Which statement about skin tears is correct?

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CNA 2023

Chapter 31 Wound Cae

Question	Answer
A partial-thickness wound caused by the scraping away or rubbing of the skin is a(n):	abrasion
A resident has an open wound on the lower left leg. It is caused by poor arterial blood flow. This would is a(n) _____ulcer.	Arterial
A wound does not heal easily. It is a _____ wound.	Chronic
A resident has an open wound on her left foot. She has poor circulation in her veins. He wound is a(n) ____ ulcer.	venous
A wound is not infected. It is a(n):	clean wound
A resident had lung surgery. The person's incision is best described as a(n):	clean-contaminated wound
Tissues are injured, but the skin is not broken. This is a(n):	closed wound
A wound has a high risk for infection. This is a(n) _____ wound.	contaminated
A closed-wound caused by a blow to the body is a(n):	contusion
Wound layers have separated. This is:	dehiscence
An infected wound is a(n) _____ wound.	dirty
A wound has separated. Abdominal organs are protruding through the wound. This is:	evisceration
A wound involves the skin, muscle, and bone. This is:	a full-thickness wound
A condition in which there is death of tissue is:	gangrene
A cut has clean, straight edges. It was produced with a sharp instrument. The wound is a(n):	incision
A wound has large amounts of microbes. It shows signs of infection. It is a(n) ______ wound.	Infected
A wound created for therapy is a(n) ________ wound	Intentional
The skin or mucous membrane is broken. This is a(n) _______ wound.	open
The dermis and epidermis of the skin are broken. This is:	a partial-thickness wound
The skin and underlying tissues are pierced. This is a(n):	penetrating wound
Phlebitis is:	inflammation of a vein
An open wound made by a sharp object is a(n):	puncture wound
Drainage that is thick green, yellow, or brown is _____ drainage	pirulent
Thin, watery, blood-tinged drainage is ______ drainage.	serosanguineous
Clear, watery fluid from a wound is _____ drainage.	serous
Blood drainage is _____ drainage.	Sanguineous
A resident has a rip in the skin. The epidermis is separated from underlying tissue. This is a(n):	skin tear
A resident has an open wound on the right lower leg. The person has poor blood return through her veins. Her wound is a(n):	stasis ulcer
An accident or violent act that causes injury is:	trauma
A thrombus is a:	blood clot
The skin is injured. Which is a major threat?	Infection
Which of the following are common sites for skin tears?	hands
Skin tears are caused by which of the following?	Friction and shearing
Which statement about skin tears is correct?	Skin tears can cause an infection
To prevent skin tears, you need to:	the person's care plan
A resident is in bed. The person needs repositioning. Which of the following will help prevent skin tears:	Using and assist device to move the person
You are helping a resident dress. Which clothing will help prevent skin tears?	A soft fleece sweatshirt and sweatpants
Which will help prevent skin tears?	Keep your fingernails short and smoothly filed
Vascular ulcers occur:	on the legs and feet
Which of the following are common with venous ulcers?	Itching
Which statement about venous ulcers is correct?	The person has difficulty walking
Which will help prevent circulatory ulcers?	Keeping linens clean and dry
A resident has a venous ulcer. The person needs repositioning at least every:	2 hours
A resent has a venous ulcer. You are helping the person dress. The person can wear which of the following?	A sweatshirt
A resident has a venous ulcer. Your care should include:	keeping the person's linens dry and wrinkle-free
A resident has a venous ulcer. The doctor ordered elastic stockings. What size should you use?	The size directed by the nurse
Elastic bandages and elastic stockings do which of the following?	Prevent injury
Elastic stockings also are called:	anti-embolism stockings
Which statement about elastic stockings is correct?	They are removed every 8 hours for 30 minutes
Elastic bandages are applied to the:	arms and legs
An elastic bandage is applied from the:	lower part to the top part
A resident has an elastic bandage on the right leg. The bandage is loose and wrinkled. What should you do?	Reapply the bandage
The nurse asks you to apply an elastic bandage to a resident's left arm. You should apply the bandage:	with firm, even pressure
A resident has an elastic bandage. How often should you check the color and temperature in the bandaged part?	Every 60 minutes
You are applying an elastic bandage to a person's left leg. Which is correct?	Face the person during the procedure
A resident has an arterial ulcer. The person's care includes which of the following?	Reminding the person not to sit with crossed legs
A resident has an arterial ulcer. Which will promote healing?	Having a bed cradle on the bed
A wound has torn tissues and jagged edges. This is a(n):	laceration
Bleeding stops and a scab forms during the_____ phase of wound healing.	inflammatory
A wound was closed with staples. Wound healing will occur through _____ intention.	primary
Which type of wound healing involves leaving the wound open and closing it later?	Tertiary intention
A wound is contaminated and infected. wound edges are not brought together and the wound gaps. Healing will occur through _____ intention.	secondary
Which nutrient is needed for wound healing?	Protein
When observing a wound, you can do which of the following?	Observe the surrounding skin.
A drain is inserted into a wound. What is its purpose?	Drainage leave the wound through the drain.
The nurse weighs dressings before and after applying them. Why are they weighed?	To measure the amount of drainage
Which is a purpose of wound dressings?	Protect the wound
Which is a purpose of wound dressings?	Cover wounds
Gauze dressings:	absorb drainage
Which dressing will most likely stick to a wound?	dry dressing
A dressing is loose. What can happen?	Microbes can enter the wound
A dressing is loose. What can happen?	Drainage can escape
