What is the purpose of the “splinting” technique during coughing for a patient with an incision?

To lessen intraabdominal pressure

What is the first intervention for a patient experiencing dehiscence

Apply a warm, moist sterile dressing to the area

What is the role of sterile asepsis in surgical wound care?

To prevent the introduction of pathogenic organisms into the wound

What should be done if a dry gauze dressing adheres to the wound during removal?

Moisten the dressing with sterile normal saline or water before removing

What is the main purpose of a dressing over a surgical wound?

To maintain moisture and protect the wound from bacteria.

What is the primary purpose of creating a secondary incision or stab wound during surgery?

To drain exudate away from the incision site

What is the primary purpose of inserting a T tube after an open cholecystectomy?

To maintain a free flow of bile until edema subsides

Why is it important not to leave sutures in for too long?

It makes removal more difficult and increases the risk of infection

Why is it important to inspect the area under the patient after surgery?

To detect any bleeding or exudate possibly flowing away from the wound site

Wound classifications are primarily determined by which of the following factors?

Size, cause, severity, and amount of contamination

Which chronic diseases can add stress to the recovering body after surgery?

Arthritis, diabetes mellitus, and hyperten

What is the purpose of placing a sterile safety pin through a Penrose drain?

To keep the drain from sliding into the wound

What should be done if signs of suture line separation are evident during removal?

Leave the remaining sutures in place and document the finding

What is the main function of the Jackson-Pratt evacuator in wound drainage?

To provide a gentle vacuum using a bulb

What is the primary goal of the surgeon when selecting the site for a surgical incision?

A) To enter the cavity involved and repair the area with minimal trauma

What should be done if exudate or drainage exceeds 300 mL in the first 24 hours?

Treat it as abnormal and report immediately

Which of the following populations has the highest incidence of keloid formation?

Young women and African Americans

How does the T tube drain bile after a cholecystectomy?

By gravity into a closed drainage system

Why is it important to assess body parts distal to a bandage after it is applied?

To monitor for signs of circulatory impairment

What is the primary method of wound closure in primary intention healing?

C) Sutures, staples, or Steri-Strips

What is the role of elastic bandages in wound care?

They conform to body parts and can apply pressure

Why is it important to carefully remove all sponges and remnants during wound VAC dressing changes?

To prevent delays in healing and abscess formation

What precaution should be taken if splashing of wound exudate is anticipated?

Wear a gown, mask, and protective goggles

Which of the following is a sign of internal bleeding?

Cool, clammy skin with a rapid, thready pulse

What is the appropriate action when evisceration occurs?

Place the patient in a low Fowler’s position with knees flexed

What might wound bleeding indicate in a postoperative patient?

Slipped suture or dislodged clot

What does a high white blood cell (WBC) count indicate post-surgery?

Infection or inflammatory response

What is the most common method for removing sutures or staples?

Remove every other suture or staple first and replace with adhesive strip

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Surgical Wound Care

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Answers

1
Which type of wound healing involves the skin edges being close together with minimal tissue loss?
Primary intention
Secondary intention
Tertiary intention
Delayed intention
2
What is the purpose of the “splinting” technique during coughing for a patient with an incision?
To prevent infection
To stretch the incision area
To lessen intraabdominal pressure
To increase blood flow to the incision
3
Which symptom is NOT a sign of hypovolemic shock?
Increased urinary output
Restlessness
Decreased blood pressure
Cool, clammy skin
4
What is the contamination risk percentage for a clean surgical wound?
10%
27%
Less than 5%
Less than 1%
5
What is the first intervention for a patient experiencing dehiscence
Apply a warm, moist sterile dressing to the area
Apply pressure to the wound to stop bleeding
Give the patient fluids
Tell the patient to sit up
6
What is the role of sterile asepsis in surgical wound care?
To minimize exposure to air.
To allow faster absorption of medications.
To prevent the introduction of pathogenic organisms into the wound
To dry out the wound and prevent moisture.
7
How often should wound VAC dressings be changed for an infected wound?
Every 3 days
Once a week
Every 48 hours
Every 24 hours
8
What should be done if a dry gauze dressing adheres to the wound during removal?
Moisten the dressing with sterile normal saline or water before removing
Pull it off quickly to minimize pain
Apply antibiotic ointment to loosen the dressing.
Leave it in place and cover it with another dressing.
9
What is the main purpose of a dressing over a surgical wound?
To prevent the wound from healing too quickly.
To allow the wound to be exposed to air.
To maintain moisture and protect the wound from bacteria.
To restrict movement of the affected area.
10
Which of the following is an example of a closed drainage system that uses gentle suction to collect exudate?
Sterile cotton ball
Hemovac
Gauze dressing
Penrose drain
11
Which type of cells appear during the inflammatory phase to engulf bacteria and toxins?
Red blood cells
Platelets
Leukocytes
Fibroblasts
12
What is the primary purpose of creating a secondary incision or stab wound during surgery?
To provide access for suturing
To allow more room for the surgical instruments
To prevent blood clot formation
To drain exudate away from the incision site
13
What is the primary purpose of inserting a T tube after an open cholecystectomy?
To administer medication directly into the bile duct
To prevent infection at the surgical site
To assist with wound closure
To maintain a free flow of bile until edema subsides
14
Why is it important not to leave sutures in for too long?
It makes removal more difficult and increases the risk of infection
It causes the wound to reopen
It promotes hypertrophic scarring
It increases the risk of wound evisceration
15
Why is it important to inspect the area under the patient after surgery?
To ensure the patient is comfortable
To reposition the patient regularly
To check for signs of infection
To detect any bleeding or exudate possibly flowing away from the wound site
16
Wound classifications are primarily determined by which of the following factors?
Color and odor
Location and type of bandage used
Age of the patient and size of the wound
Size, cause, severity, and amount of contamination
17
Which chronic diseases can add stress to the recovering body after surgery?
Arthritis, diabetes mellitus, and hyperten
Allergies and migraines
Asthma and anemia
Tuberculosis and hepatitis
18
Which type of dressing permits oxygen but not air impurities to pass through?
Transparent film dressing
Occlusive dressing
Gauze dressing
Semiocclusive dressing
19
Which of the following is a good source of protein to assist in wound healing?
Oranges
Strawberries
Peanut butter
Broccoli
20
What type of bandage is specifically designed for a particular body part, such as the abdomen or chest?
Gauze bandage
Flannel bandage
Elastic bandage
Binder
21
What is the purpose of placing a sterile safety pin through a Penrose drain?
To attach the drain to the dressing
To increase suction pressure
To keep the drain from sliding into the wound
To prevent contamination
22
What tool is required for removing staples?
Sterile needle holder
Sterile staple extractor
Sterile tweezers
Surgical scissors
23
How long can transparent dressings remain in place if complete occlusion is maintained?
14 days
24 hours
7 days
3 days
24
Which of the following drainage methods involves a system of tubing that removes fluid in an airtight circuit?
Open drainage
Closed drainage
Exudate drainage
Gravity drainage
25
Zinc is crucial for wound repair. Which of these foods is a good source of zinc?
Oranges
Peanut butter
Leafy greens
Red meat
26
What should be done if signs of suture line separation are evident during removal?
Continue removing all sutures or staples
Remove all sutures and apply Steri-Strips
Leave the remaining sutures in place and document the finding
Apply antibiotic ointment and re-suture the incision
27
How often should a patient’s (I&O) be monitored until their hydration level is stable?
12-24 hours
24-48 hours
72-96 hours
48-72 hours
28
What is the main function of the Jackson-Pratt evacuator in wound drainage?
To irrigate the wound with saline
To provide a gentle vacuum using a bulb
To administer medications to the wound site
To heat the wound area
29
What does the development of paler areas in a healing wound indicate when using a wound VAC?
An increase in fibrous tissue
Increased risk of infection
Presence of pus in the wound
Decreased blood flow
30
What is the primary goal of the surgeon when selecting the site for a surgical incision?
A) To enter the cavity involved and repair the area with minimal trauma
To ensure the patient experiences maximum pain post-surgery
To make the largest incision possible for better visibility
To create a scar that is easy to hide
31
What factors influence the selection of the surgical wound site?
Presence of inflammation or infection
All of the above
Nature of the injury or disease
Tissue and organs involved
32
What should be done if exudate or drainage exceeds 300 mL in the first 24 hours?
Monitor the patient closely
Increase the patient’s fluid intake
Perform a wound culture
Treat it as abnormal and report immediately
33
Which dressing type creates an airtight bond with the skin to prevent bacteria penetration?
Wet-to-dry dressing
Hydrogel dressing
Hydrocolloid dressing
Transparent dressing
34
Which type of bandage is lightweight, molds easily around body contours, and permits air circulation?
Gauze bandage
Elastic bandage
Muslin bandage
Flannel bandage
35
Tertiary intention healing is most likely to result in a larger and deeper scar?
False
True
36
Which food is a rich source of Vitamin C, beneficial for wound healing?
Chicken
Carrots
Tomatoes
Eggs
37
Which of the following populations has the highest incidence of keloid formation?
Fair-skinned men
Young women and African Americans
Older men
Children
38
What type of wounds are transparent dressings most beneficial for?
Deep wounds with heavy drainage
Large infected wounds
Necrotic wounds with dead tissue
Skin tears and over IV sites
39
How does the T tube drain bile after a cholecystectomy?
By an open-ended drainage method
By gravity into a closed drainage system
By suction
By manual pumping
40
Why is it important to assess body parts distal to a bandage after it is applied?
To verify that the bandage covers the entire wound
To ensure the bandage is warm enough
To confirm that the bandage is too tight
To monitor for signs of circulatory impairment
41
What is the primary method of wound closure in primary intention healing?
Leaving the wound open
Packing with gauze
Granulation tissue
C) Sutures, staples, or Steri-Strips
42
What is the role of elastic bandages in wound care?
They provide insulation for warmth
They conform to body parts and can apply pressure
They allow air to circulate around the wound
They absorb moisture from the wound
43
Why is it important to carefully remove all sponges and remnants during wound VAC dressing changes?
To prevent delays in healing and abscess formation
To maintain negative pressure
To prevent bacterial growth
To reduce the amount of fluid drainage
44
What precaution should be taken if splashing of wound exudate is anticipated?
Wear a gown, mask, and protective goggles
Use additional gauze to soak up the exudate.
Apply pressure to stop the exudate flow.
Cover the wound with multiple dressings.
45
Which drainage system involves fluid passing through an open-ended tube into a receptacle or onto a dressing?
Closed drainage
Suction drainage
Open drainage
Vacuum drainage
46
Which of the following is a sign of internal bleeding?
Increased urinary output and hypertension
Cool, clammy skin with a rapid, thready pulse
Warm, moist skin and decreased pulse rate
Dry skin and rapid heart rate
47
What is the appropriate action when evisceration occurs?
Place the patient in a low Fowler’s position with knees flexed
Apply a dry, sterile dressing over the wound
Elevate the patient to a high Fowler’s position
Encourage the patient to walk around to relieve pressure
48
What might wound bleeding indicate in a postoperative patient?
Allergic reaction
Slipped suture or dislodged clot
Hypoglycemia
Dehydration
49
What does a high white blood cell (WBC) count indicate post-surgery?
Good wound healing
Lack of bleeding
Infection or inflammatory response
Effective pain management
50
During the inflammatory phase, which of the following is NOT a sign of inflammation?
Erythema
Collagen formation
Heat
Edema
51
What is the most common method for removing sutures or staples?
Remove all sutures or staples at once
Remove every other suture or staple first and replace with adhesive strip
Remove sutures or staples from the middle of the incision first
Remove sutures or staples from the top and bottom of the incision first
52
Which dressing type is ideal for providing hydration to the wound and preventing infection spread?
Cadexomer iodine gel
Wet-to-dry dressing
Hydrogel dressing
Gauze dressing
53
What is the primary benefit of wound irrigation?
Reducing pain and discomfort
Removing debris and decreasing bacterial counts
Preventing scarring
Promoting rapid wound closure
54
When caring for a patient with suspected internal bleeding, which vital signs should be closely monitored?
Temperature and oxygen saturation
Blood sugar and hemoglobin levels
Pulse oximetry and glucose levels
Heart rate, blood pressure, and respiratory rate
55
Which of the following is a benefit of using a wound VAC?
Increases the risk of infection
Increases fluid accumulation in the wound
Reduces blood flow to the wound area
Promotes the formation of granulation tissue, collagen, fibroblasts
56
Which solution is most commonly used for wound irrigation?
Normal saline solution
Povidone-iodine
Acetic acid
Hydrogen peroxide
57
In which phase does keloid formation occur, characterized by an overgrowth of collagenous scar tissue?
Reconstruction phase
Inflammatory phase
Maturation phase
Hemostasis phase
58
Why are some health care providers reconsidering the use of wet-to-dry dressings?
They promote excessive wound drainage.
They often damage granulation tissue during removal
They are only effective for large wounds.
They are expensive and difficult to apply.
59
How often should a surgical dressing be inspected during the first 4 hours after surgery?
Every hour
Every 6 hours
Every 2 hours
Every 4 hours
60
Vitamin A, important for wound repair, can be found in which of the following?
Strawberries
Seafood
Dark, leafy vegetables
Fortified cereals
61
What is the primary benefit of transparent dressings like Op-site or Tegaderm?
They are highly absorbent
They promote rapid blood clotting
They dry out the wound quickly.
They allow for wound assessment without removal.
62
Which of the following is true about retention sutures?
They are usually removed within 3 to 5 days
They are left in place longer, sometimes 22 days or more
They are left in place for 7 to 10 days like regular sutures
They are used for cosmetic surgery
63
Retention sutures are typically used for which type of patient?
Pediatric patients with minor cuts
Patients with orthopedic injuries
Obese patients who had abdominal surgery
Patients who had cosmetic surgery
64
A wound classified as “dirty” or “infected” belongs to which CDC class?
Class III
Class II
Class I
Class IV
65
What is the first phase of wound healing that begins immediately after injury?
Inflammatory phase
Maturation phase
Reconstruction phase
Hemostasis phase
66
Which type of wound healing occurs when a wound must granulate to heal?
Secondary intention
Tertiary intention
None of the above
Primary intention
67
Which of the following is an indication of wound infection?
Serosanguineous drainage
Clear, odorless drainage
Increased urinary output
Brown, yellow, or green purulent drainage
68
Collagen formation primarily occurs during which phase of wound healing?
Maturation phase
Hemostasis phase
Inflammatory phase
Reconstruction phase
69
What might a surgeon do if a primary intention wound becomes infected?
Leave the wound open and allow it to granulate
Use Steri-Strips to approximate the wound edges
Close the wound with more sutures
Apply more skin glue to seal the wound
70
Why should containers of wetting solutions be discarded 24 hours after opening?
They become too concentrated.
They may cause skin irritation
They can harbor microorganism growth.
They lose their effectiveness
71
What type of exudate is expected immediately after surgery?
Purulent
Serous
No exudate is expected
Sanguineous or serosanguineous
72
Dehiscence most often occurs between which postoperative days?
1 and 3
5 and 12
3 and 5
12 and 15
73
When should a surgical dressing typically be removed post-operation?
Immediately after surgery
After the wound has completely healed
After one week
On the second or third day
74
At what point during the reconstruction phase does collagen formation increase rapidly?
Days 1 to 3
Days 2 to 4
Days 10 to 15
Days 5 to 25
75
What type of wound is most appropriate for wet-to-dry dressings?
Wounds without significant ischemic or necrotic tissue
Wounds with significant ischemic or necrotic tissue
Infected wounds with pus
Wounds with large amounts of drainage
76
Why are surgical wounds generally expected to heal well and quickly?
They are created under aseptic conditions.
They are always left open to heal naturally.
They are treated with antibiotics post-surgery.
They are continuously exposed to air
77
What determines the selection of suture material for a wound?
Length of surgery and anesthesia used
Cost and availability of suture material
patient’s wound healing history, the wound site, and the tissues involved
Patient’s age and weight
78
Which of the following is the correct method for a patient to sit up in bed to avoid strain on the incision?
Sit up quickly to avoid pressure on the incision
Pull themselves up using the headboard
Lift straight up using the abdominal muscles
Roll to the side and use the elbow as a lever
79
If a patient reports feeling like something “gave way” in their surgical wound, what complication may be occurring?
Hemorrhage
Evisceration
Infection
Dehiscence
80
Which wetting agent is effective against Pseudomonas aeruginosa but toxic to fibroblasts?
Dakin’s solution
Acetic acid
Normal saline solution
Povidone-iodine
81
Which preexisting condition may add stress to the healing process and require ongoing monitoring?
Mild fever
Seasonal allergies
Short-term insomnia
Malnourishment
82
When are sutures and staples generally removed after surgery if healing is adequate?
7 to 10 days
1 to 3 days
14 to 21 days
3 to 5 days
83
What complication is most likely to occur during the reconstruction phase?
Keloid formation
Wound dehiscence
Hemorrhage
Infection
84
Which of the following statements is TRUE about closed drainage systems?
They always require a sterile safety pin for placement.
They are less effective than open drainage systems.
They allow air to freely enter the wound site.
They prevent environmental contaminants from entering the wound or cavity
85
What is the function of a wound VAC (vacuum-assisted closure device)?
To apply negative pressure to promote wound healing
To administer antibiotics directly into the wound
To prevent fluid drainage from the wound
To increase bacterial growth at the wound site
86
Wound sepsis is confirmed by which diagnostic method?
Complete blood count (CBC)
Culture of the wound exudate
Physical examination
X-ray of the wound site
87
What precaution should be taken to prevent reintroduction of bacteria into the wound during irrigation?
Apply high pressure to cleanse the wound
Ensure the irrigant flows from clean to contaminated areas
Position the patient flat on their back
Use a non-sterile technique

Surgical Wound Care Flashcards | StudBud