Wound Care 1. Hydrotherapy is done to cleanse the wounds of the patient.

Which of the following statements is true regarding hydrotherapy? a. Client should be premedicated before the procedure b. Wounds are cleansed by immersion, showering, or spraying c. Hydrotherapy can also be used for clients with hemodynamically unstable or those with new skin grafts d. Occurs for 15 minutes or less to prevent increased sodium loss through the burn wound, heat loss, pain, and stress Answer: C Saunders 4th Edition, pg.606 2. The nurse use the open method of wound care to a male client to give him mobility, and as well as to give the nurse visualization of the wound. Antimicrobial cream is applied to the wound every: a. 4 hours b. 6 hours c. 8 hours d. 12 hours Answer: D Saunders 4th Edition, pg.606 3. One method of wound care is closed method. Which of the following is not true about closed method? a. Aids in debridement b. Decrease evaporative fluid and heat loss

c. Prevents effective range-of-motion exercise d. Gauze dressing are carefully wrapped from the proximal to the distal are of the extremity --- from distal to proximal Answer: D Saunders 4th Edition, pg.606 4. In changing wound dressing, the nurse knows that this is done every: a. 4-6 hours b. 6-8 hours c. 8-12 hours d. 12-14 hours Answer: C Saunders 4th Edition, pg.606 5. Before application of Unna Boot (dressing constructed of gauze moistened with zinc oxide), the nurse should cleanse the wound with: a. Sterile water b. Normal saline c. Povidone-iodine d. Hydrogen peroxide Answer: B Hydrogen peroxide and Povidone-iodine (Betadine) are not used because they destroy granulation tissue --- Saunders 4th Edition, pg.879 6. It is believed that the natural woundhealing process should not be disrupted. Unless the wound is infected pr has a heavy discharge, it is common to leave: a. Chronic wounds covered for 24-48 hours and acute wounds for 12-24 hours

b. Chronic wounds covered for 12-48 hours and acute wounds for 24-48 hours c. Chronic wounds covered for 48-72 hours and acute wounds for 24 hours d. Chronic wounds covered for 24 hours and acute wounds for 48-72 hours Answer: C Brunner & Suddarths Medical Surgical Nursing 10th Ed. Pg.1656 7. What kind of wound dressing is used for acute, weeping, and inflammatory lesions? a. Wet dressing b. Occlusive dressing c. Moisture-retentive dressing d. A and C Answer: D Brunner & Suddarths Medical Surgical Nursing 10th Ed. Pg.1656-1657 8. There are different kinds of bath solutions. Which of the following solutions is use to a client with acute generalized eczematous eruptions? a. Starch b. Bath oils c. Colloidal (oatmeal) d. Sodium bicarbonate (baking soda) Answer: B Brunner & Suddarths Medical Surgical Nursing 10th Ed. Pg.1658 9. A client with chronic eczema use medicated tars to cleanse his wounds. Which of the following intervention is

best for a nurse to do: a. Keep the water at comfortable temperature ---Saline b. The bath area should be ventilated ---because tars are volatile c. Dry gently blotting with a towel ---bath oils d. Use bath mat---Baking soda Answer: B Brunner & Suddarths Medical Surgical Nursing 10th Ed. Pg.1658 10.Wound drainage tube is attached to the client. The drainage tube is connected to a portable suction device, and the container is emptied periodically. How much serousanguineous secretions suggest the nurse that the client has internal bleeding/hemorrhage for the first 24 hours upon attachment? a. 25-75mL/day b. 50-100mL/day c. 80-120mL/day d. 150-175mL/day Answer: D Between 80 and 120mL of serousanguineous secretions may drain over the first 24 hours --- Brunner & Suddarths Medical Surgical Nursing 10th Ed. Pg.970