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NA II - Sterile Technique/Wound Test Review Flashcards | StudBud
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NA II - Sterile Technique/Wound Test Review
NA II - Sterile Technique/Wound Test Review
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This review will test the student's knowledge of wound care.
Flashcards
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Questions
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Answers
1
If a wet to dry dressing sticks to a wound, the best thing to do is:
Pull very quickly and hard so patient will not feel it
Pull it off gently
Notify the RN immediately
Lubricate it with water-soluble lubricant
2
The source is the ___________________________.
patient with an infection
place where the pathogen can grow
pathogen that causes the disease
method by which an infection is spread
3
Which wound is caused by a scraping away of skin?
Laceration
Abrasion
None of the these
Ulceration
4
In a negative pressure environment, the air in the room _____________________________.
is always filtered
is drawn upward into the vents
circulates throughout the entire unit
is forced downward from the vents
5
If a wound remains infected, the chances of it healing are very low.
True
False
6
Regarding hydrocolloid dressings, all the following are true except:
provide a moist environment
are used on patients with fragile skin
they are self adhesive
debride necrotic tissue
7
Which type of wound has smooth edges?
Laceration
Abrasion
Ulceration
Incision
8
When establishing a sterile field, a _________________ around the outside edge of the field is not sterile.
one-inch border
six-inch border
two-inch border
four-inch border
9
When adding liquids to a sterile field _____________________________.
place the cap on the sterile field
place the inside of the bottle cap facing downward on the table
place the inside of the cap facing upward on the table
ask the patient to hold the cap
10
Wet-to-dry dressings should be:
Soaked in normal saline
Dry completely
None of the above
Damp
11
Factors affecting wound healing include ____________________________.
age
all of the above
presence or absence of chronic disease
nutritional status
12
Which wound is cause by a sharp object?
Puncture
Laceration
Ulceration
Abrasion
13
Transparent film dressings have all of the following characteristics except:
Maintains a moist environment that promotes healing
Protect wounds from bacteria
Waterproof
These dressings allow air to filter through to speed healing
14
The following should be charted about a wound when changing the dressing on it.
Drainage
Odor
All of the above
Color
15
Hydrocolloid dressings should ___________________________.
be changed every 2-3 days
not to be used on patients with fragile skin
always be covered
safe to use on any skin type
16
Tubes that exit the skin through a small incision that may be sutured in place are called:
None of the above
Drains
Leak valves
Foleys
17
A product that is cytotoxic is:
is harmful to healing tissue
used in caring for infected wounds
used in caring for wounds with eschar
is safe and effective for wound care
18
The portal of exit is the ___________________________.
patient with in infection that may be spread to others
location where the pathogen enters the body
secretion, excretion, or droplet in which pathogens leave the body
place where a pathogen grows
19
A patient should be given pain medication at least __ before dressing changes.
20 minutes
10 minutes
30 to 60 minutes
All of the above
20
Avoid using the contents of a sterile package if ____________________________________.
all of the above
the outer, plastic wrapper becomes torn
the paper, inner wrapper is torn
the autoclave tape has not changed color
21
An infection spread by the common vehicle method of transmission is transmitted by _______________.
inhaling the pathogen in the air
insects and small animals
touching an infected person or object
ingesting contaminated food or fluid
22
In which direction should a linear wound be cleaned?
Bottom to top
From left to right
The direction does not matter as long as it is being cleaned
Top to bottom
23
An example of a fomite is _______________.
all of the above
contaminated linen
unrefrigerated food
a roach
24
Bioterrorism is _________________________.
a means of protecting citizens from biological attach
used for eliminating conditions spread by spores
a method of neutralizing agents such as anthrax
the use of biological agents for terrorist purposes
25
Local factors affecting wound healing include ______________________________.
all of the above
moist wound environment
weakened immune system
body build
26
Cleanse a circular wound, such as a pressure ulcer ___________________________.
by working from the inside out
by working from the outside inward
with cytotoxic products
with clean gauze saturated in saline
27
Which of the following answers best describes necrotic tissue:
Healthy tissue
Dead tissue
Healing tissue
Infected tissue
28
Wet-to-dry dressing changes are _________________________________.
none of the above
clean technique procedures
sterile technique
require the gauze to be soaked
29
Tubes, drains, and surgical dressings require which of the following techniques?
Use of sterile technique
None of the above
Use of clean technique
Protecting yourself with exam gloves
30
How many basic kinds of wounds are there?
