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Pre-Lab Assignment: Moist and Dry Wounds

Task

1. What would you do last prior to performing your dressing change?


a. Determine the size and location of the wound.


b. Provide analgesic prior to dressing change, if needed.


c. Open sterile dressing supplies.


d. Assist patient to a comfortable position.

2. All the following is correct, except:


a. While removing the ABD pad, you want to have the soiled dressing facing away from the patient’s face.


b. If the dressing is dried out and sticking to the wound bed, then it is acceptable for the nurse to moisten the wound bed with sterile saline to loosen the dressing.


c. If I stated that the drainage on the dressing was sanguineous, I would be referring to the character of the drainage. This type of drainage is bloody.


d. You measure the length and width of the wound for a dry dressing.

3. What does the acronym Reedass stand for?

4. The appropriate term for bruising is called

The appropriate term for swelling is called.

5. True / False: A moist wound is not approximated, whereas a dry dressing is approximated.

6. True / False: Wound separation occurring when a wound was once approximated is called dehiscence.

7. True / False: Infected discharge that usually has a foul smell and is usually yellow or green in color is called serous drainage.

8. Draw a picture of your table set up for the dry dressing skill. Label all supplies.

9. Draw a picture of your table set up for the moist dressing skill. Label all supplies.

10. All the following is correct, except:


a. If I am opening my packages, which are placed on my bedside table, with my right hand and I am opening from left to right, then I will not break sterility.


b. If I am opening my packages, which are placed on my bedside table, with my right hand and I am opening from right to left, then I will not break sterility.


c. If I opened my 4x4 and the top aspect of the wrapper closed back on to the 4x4 gauze, then this would be considered a sterile break.


d. If my sterile gloves touched the outer portion of my gauze boat, then this would be considered a sterile break.

11. While packing the wound, all the follow is true, Except:


a. Sterile gloves can touch sterile 4x4 gauze.


b. Sterile 4x4 gauze can touch inside the wound bed.


c. Sterile gloves can touch the patient.


d. Tweezers can touch sterile 4x4 gauze.

12. True / False: Tunneling occurs when a passageway extends past the wound bed. You will need to pack the tunneling with gauze and a cotton tip applicator, and leave a tail of the dressing, so that the next nurse can see where the tunneling occurs.

13. True / False: While applying the drain sponge, it is okay to touch the part of the sponge that surrounds the drainage tube.

14. True / False: While applying the dry 4x4 gauze on top of the wound, it is best to avoid touching the side of the gauze that will be touching the patient.

15. True / False: While applying the ABD pad, you want to only touch the side of the ABD with the blue stripe. The blue stripe is located on the side of the ABD that will not come into contact with the wound.

16. True / False: It is best to use plastic tape to secure the dressing to the patient.

17. While emptying the JP drain, you want to keep in mind all the following, except:


a Disconnect the drain if it is attached to the patient’s gown


b. Holding the JP drain upside-down, lift the drain above the level of the wound to prevent backflow.

c. For obtaining a sterile specimen, maintain sterility by emptying the contents directly into the specimen cup without touching the inside of the container.


d. The JP/Hemovac must be fully compressed and the plug must be closed after you emptied the drain.

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