ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 26 : Wound Care Questions
Question 1 of 5
When you assess a patient's skin, you will pay special attention to the color, noting which of the following?
Correct Answer: B,D,E,F
Rationale: Skin color changes like erythema, pallor, bruising, and jaundice indicate inflammation, poor perfusion, trauma, or liver issues, respectively.
Question 2 of 5
A patient is at risk for wound dehiscence as a result of nutritional issues and medical history. Which interventions should be included in the care plan?
Correct Answer: A,C
Rationale: Splinting the incision and preventing straining (via stool softeners/antinausea meds) reduce stress on the wound, preventing dehiscence.
Question 3 of 5
In what order do wounds heal?
Correct Answer: B
Rationale: Wounds heal in three phases: inflammatory (immediate response), reconstruction (tissue repair), and maturation (scar formation).
Question 4 of 5
Which of these factors affect wound healing?
Correct Answer: B,C,E,F
Rationale: Chronic illness, medications, diabetes, and age impair immune response, tissue repair, or blood flow, delaying wound healing.
Question 5 of 5
A patient has had emergency surgery because of a bowel obstruction. The wound becomes infected with Escherichia coli. This likely occurred because
Correct Answer: C
Rationale: E. coli, common in the bowel, likely contaminated the wound during emergency surgery due to lack of bowel prep time.