Three
Four
Five
Two
31
When working in health care, you should ________________.
protect your natural nails with acrylic overlay
keep natural nail tips less than 1/4 inch long
always have your nails done in a salon
keep your fingernail tips at least an inch long
32
Which of the following is a causative agent?
fungi
all of the above
viruses
bacteria
33
Montgomery straps are used for abdominal support.
False
True
34
The medical equipment that uses heat and steam to sterilize instruments is a(n) _____________________.
glucometer
autoclave
centrifuge
refrectometer
35
Dressings _________________________________.
prevent injury
all of the above
promote comfort
prevent infection
36
Damage to the skin or soft tissue is the definition of a:
Cyst
All of the above
Lesion
Wound
37
Do transparent film and hydrocolloid dressings keep the wound bed dry?
Yes they always do
Never
Sometimes
None of the above
38
Expected outcomes of wound irrigation include _____________________.
to be performed with a minimum of trauma and pain to the client
the wound will be free of signs and symptoms of infection
all of the above are true of wound irrigation
the wound will be free of exudate, drainage, and debris
39
The skin does all of the following EXCEPT ________________________.
excretes waste
protects internal structures
regulates temperatue
attaches muscles to tendon
40
After removing the dressing and cleansing the wound _________________________________.
remove your gloves and wash your hands
apply a sterile dressing without changing gloves
call the RN to assist
all of the above
41
The protective outer layer of the skin is the _____________________________.
dermis
epidermis
papilla
sensory layer
42
Dressings do the following:
Prevent contamination
Increase comfort
Prevent injury
All of the above
43
When working with drains, one should always use:
Sterile technique
Forceps
Clean technique
Cotton tip applicators
44
Transmission-based precautions are used _______________________.
only in special care units
for patients with a known or suspected infection
only in rooms with two or more beds
routinely in the care of all patients
45
Elastic bandages are used to:
Both of the above answers
Reduce edema
None of these answers
Support injured body parts
46
Which wound causes stripping away large areas of skin and underlying tissues.
Laceration
Avulsion
Abrasion
Ulceration
47
Which type of wound has torn or irregular edges?
Puncture
Laceration
Incision
Abrasion
48
Anytime there is a break in the skin the risk for this increases:
Air pockets
Bleeding
Infection
None of the above
49
If an unsterile item contacts a sterile item _________________________.
the sterile item remains sterile if gloves are worn during the contact
both items are sterile
the sterile item may be used
both items are contaminated
50
When a dressing sticks to a wound ___________________________________.
rip it off
pour a small amount of normal saline on the area to loosen the dressing
leave it alone and let it fall off by itself
notify the RN immediately
51
The main purpose of a wet-to-dry dressing is to:
Prevent dressings from sticking to the wound
Decrease wound discomfort
Debride the wound
Protect the wound from contamination
52
The most important responsibility of the NA II when changing a sterile dressing is:
Make careful wound observations and report to the nurse
All of the above
Allow the pain medication to take effect
Get it done as quickly as possible
53
All of the following factors affect wound healing except:
Presence or absence of chronic disease
Strong immune system
Nutritional status
Age
54
In regards to wound cleaning, normal saline is often used because:
Safe for the wound bed
Less irritating to the wound bed
All of the above
Effective in cleansing wounds
55
Wet-to-dry dressings should be __________________________________________.
nonsterile
help in place with Montgomery straps
saturated with antiseptic solution
damp
56
Wounds show a low rate of susceptibility to infection during the first four days.
True
False
57
Protective isolation may be used to _________________________.
reduce the risk of infection to patients with weakened immune systems
prevent the spread of spores and viruses
protect staff from pathogens that are spread by direct and indirect contact
protect staff and visitors from airborne infections
58
Standard precautions apply to __________________________.
mucous membranes and non-intact skin
blood and body fluid
secretions and excretions
all of the above
59
Airborne precautions mean that the pathogen that spreads the infection ____________________.
can be spread by indirect contact
remains within three feet of the patient
can be contracted by shaking hands
can travel over long distances in the ventilation system
60
When using sterile technique, avoid _______________________________.
all of the above
talking over the sterile field
turning your back on the sterile field
placing your hands below your waist
61
When irrigating a wound, you should:
use a 35 ml piston syringe
attach a 22 or 23 gauge IV catheter to the syringe
attach a needle to the syringe
use a bulb or piston syringe
62
An example of the direct contact method of transmission of infection is ______________________.
all of the above
shaking hands
inhaling a pathogen from the air
touching infected linen with your ungloved hands
63
All wound dressing changes are considered to be sterile.
