which of the following is MOST likely to minimize pain associated with dressing changes:
a. ATC analgesics
b. nonadherent or silicone adhesive dressings
c. use of NPWT to accelerate healing
d. use of imagery during dressing changes. Correct Ans-b. nonadherent or silicone
adhesive dressings
Jim B. presents to your wound clinic with an ulcer on the anterior aspect of the right leg that
measures 6x5x1, acutely painful, ragged wound edges with purple halo, and mod amounts
exudate. only PMH mild RA controlled with NSAIDs. normal pulses, warm feet, and normal
hair growth. no edema. findings consistent with:
a. pyoderma gangrenosum
b. vasculitic ulcer
c. calciphylaxis
, CWCN Review Book Questions & Answers 100% Solved
d. necrobiosis lipoidica Correct Ans-A. pyoderma gangrenosum
you are consulted on a patient with a pressure ulcer that measures 8x6x4, tunnel 0.3x3 @
6o'clock. which of the following is the best approach to manage tunnel:
a. nugauze strips
b. alginate rope
c. no dressing to tunnel so tunnel is allowed to close
d. amorphous gel Correct Ans-a. nugauze strips.
in writing a protocol for mgmt of surgical incisions, you should include which of the following:
a. paint with betadine solution daily
b. leave OTA after 24 hours. monitor for s/s infection
c. triple antibiotic ointment and nonadherent gauze changed daily with clean technique
d. sterile occlusive dressings first 24-48 hours post-operatively. Correct Ans-d. sterile
occlusive dressing first 24-48 hours post-operatively.
, CWCN Review Book Questions & Answers 100% Solved
which of the following is the most significant indicator of nutritional compromise?
a. weight 90% of ideal body weight
b. prealbumin 12.8 in patient who has sustained multiorgan trauma
c. unplanned weight loss over 3 months, (from 160 to 140 lbs).
d. incisional dehiscence Correct Ans-c. unplanned weight loss over 3 months (from 160 to
140 lbs)
which of the following best describes the effects of hyperglycemia on wound healing?
a. impaired collagen synthesis and impaired epithelialization
b. increased risk hypertrophic scars with reduced tensile strength
c. no impact on partial thickness repair, major delay in full thickness healing
d. no change in granulation; marked reduction in tensile strength. Correct Ans-a. impaired
collagen synthesis and impaired epithelialization
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