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:

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:

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:

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:

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:

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