True
False
64
Gauze can be very:
Irritating
None of the above
Harmful to tender, granulating tissue
Traumatic
65
How is a circular wound cleansed?
All of these are correct
From the inside to the out
From the outside inward
From top to bottom
66
After routine patient care, wash your hands for a minimum of __________________.
20-30 seconds
60 seconds
3 to 5 seconds
45 seconds
67
Which wound causes a shallow crater?
Puncture
Ulceration
Laceration
Incision
68
Transparent film dressings are usually changed _____________________________.
every 3 to 7 days
every shift
daily
every 2 weeks
69
The dressing should ____________________________________________________.
extend 4 inches beyond the edges of the wound
extend 3 inches beyond the edges of the wound
extend 1 inch beyond the edges of the wound
be even with the wound margins
70
When applying sterile gloves __________________________.
pick up the second glove by holding the fingertips
avoid straightening the gloves until both hands are gloves
all of the above
pick up the first glove by placing your fingers under the cuff
71
What is the first thing you do after removing a dressing and cleansing a wound?
Wash your hands
Remove your gloves
Discard gloves after removing them
All of the above
72
Pathogens can enter the body through _____________________.
non-intact skin
mucous membranes
all of the above
the lungs
73
Sterile technique is used for _________________________.
procedures in which the skin is broken, such as injections
procedures in which the body cavities are entered, such as catheterization
all of the above
invasive procedures
74
When a person has a systemic condition/infection it means it affects:
Only a localized area
None of these are correct
Only the system it has invaded
The entire body
75
The flap of the wrapper to the sterile tray closest to your body is the __________________________.
distal flap
peripheral flap
proximal flap
central flap
76
The dressing should extend how far out past the wound edges?
1/2 inches
Two inches
None of these are correct
One inch
77
Transfer forceps ___________________________.
can be soaked in disinfectant solution for reuse
are used for one procedure only, then sterilized
may be used to move nonsterile items
must be handled with sterile gloves
78
Pus-like means:
Serosanguinous
Serous
Purulent
Sanguineous
79
When removing a dressing _____________________________.
all of the above
loosen the tape
pull the ends of the tape toward the wound
hold the skin using gentle traction
80
When caring for tubes, drains, and surgical dressings, you should ___________________________.
wear a mask to prevent exposure to infection
protect yourself with exam gloves
use clean technique
use sterile technique
81
Which one of these age groups may have a slower or longer healing time?
Elderly
Young adults
Teenagers
Newborns
82
Are sterile dressings often used on minor, uninfected wounds?
Yes
No
83
The presence of necrotic tissue can decrease a wounds ability to heal?
False
True
84
A systemic condition affects ____________________________.
all of the above
a single body part
the entire body
the patient's nutritional status
85
Transparent film and hydrocolloid dressings should ________________________________.
be even with the wound margins or edges
extend 1/4 inches beyond the edges of the wound
extend 2 inches beyond the edges of the wound
extend 3 inches beyond the edges of the wound
86
When managing drains, always use ______________________________.
clean technique
sterile technique
forceps
cotton applicators
87
The exposure control plan ______________________________.
explains how to protect yourself from contracting spores and pathogens
describes what to do if you contact blood and body fluids
explains how to discard contaminated waste items
lists how to safety use the various chemicals
88
An example of the
indirect contact method
of transmission of infection is __________________________.
all of the above
inhaling a pathogen from the air
touching infected linen with your ungloved hands
shaking hands
89
An example of a vector is _____________________.
scabies
contaminated linen
contaminated food
a dog
90
The principle of standard precautions should always be applied when caring for wounds.
No
None of these are correct
Sometimes - depends on the wound
Yes always
91
Contact precautions require which of the following?
surgical mask and gloves
surgical mask, shoe covers, and gown
gown, gloves, and N95 respirator
gown and gloves
92
How often should transparent film dressings be changed?
Every 2 weeks
Every shift
Daily
Every 3 to 5 days
93
Local factors affecting that would affect wound healing include all the following except:
Radiation therapy
Moist wound environment
Necrotic tissue
Infection
94
Necrotic tissue is ___________________________.
dead
infected
healing
healthy