. Secure dressing

Answer 2

Secure dressing, keep stressing and place and intact without causing damage to underlying and surrounding skin

Question 3

Identify essential data to be documented size reported about wound care

Answer 3

1) location of the wound
2) appearance of wound and surrounding skin ( size, color, drainage, odor, open or closed)
3) nature of caregiving
4) medications applied

Question 4

Identify nursing interventions and rationale when irrigating a wound

Answer 4

1) poor ordered solution in to stay out your irrigation container
2) apply cream gloves, protective eyewear, mask, and protective down if needed
3) Place waterproof pad under patient
4) using syringe, gently allows solution to flow over wound
5) continue until irrigation creates a clear flow of solution
6) dry surrounding skin with gauze pads
7) measure wound, measurement of wound size with each dressing change provides data about progression of wound healing
8) remove and dispose of gloves perform hand hygiene

Question 5

Identify nursing interventions and rationale when packing a wound

Answer 5

1) apply sterile gloves
2) assassin parents of surrounding skin, provides evaluation of wound management
3) moisten with gauze with prescribed solution in jelly ring out access solution, unfold. Cause needs to be moist to allow for absorption of wound debris
4) apply causes single layer directly onto wound surface. The wound is deep, gently pack dressing into wound Bass by hand until all wound surfaces are intact with gauze. If tunneling is present, use cotton tipped applicator to place Gods into the tunnel the area be sure that God does not touch surrounding skin.
5) covered with sterile dry gauze and topper dressing

Question 6

Identify a central data to be collected / documented and reported regarding wound irrigation

Answer 6

1) solution used
2) approximate amount of solution
3) location of wound
4) appearance of wound and surrounding skin
5) characteristics of return flow
6) patient response