Test 4- Asepsis Lab

Front 1

____ wounds are uncomplicated surgical wounds that heal in an orderly, timely process.

Back 1

Acute

Front 2

____ wounds are things like diabetic and pressure ulcers that heal slowly and have a prolonged inflammatory process.

Back 2

Chronic

Front 3

When selecting dressing for a wound the nurse should consider:

Back 3

-depth of wound
-presence of tunnels
-exudate
-wound location (contaminants, contour)

Front 4

If tunnels are present in a wound, ____ are needed.

Back 4

continuous dressings

Front 5

Examples of wound contaminants are:

Back 5

stool and urine

Front 6

If a wound has a strange contour a _____ dressing can be used.

Back 6

hydrocolloid

Front 7

_____ wounds may have undermining/tunneling and moderate to large amounts of drainage or exudate.

Back 7

Deep, wet

Front 8

Dressings for deep/wet wounds need to

Back 8

fill, absorb and cover.

Front 9

______ wounds may have undermining or tunneling with minimal to no drainage or exudate.

Back 9

Deep/dry

Front 10

Dressings for deep/dry wounds need to

Back 10

hydrate and cover.

Front 11

______ wounds are less than 0.5cm deep with no undermining/tunneling and large amounts of drainage or exudate.

Back 11

Shallow/wet

Front 12

Dressings for shallow/wet wounds need to

Back 12

absorb and cover

Front 13

_______ wounds are less than 0.5cm deep with no undermining/tunneling and no exudate.

Back 13

Shallow/dry

Front 14

Dressings for shallow/dry wounds need to

Back 14

hydrate and cover

Front 15

If you open a bottle of saline, label it with ____, ____, ____. It is good for 24 hours.

Back 15

date, time, initials

Front 16

A ____ dressing is used for fresh or surgical wounds.

Back 16

dry

Front 17

Examples of dry dressings are:

Back 17

abdominal pad, 4x4's drain sponge

Front 18

_____ dressings are usually used for debridement of a wound.

Back 18

Wet-to-dry

Front 19

______ dressings are used mostly for IV sites. They are self-adhesive, impermeable to water and very hard to get loose.

Back 19

Films/absorbent films

Front 20

Films or absorbent films should be able to stay in place ____ days but may pull skin off if patient has fragile skin.

Back 20

5-7

Front 21

An example of a film dressing is ______.

Back 21

Tegaderm

Front 22

_____ are a dressing that have an absorbent material in the middle of the thin sticky film.

Back 22

Absorbent films

Front 23

_____ put gel into the wound bed and the wound absorbs it. This requires a secondary dressing to keep it in place.

Back 23

Hydrogels

Front 24

_____ have a cooling or soothing effect.

Back 24

Hydrogels

Front 25

_____ are used very frequently because it is inexpensive. It is a wafer, very flexible, self adhesive, and often used on sacrums..

Back 25

Hydrocolloids

Front 26

Hydrocolloids can be worn ____ days and provide autolytic debridement.

Back 26

up to 7

Front 27

When ____ occurs, enzymes in the patient's body actually debride the wound.

Back 27

autolytic debridement

Front 28

_____ are helped to stay in place by the body warmth of the patient and nurse warming it which allows it to mould.

Back 28

Hydrocolloids

Front 29

Hydrocolloids are often put on _____ for protection.

Back 29

stage I pressure ulcers

Front 30

_____ are dressings made from seaweed. They are used to absorb because they are very soft and fibrous.

Back 30

Alginates

Front 31

When using alginates, be sure to...
Also leave room for growth and swelling.

Back 31

clean out wound with gentle irrigation after removal.

Front 32

_____ absorb large amounts of exudate and provide thermal insulation for the wound.

Back 32

Foams

Front 33

Foams are used in a _____ but need a secondary cover.

Back 33

wound vac

Front 34

_____ dressings generally have medications or some other substance imbedded on gauze.

Back 34

Imbedded

Front 35

A _____ is an accordion-like drain.

Back 35

hemovac

Front 36

_____ drains are very painful to remove.

Back 36

Jackson Pratt

Front 37

_____ bandages are used for compression.

Back 37

Coban

Front 38

Examples of imbedded dressings are

Back 38

-xeroform (petrolatum drsng)
-iodoform (packing strip)
-silver

Front 39

______ dressings are very popular because they kill almost everything and can be imbedded on most anything.

Back 39

Silver

Front 40

Silver dressings must be removed and thoroughly irrigated before _____.

Back 40

MRI

Front 41

Silver dressings are for ____ term use only and can stain the skin a grayish color.

Back 41

short

Front 42

When using an abdominal pad the blue stripe goes ____.

Back 42

up

Front 43

______ allow a nurse to care for a wound without removing adhesive strips at each dressing change.

Back 43

Montgomery straps

Front 44

The most difficult place to put a dressing is the _____.

Back 44

heel

Front 45

Characteristics of an ideal dressing are:

Back 45

-maintains moist environment
-provides thermal insulation
-low or non-adherent
-requires infrequent changing
-provides mechanical protection
-safe (non-toxic)
-conformable and mouldable
-good absorption (wet wounds)
-impermeable to microorganisms
-sterile
-available in a range of sizes

Front 46

Don't measure _____ wounds.

Back 46

surgically placed

Front 47

When assessing the wound and dressing the nurse should note:

Back 47

-are stitches/staples intact?
-drainage color
-odor
-edges approximated (if not describe where they are dehissed)
-drains
-level of pain
-inflammation
-depth, width, length of wound
-is there necrotic tissue
-is there exudate (sticky or slough)