Chapter 13: Surgical Wound Care

Chapter 13: Surgical Wound Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse instructs a patient who has a drain in a surgical wound that the wound will heal by:

a.	primary intention.
b.	secondary intention.
c.	tertiary intention.
d.	deliberate intention.

 

ANS:   C

When wounds are kept open by a drain, they heal by tertiary intention.

 

DIF:    Cognitive Level: Comprehension      REF:    Pages 311-312

OBJ:    4                      TOP:    Tertiary intention

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

2. To assist the postoperative patient to cough, the nurse:

a.	supports the patient’s back.
b.	offers an antitussive.
c.	splints the abdomen with a pillow.
d.	leans patient against the bedside table.

 

ANS:   C

To assist a postoperative patient to cough, splinting the abdomen with pillow, hands, or a towel roll is helpful to relieve stress on the suture line.

 

DIF:    Cognitive Level: Application             REF:    Page 312         OBJ:    8

TOP:    Suture lines     KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

3. The day following surgery, the nurse notes bloody drainage on the dressing. The nurse will record this drainage as:

a.	serosanguineous.
b.	sanguineous.
c.	serous.
d.	purulent.

 

ANS:   B

The term sanguineous means bloody. It is indicative of active bleeding.

DIF:    Cognitive Level: Application             REF:    Page 314, Table 13-2

OBJ:    1                      TOP:    Drainage         KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

4. The nurse explains that the advantage of an occlusive dressing is that it:

a.	allows air to the incision.
b.	keeps the incision moist.
c.	delays epithelialization.
d.	does not have to be changed.

 

ANS:   B

Occlusive dressings keep the incision moist and increase epithelialization.

 

DIF:    Cognitive Level: Application             REF:    Page 315         OBJ:    7

TOP:    Occlusive dressings                            KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

5. When the nurse discovers that the gauze dressing has adhered to the wound, the nurse should:

a.	call the RN.
b.	gently remove the gauze with sterile forceps.
c.	cover with occlusive dressing.
d.	moisten the dressing with sterile water.

 

ANS:   D

When a dressing has adhered to the wound, the nurse may moisten the dressing with sterile water or sterile normal saline to loosen it.

 

DIF:    Cognitive Level: Application             REF:    Page 316         OBJ:    7

TOP:    Dry dressings                                     KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity