CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz II page 1

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1 CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz II 1. Wound cleansing is the process of using fluids to remove: a. Surface contaminants. Bacteria c. Remnants of previous dressings d. Necrotic tissue 2. You should use a coarse sponge and aggressive scruing to properly cleanse a dirty pressure ulcer wound. 3. What should e used to cleanse pressure ulcers wounds with no deris? a. Normal saline water. Drinking water c. Soap d. Hydrogen peroxide 4. Any solutions used to cleanse wounds should e slightly heated so as to provide more effective antimicroial action. 5. How often should the periwound skin e cleansed? a. Every dressing change. Every shift c. Every two days d. Weekly 6. You should deride devitalized tissue within the wound ed and edge of pressure ulcers. CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz II page 1

2 7. Good reasons to remove devitalized tissue are: a. Masks underlying fluid collections. Hides ascesses c. Oscures wound depth d. Interferes with dressings 8. What types of deridement are suitale for pressure ulcer wounds? 9. When using pressure irrigation to cleanse a pressure ulcer wound, infection control precautions should e applied to prevent environmental contamination. 10. Which form of deridement decreases surface acterial urden, removes senescent cells, and converts a chronic wound into an acute wound? 11. Moisture retentive dressings such as hydrocolloids, films and hydrogels can e used for which of the following deridement methods? 12. An irrigation force of 4 to 15 PSI is adequate to remove deris without damaging the tissue and without driving the acteria into the wound. CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz II page 2

3 13. Which of the following deridement method is NOT appropriate for large ulcers with undermining and sinus tracts, and in patients with compromised immunity? 14. Which deridement method is fast acting and usually has no effect on viale tissue, ut is expensive and requires a prescription? 15. Which deridement method is non selective, can e painful and can cause maceration and infection? 16. When there is no urgent clinical need for drainage or removal of necrotic tissue, which methods of deridement should e used? 17. Any experienced nurse can perform surgical deridement. CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz II page 3

4 18. Surgical deridement should e used with caution in which of the following situations? a. Presence of immune incompetence. Compromised vascular supply to the lim c. Lack of antiacterial coverage in systemic sepsis d. Bleeding disorders 19. Maintenance deridement needs to e done until the wound ed is covered with granulation tissue and is free from any necrotic tissue. 20. When should you apply topical pain medication for a deridement procedure? a. An hour prior. 20 to 30 minutes prior c. Just efore the procedure d. After the procedure is completed CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz II page 4

5 Answers to Module 5.3 Quiz II Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 Q14 Q15 Q16 Q17 Q18 Q19 Q20 a,,c Necrotic tissue is removed y deridement, not cleansing. This will cause mechanical trauma to the wound and also increases susceptiility to infection. a, Also, regular tap water that has een oiled and cooled can e used. Solutions should e kept at room temperature so as not to cool down the wound ed. a Devitalized tissue is devoid of vitality or life. a,,c a,,c,d a c d,c,d Surgical deridement must e performed y a specially trained, competent, qualified and licensed professional consistent with local, legal and regulatory statutes. a,,c,d The schedule for doing maintenance deridement depends on how fast the wound is healing. CLPNA Pressure Ulcers ecourse: Module 5.3 Quiz II page 5