Wound Care

Question 1

nutrition teaching for wound healing/prevention

Answer 1

• high protein, high calorie
• increase zinc and vitamin C intake
• hydration

Question 2

what kind of wound dressing should be avoided and why?

Answer 2

wet-to-dry dressings - removes healthy (granulation) tissue

Question 3

what kind of environment do you want for wound healing?

Answer 3

moist wound healing environment

Question 4

what do you clean the wound with?

Answer 4

isotonic saline or wound cleanser

Question 5

5 basic types of dressings

Answer 5

• films
• hydrogel
• hydrocolloids
• alginates
• foams

Question 6

film dressing use

Answer 6

for autolytic debridement when the individual is not immuno-compromised

Question 7

hydrogel dressing use

Answer 7

for pressure injuries that have minimal drainage (dry), granulating, painful, and are not infected

Question 8

hydrocolloid dressing use

Answer 8

for non-infected, shallow stage III pressure injuries

Question 9

alginate dressing use

Answer 9

• for moderately and heavily exuding pressure injuries
• can be drying
• may impede epithelialization due to high calcium content

Question 10

foam dressing use

Answer 10

for highly exuding stage II and shallow stage III pressure injuries

Question 11

silver-impregnated dressing use

Answer 11

for pressure injuries that are clinically infected or heavily colonized

Question 12

honey-impregnated dressing use

Answer 12

for treatment of stage II and III pressure injuries

Question 13

cadexomer iodine dressing use

Answer 13

moderately to highly exuding pressure injuries

note: avoid if renal failure, history of thyroid disorders or known iodine sensitivity

Question 14

avoid gauze dressings for:

Answer 14

open pressure injuries that have been cleansed and debrided

Question 15

silicone dressing use

Answer 15

prevent periwound tissue injury when periwound tissue is fragile or friable

Question 16

collagen matrix dressing use

Answer 16

for non-healing stage III and IV pressure injuries

Question 17

how often should you clean a wound?

Answer 17

every time the dressing is changed (usually every shift)

Question 18

types of debridement (4)

Answer 18

• autolytic
• enzymatic
• sharp
• biological

Question 19

when should you NOT debride a wound?

Answer 19

when eschar is firm, dry, stable in heels and ischemic limbs