Chapter 39: Dressings, Bandages, and Binders

Chapter 39: Dressings, Bandages, and Binders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is caring for a patient who is bleeding. To control bleeding, she would apply a _____ dressing.

ANS:  A

Apply a pressure dressing to control bleeding, but when wound drainage is present, use a highly absorbent dressing. Use an alginate, foam, or hydrocolloid dressing in a noninfected wound that is draining a moderate to large amount of exudate.

DIF:    Cognitive Level: Application           REF:   Text reference: p. 943

OBJ:   Choose the correct dressing for a wound.                           TOP:   Pressure Dressings

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

2. The nurse is changing a dry, woven gauze dressing when she notices that the gauze has inadvertently stuck to the wound. What should the nurse do?

ANS:  C

When a dry dressing inadvertently adheres to the wound, moisten the dressing with sterile normal saline or sterile water before removing the gauze to minimize wound trauma. Moistening the gauze applies only to dry dressings and is not applicable for moist-to-dry dressings. A dry dressing is not used for debriding wounds. Telfa gauze dressings (not dry woven gauze dressings) contain a shiny, nonadherent surface on one side that does not stick to the wound.

DIF:    Cognitive Level: Application           REF:   Text reference: p. 946

OBJ:   Understand the technique of a dressing, bandage, or binder application.

TOP:   Dry Woven Gauze Dressings           KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

3. The nurse is caring for a patient who has a wound healing by primary intention that has little to no drainage. Which dressing is most appropriate for this type of wound?

ANS:  C

Dry dressings are used for wound healing by primary intention with little drainage. These dressings protect the wound from injury, prevent the introduction of bacteria, reduce discomfort, and speed healing. The primary purpose of moist-to-dry dressings is to mechanically debride a wound. Hydrocolloid dressings provide a moist environment for wound healing while facilitating softening and subsequent removal of wound debris. Hydrogel dressings (e.g., Curasol, IntraSite Gel, Vigilon) have a high moisture content (95%), causing them to swell and retain fluid. They are useful over clean, moist, or macerated tissues.

DIF:    Cognitive Level: Analysis                REF:   Text reference: p. 946

OBJ:   Choose the correct dressing for a wound.                           TOP:   Dry Dressings

KEY:  Nursing Process Step: Assessment   MSC:  NCLEX: Physiological Integrity

4. The nurse would consider a dry dressing appropriate for a wound that requires which of the following?

ANS:  A

A dry dressing may be chosen for management of a wound healing by primary intention with little drainage. The dressing protects the wound from injury, reduces discomfort, and speeds healing. The dry dressing does not interact with wound tissues and causes little wound irritation. A dry dressing is not appropriate for an open wound that is healing by secondary intention.

DIF:    Cognitive Level: Application           REF:   Text reference: p. 946

OBJ:   Choose the correct dressing for a wound.                           TOP:   Dry Dressings

KEY:  Nursing Process Step: Planning        MSC:  NCLEX: Physiological Integrity