PRINCIPLES OF WOUND MANAGEMENT : ASSESSMENT AND DATA COLLECTION, NURSING INTERVENTIONS Flashcards
What is the primary goal of wound management?
To promote healing and prevent infection.
True or False: Assessment of a wound should include the patient’s medical history.
True
Fill in the blank: The __________ phase of wound healing involves hemostasis and inflammation.
acute
What are the four phases of wound healing?
Hemostasis, inflammation, proliferation, and remodeling.
Which type of wound is characterized by a break in the skin due to external force?
Acute wound
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
C) Clean edges
What should be assessed in the wound bed?
Tissue type, color, and presence of exudate.
True or False: A nurse should always wear gloves when assessing a wound.
True
What is the purpose of measuring wound size?
To monitor healing progress and assess treatment effectiveness.
Fill in the blank: The __________ assessment includes evaluating the surrounding tissue for signs of infection.
periwound
What is the importance of documenting wound assessment?
To provide a record of the wound’s status and support treatment decisions.
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) Increased pain
What does the acronym ‘RYB’ stand for in wound assessment?
Red, Yellow, Black
True or False: Yellow wounds indicate necrotic tissue.
False
What type of dressing is typically used for dry wounds?
Moisture-retentive dressings.
Fill in the blank: The __________ intervention involves educating the patient about wound care.
nursing
What is the role of a nurse in wound management?
To assess, treat, and educate patients about wound care.
Multiple Choice: Which factor can negatively affect wound healing? A) Good nutrition B) Diabetes C) Adequate hydration D) Regular exercise
B) Diabetes
What should be included in a patient’s wound care plan?
Wound assessment, treatment regimen, and patient education.
True or False: Wound exudate is always a sign of infection.
False
What is the significance of the ‘bacteria threshold’ in wound management?
It is the point at which bacteria levels impede healing.
Fill in the blank: The __________ scale is used to assess the risk of pressure ulcers.
Braden
What does the term ‘debridement’ refer to?
The removal of dead or necrotic tissue from a wound.
Multiple Choice: What is the preferred method for cleaning a wound? A) Soap and water B) Hydrogen peroxide C) Saline D) Alcohol
C) Saline