CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz I page 1

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1 CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz I 1. Clensing is the process of clening nd sterilizing pressure ulcer wound. 2. How often should pressure ulcer wound nd surrounding skin be clensed?. Every dressing chnge b. Ech shift c. Every second dy d. Weekly 3. Norml sop cn be used clense pressure ulcer wounds. 4. If the pressure ulcer hs debris or is dirty, wht should be dded to the clening solution?. Surfctnt b. Antimicrobil gent c. Sop d. Topicl pin mediction 5. In ddition to clensing the pressure ulcer wound, we lso need to mke sure tht we clense the skin surround the wound. 6. When using irrigtion to clense pressure ulcer wound, wht force should be used?. 2 to 4 PSI b. 4 to 15 PSI c. 16 to 25 PSI d. 26 to 35 PSI CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz I pge 1

2 7. Wht devices cn be used for pressured irrigtion clensing of wound?. Needle b. Ctheter c. Wter hose d. Pressure wsher 8. The irrigtion solution used for wound clensing should be contined nd properly disposed. 9. Wht re the resons for debriding necrotic tissue on pressure ulcers?. Preventing infections b. Reducing inflmmtory phse c. Fcilittes contrction d. Fcilittes epitheliliztion 10. Debridement of pressure ulcer wound only needs to be done once. 11. Which of the following is the most expeditious form of debridement? 12. Which of the following is highly selective form of slow debridement tht occurs nturlly in ll wound types? CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz I pge 2

3 13. Which of the following debridement methods should NOT be used if there is ny infection or extensive necrotic tissue? 14. Which debridement method uses enzymes from plnts in combintion with ure to digest the proteins in necrotic tissue? 15. Which debridement method is non selective resulting in the removl of both devitlized nd vible tissue? 16. Wht fctors should be tken into ccount when deciding which debridement procedure is best for prticulr pressure ulcer?. Ptient s condition b. Gols of cre c. Ulcer/periwound sttus d. Necrotic tissue e. Cre setting f. Professionl cpbility 17. Unlike cute wounds tht my only require n initil debridement, chronic wounds my require mintennce debridement of the bse nd edges. CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz I pge 3

4 18. Which method of debridement should be considered if the wound exhibits dvncing cellulitis, crepitus, fluctunce or secondry sepsis? 19. Instruments used in surgicl debridement must be sterilized. 20. Ptients with which of the following should be referred for surgicl evlution?. Ctegory III nd IV ulcers b. Undermining nd tunneling c. Sinus trcts d. Extensive necrotic tissue e. Ctegory I nd II ulcers CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz I pge 4

5 Answers to Module 5.3 Quiz I Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 Q14 Q15 Q16 Q17 Q18 Q19 Q20 Clensing is wshing out wound, not sterilizing it. You should NOT use ny products intended for intct skin.,b Norml sline solution significntly decreses periwound microbil counts. b A force of 4 to 15 PSI is sufficient to remove debris without dmging the tissue or driving bcteri into the wound.,b A 19 guge needle with 35 mm syringe will produce bout 8 PSI of n irrignt delivered through it.,b,c,d It my be necessry to do follow up mintennce debridement. b b c d,b,c,d,e,f The schedule for doing mintennce debridement depends on how fst the wound is heling.,b,c,d CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz I pge 5