Exam 27: Dressings, Bandages, and Binders

The nurse plans care for the patient's wound that requires a moist-to-dry dressing.Which should the nurse use for an expected patient outcome several hours after applying a new dressing?

A _______ is a fungal or bacteria-embedded slimy matrix of proteins and sugars that adhere to the surface of a wound bed.

The nurse inspects a patient's surgical incision and notes dehiscence several inches long.Which is the most important intervention for the nurse to implement?

The nurse prepares to perform a dressing change on an ulcerated area.Which principle does the nurse apply while performing a dressing change?

The nurse dresses the surgical incision on the patient's elbow.Which method of securing the bandage should the nurse use with this patient?

The nurse assigns patient care to nursing assistive personnel (NAP).Which wound care tasks should the nurse assign to this staff member?

The nurse is caring for a patient with a pressure injury.The nurse would expect which of the following outcomes if the patient's wound is healing? (Select all that apply.)

The wound care nurse prepares wound care supplies.Which patient assessment datum cues the nurse to provide Montgomery straps to promote wound healing?

The nurse is caring for a patient with a history of chronic respiratory problems who has an abdominal binder in place.Which should the nurse instruct nursing assistive personnel (NAP) to report as an unexpected outcome?

The nurse is preparing to change a moist-to-dry dressing on a patient.After correctly identifying the patient, what is the next most appropriate step for the nurse to perform?

The nurse needs to apply a dry sterile dressing.Which should the nurse implement first?

The nurse is working with a student nurse to provide care to a patient with a pressure injury.The student nurse describes characteristics of an ideal dressing.Which of the following statements indicate the student needs more education? (Select all that apply.)

The nurse removes the patient's hydrocolloid dressing and observes minimal clear, watery drainage.Which action should the nurse take at this time?

The nurse is caring for a patient who requires a moist-to-dry dressing.Which action by the nurse is appropriate during the procedure?

The nurse is preparing to dress an open, shallow wound with a moderate amount of drainage.Nursing care is correct if the nurse chooses which dressing material?

The nurse delegates applying a binder over the patient's abdominal incision to nursing assistive personnel (NAP).Which does the nurse include in the NAP's instructions?

A highly absorbent nonwoven material that forms a gel when exposed to wound drainage is called a(n) __________ dressing.

The nurse is assisting a patient with putting on an abdominal binder.In which position does the nurse place the patient?

A ______dressing is contraindicated in ischemic wounds with dry eschar and third-degree burns or wounds that tunnel.

The nurse is applying a gauze bandage to hold a dressing on a patient's wrist since the patient is allergic to tape.Which technique would be most appropriate for the nurse to use?