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Surgical Asepsis & Wound Care Question1 What is important…
Surgical Asepsis & Wound Care
Question1
What is important for the nurse to know about proper wound healing?
1 An open wound provides an opportunity for microorganisms to enter the body which can lead to infection.
2 Surgical infection is most likely to become apparent 30 days postoperatively.
3 Infection is seen with the presence of sanguineous drainage and can have a fruity odour.
4 Wound healing is promoted if infection occurs.
Question 2
Pick the 6 signs and symptoms of infection from the list below:
reddened
inflamed or swollen.
hot to the touch
fever
pain
purulent drainage
sanguineous drainage
blanching
high blood pressure
medication intolerance
apnea
Question 3
What are the purposes of sterile dressings? Pick the 4 purposes that apply:
The covering protects the wound from microorganisms, but also protects against mechanical injury such as hitting or bumping the wound.
Dressings aid in hemostasis or clotting and act as an absorbent layer to collect the drainage from a wound.
Dressings help to keep the wound surface insulated, creating a high humidity between the dressing and the body.
Dressings also help to support, splint, and immobilize the incision site, providing additional protection, as well as physical and psychological comfort.
Dressings allow the person to take a bath as the wound is covered and will not become contaminated.
Dressings protect the wound so the patient does not have to see what is happening.
If sterile dressings are done properly, then the patient will never have a wound infection.
Insulated dressings promote infection as the body’s heat acts as an incubator which encourages bacterial growth.
Question 4
Fill in the blanks to the following paragraphs about the stages of wound healing:
blank begins within minutes and can last for blank. It is common to see hemostasis (due to vasoconstriction) which is involvement of blank to stop bleeding. Fibrin (connective tissue) is deposited to aid in the formation of blank. Epithelial cells migrate into blank to serve as barrier between body & environment. Blood supply increases bringing important blank to assist with healing. blank encourages macrophages to engulf blank and cellular debris. Usually drainage stops by about day three.
Please fill in the blanks from the possible answers below: HINT: Each word grouping can only be used once.
6 days
blood clots
microorganisms
nutrients & substances
phagocytosis
platelets
wound edges
Question 5
What are the principles of cleansing a wound or around a drain? Pick 4 that apply.
Use a noncytotoxic cleaning solution such as normal saline. (Betadine – iodine, Hydrogen peroxide, and alcohol are considered cytotoxic).
Clean the wound from the least to most contaminated area, so clean to dirty.
Clean from the center of the incision line first, followed by the surrounding skin on each side.
Clean the incision first, then toward the drain.
When irrigating, allow the solution to flow from the most to the least contaminated area.
Use a brisk rubbing action making sure to use a separate swab for each stroke, and discard each swab after use.
Always use the same piece of gauze to cross the wound or incision twice, this will contaminate the wound
Clean from the outside surrounding the skin and move toward the drain.
