PRINCIPLES OF WOUND MANAGEMENT : ASSESSMENT AND DATA COLLECTION, NURSING INTERVENTIONS Flashcards

1
Q

What is the primary goal of wound management?

A

To promote healing and prevent infection.

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2
Q

True or False: Assessment of a wound should include the patient’s medical history.

A

True

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3
Q

Fill in the blank: The __________ phase of wound healing involves hemostasis and inflammation.

A

acute

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4
Q

What are the four phases of wound healing?

A

Hemostasis, inflammation, proliferation, and remodeling.

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5
Q

Which type of wound is characterized by a break in the skin due to external force?

A

Acute wound

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6
Q

Multiple Choice: Which of the following is NOT a characteristic of chronic wounds? A) Persistent inflammation B) Delayed healing C) Clean edges D) Presence of necrotic tissue

A

C) Clean edges

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7
Q

What should be assessed in the wound bed?

A

Tissue type, color, and presence of exudate.

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8
Q

True or False: A nurse should always wear gloves when assessing a wound.

A

True

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9
Q

What is the purpose of measuring wound size?

A

To monitor healing progress and assess treatment effectiveness.

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10
Q

Fill in the blank: The __________ assessment includes evaluating the surrounding tissue for signs of infection.

A

periwound

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11
Q

What is the importance of documenting wound assessment?

A

To provide a record of the wound’s status and support treatment decisions.

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12
Q

Multiple Choice: Which of the following is a common sign of infection in a wound? A) Increased pain B) Decreased exudate C) Improved healing D) Pale granulation tissue

A

A) Increased pain

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13
Q

What does the acronym ‘RYB’ stand for in wound assessment?

A

Red, Yellow, Black

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14
Q

True or False: Yellow wounds indicate necrotic tissue.

A

False

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15
Q

What type of dressing is typically used for dry wounds?

A

Moisture-retentive dressings.

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16
Q

Fill in the blank: The __________ intervention involves educating the patient about wound care.

17
Q

What is the role of a nurse in wound management?

A

To assess, treat, and educate patients about wound care.

18
Q

Multiple Choice: Which factor can negatively affect wound healing? A) Good nutrition B) Diabetes C) Adequate hydration D) Regular exercise

A

B) Diabetes

19
Q

What should be included in a patient’s wound care plan?

A

Wound assessment, treatment regimen, and patient education.

20
Q

True or False: Wound exudate is always a sign of infection.

21
Q

What is the significance of the ‘bacteria threshold’ in wound management?

A

It is the point at which bacteria levels impede healing.

22
Q

Fill in the blank: The __________ scale is used to assess the risk of pressure ulcers.

23
Q

What does the term ‘debridement’ refer to?

A

The removal of dead or necrotic tissue from a wound.

24
Q

Multiple Choice: What is the preferred method for cleaning a wound? A) Soap and water B) Hydrogen peroxide C) Saline D) Alcohol

25
True or False: Moist wound healing is beneficial for most types of wounds.
True
26
What is the primary purpose of a hydrocolloid dressing?
To maintain a moist environment and promote healing.
27
Fill in the blank: __________ are used to protect the wound from contamination.
Dressings
28
What are the signs of a wound that is healing well?
Reduced size, healthy granulation tissue, and decreased pain.
29
Multiple Choice: Which nutritional element is critical for wound healing? A) Carbohydrates B) Protein C) Fats D) Vitamins
B) Protein
30
What is the significance of patient education in wound management?
It empowers patients to take an active role in their healing process.
31
True or False: It's important to change wound dressings frequently, regardless of the type of wound.
False
32
What factors should be considered when selecting a dressing for a wound?
Wound type, exudate level, and surrounding skin condition.
33
Fill in the blank: The __________ assessment evaluates the patient's overall health status.
comprehensive
34
What is the role of antimicrobial dressings?
To reduce bacterial load and prevent infection.
35
Multiple Choice: Which of the following is NOT a common type of wound? A) Surgical B) Traumatic C) Chronic D) Viral
D) Viral
36
True or False: All wounds require the same type of care and management.
False
37
What is the primary focus of nursing interventions in wound management?
To facilitate healing and prevent complications.