A dressing is secured with tape. When the tape is removed, some skin is removed. This causes a(n):	abrasion
Which type of tape allows movement of a body part?	Elastic
You are securing a dressing with tape. Where do you apply the tape?	To the top, middle, and bottom of the dressing
The nurse asks you to apply a dry, non-sterile dressing. Which action is correct?	Removing the old dressing gently
The nurse asks you to apply a dry, non-sterile dressing. The dressing change causes pain and discomfort. What should you do?	Ask the nurse when a pain-relief drug was given.
Which statement about dressing changes is correct?	You need to control your nonverbal communication and body language during dressing changes
The nurse asks you to apply a dry, non-sterile dressing. What should you do after removing the old dressing?	Remove your gloves and decontaminate your hands
Binders are applied to which area?	Abdomen
Pins are used to secure a binder. Pins should point:	Away from the wound
A binder is loose and out of position. What should you do?	Reapply the binder
A binder is wet. What should you do?	Apply a new binder
A person has a wound. You are concerned with the person's basic needs. Which statement is correct?	A wound can affect breathing and movement.
A compress is:	a soft pad applied over a body area
Constrict means to:	narrow
Dilate means to :	expand or open wider
Cyanosis is:	a bluish color
Hyperthermia means that the person's body temperature is:	much higher than the normal range
Hypothermia means that the person's body temperature is;	very low
A pack is a treatment that involves:	wrapping a body part owith a wet or dry application
Warm and cold applications do which of the following?	Reduce tissue swelling
Warm applications do which of the following?	Relieve pain
Warm applications:	Promote healing
When blood vessels dilate, blood flow:	increases
When blood vessels constrict, blood flow:	decreases
When heat is applied, the skin is:	red and warm
When heat is applied too long, blood vessels:	constrict
When heat is applied too long, blood flow:	decreases
when heat is applied, older persons are at risk for:	burns
Heat is applied to a wrist. Which of the following are reported to the nurse at once?	Excessive redness
A person has a joint replacement. Which statement is correct?	Heat applications are allowed except over the area of implant
Which is a dry warm application?	Aquathermia pad
Which statement about moist heat applications is correct?	Water is in contact the skin
Heat and cold applications are applied for _____ minutes	15 to 20
Before applying moist heat or cold application, which is correct?	Measure water temperature
Before applying dry heat or cold applications, which is correct?	Cover the device
Which of the following is an electrical device?	Aquathermia pad
When applying warm or cold applications, which is correct?	Place the call light within the person's reach
Which is a safety measure for applying an aquathermia pad?	Follow electrical safety precautions
An aquathermia pad is set at 105 degrees Fahrenheit. it is a _______ applicaton.	hot
The nurse delegates you to apply a warm compress. To maintain its temperature, the nurse might ask you to:	apply a aquathermia pad over the compress
A sitz bath involves:	the perineal and rectal areas
A disposable sitz bath:	fits on the toilet seat
During a sitz bath, you need to carefully observe the person for:	Weakness and faintness
The nurse delegates you to give a sitz bath. Which action protects the person from burns?	measuring water temperature
The nurse delegates you to give a sitz bath. How often should check the person?	Every 5 minutes
The nurse asks you to apply a commercial hot pack. How should you warm the pack?	Follow the manufacturer's instructions
A hot pack is reusable. Before storing the pack for future use, which is correct?	clean it following center policy
You are going to apply an aquathermia pad. Which statement is incorrect?	Pins at used to secure the pad in place
The temperature of an aquatermia pad is usually:	105 degrees fahrenheit
You are going to apply an aquathermia pad,. You fill the heating unit with:	Distilled water
An aquathermia pad is not placed under a body part because:	heat cannot escape
Before applying an aquathermia pad, you need to:	put the pad in a cover
When cold is applied to the skin, blood vessels:	constrict
When cold is applied to the skin, blood flow:	decreases
A person has a sprained ankle. Cold applications are best applied _______ after the injury.	immediately
Cold has which of the following effects?	Numbing the skin
Which of the following can occur from applications that are very cold?	Blisters and burns
When cold is applied for a long time, blood vessels:	dilate
Which of the following person are at risk for complications from cold applications?	Person with sensory impairment
Which is a moist cold application?	Cold compress
Which of the following devices are filled with crushed ice?	Ice collar
Before applying a dry cold application, which is correct?	Put it in a cover
When using a commercial cold pack, which is correct?	Follow the manufacturer's instructions
After applying a dry cold application, you need to check the application site every ______ minutes.	5
You applied a cold compress. How often should you check the application site?	Every 5 minutes
A cooling blanket is needed. After placing it on the bed, it is covered with a:	Sheet
A warming blanket is needed. After placing it on the bed, it is covered with a:	sheet
What measurements are needed when a cooling blanket or warming blanket is used?	Vital signs
A safe, comfortable setting is needed when applying heat or cold. Which will promote the person's comfort and safety?	Place the call light within the person's reach
Only the body part involved in the procedure is exposed. This action:	protects the right to privacy
Which will promote safety when applying a warm or cold application?	Place the call light within the person's reach

Created by: Healthtrade

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