NURS Chapter 31 Flashcards
A person has a laceration on the right leg from a fall. The wound is
a. Open, unintentional, and contaminated
b. Open, unintentional, and infected
c. Closed, intentional, and clean
d. Closed, intentional, and chronic
A
A person had rectal surgery. The person has a
a. Clean wound
b. Dirty wound
c. Clean-contaminated wound
d. Contaminated wound
C
The skin and underlying tissues are pierced. This is a(n)
a. Penetrating wound
b. Incision
c. Contusion
d. Abrasion
A
Which can cause skin tears?
a. Keeping your nails trimmed and smooth
b. Dressing the person in soft clothing
c. Wearing rings
d. Padding wheelchair footplates
C
A person has a vascular ulcer. Which measure should you question?
a. Hold socks in place with elastic garters
b. Do not cut or trim toenails
c. Apply compression (antiembolism) stockings
d. Reposition the person every hour
A
Compression (antiembolism) stockings
a. Hold dressings in place
b. Prevent blood clots
c. Increase swelling after injury
d. Prevent venous blood flow
B
Compression (antiembolism) stockings are applied
a. Before the person gets out of bed
b. When the person is standing
c. After the person’s shower or bath
d. For 30minutes and then removed
A
When applying an elastic bandage
a. Position the part in good alignment
b. Cover the fingers or toes if possible
c. Apply it from the largest to smallest part of the extremity
d. Apply it from the upper to lower part of the extremity
A
Persons with diabetes are at risk for diabetic foot ulcers because of
a. Gangrene
b. Amputation
c. Infection
d. Nerve and blood vessel damage
D
A person has diabetes. You should check the person’s feet every
a. 2 hours
b. Day
c. Week
d. Month
B
A person with diabetes needs to wear socks with shoes to prevent
a. Corns
b. Bunions
c. Plantar warts
d. Blisters
D
A wound is separating. This is called
a. Primary intention
b. Third intention
c. Dehiscence
d. Evisceration
C
Clear, watery drainage from a wound is called
a. Purulent drainage
b. Serous drainage
c. Seropurulent drainage
d. Serosanguineous drainage
B
A dressing does the following except
a. Protect the wound from injury
b. Absorb drainage
c. Provide moisture for wound healing
d. Support the wound and reduce swelling
D
A person receives a pain-relief medication before a dressing change. How long should you wait for the medication to take effect?
a. 5minutes
b. 10minutes
c. 15minutes
d. 30minutes
D
To remove tape
a. Pull it toward the wound
b. Pull it away from the wound
c. Use an alcohol swab
d. Use a saline solution
A
An abdominal binder is used to
a. Prevent blood clots
b. Prevent wound infection
c. Provide support and hold dressings in place
d. Decrease swelling and circulation
C
Warm applications have these effects except
a. Pain relief
b. Muscle relaxation
c. Healing
d. Decreased blood flow
D
The greatest threat from warm applications is
a. Infection
b. Burns
c. Chilling
d. Venous ulcers
B
These statements are about moist warm applications. Which is false?
a. Water is in contact with the skin
b. The effects from moist heat are less than from a dry heat application
c. Moist heat penetrates deeper than dry heat
d. A moist warm application has a lower temperature than a dry heat application
B
These statements are about sitz baths. Which is false?
a. The perineal and rectal areas are immersed in warm water.
b. Sitz baths last 25 to 30minutes.
c. They clean the perineum, relieve pain, increase circulation, or stimulate voiding.
d. Weakness and fainting can occur.
B
A person uses an aquathermia pad. Which is false?
a. It is a dry heat application
b. A cover is used
c. Electrical safety precautions are practiced
d. Pins secure the pad in place
D
Cold applications
a. Reduce pain, prevent swelling, and decrease circulation
b. Dilate blood vessels
c. Prevent the spread of microbes
d. Prevent infection
A
Which is not a complication of cold applications?
a. Pain
b. Burns
c. Blisters
d. Infection
D
