Foundations of Nursing 7th Edition By Kim Cooper- Kelly Gosnell
Foundations of Nursing 7th Edition By Kim Cooper- Kelly Gosnell
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Chapter 14: Surgical Wound Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Primary intention |
| b. | Secondary intention |
| c. | Tertiary intention |
| d. | Deliberate intention |
ANS:Â C
When wounds are kept open by a drain, they heal by tertiary intention.
DIF:   Cognitive Level: Comprehension    REF:  Pages 311-312
OBJ:Â Â 4Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â TOP:Â Â Tertiary intention
KEY:Â Nursing Process Step: Implementation
MSC:Â NCLEX: Physiological Integrity
| a. | Support the patient’s back |
| b. | Offer an antitussive |
| c. | Splint the abdomen with a pillow |
| d. | Lean patient against the bedside table |
ANS:Â 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:Â NCLEX: Physiological Integrity
| a. | Serosanguineous |
| b. | Sanguineous |
| c. | Serous |
| d. | Purulent |
ANS:Â 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:Â NCLEX: Physiological Integrity
| a. | Allows air to the incision |
| b. | Keeps the incision moist |
| c. | Delays epithelialization |
| d. | Does not have to be changed |
ANS:Â B
Occlusive dressings keep the incision moist and increase epithelialization.
DIF:   Cognitive Level: Comprehension    REF:  Page 315       OBJ:  7
TOP:  Occlusive dressings                        KEY: Nursing Process Step: Implementation
MSC:Â NCLEX: Physiological Integrity
| 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:Â 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:Â Â NCLEX: Physiological Integrity
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