Chapter 14: Surgical Wound Care

Chapter 14: Surgical Wound Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is instructing a patient who has a drain in a surgical wound. How will the nurse indicate that the wound will heal?

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. What technique will the nurse implement to assist the postoperative patient to cough?

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:  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. How will the nurse describe this drainage when documenting?

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. What is the advantage of an occlusive dressing?

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: Comprehension     REF:   Page 315        OBJ:   7

TOP:   Occlusive dressings                         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

5. When removing the dressing on a patient, the nurse discovers that the gauze dressing has adhered to the wound. What intervention should the nurse implement?

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