For a dry wound with minimal exudate, which dressing would be most appropriate to maintain moisture?
Hydrocolloid
Hydrofiber
Foam dressing
Calcium alginate
Hydrocolloid
Hydrocolloid dressings maintain a moist wound environment in low-exudating wounds.
Which dressing type would provide optimal moisture retention for a wound with eschar requiring autolytic debridement?
Gauze
Alginate
Hydrogel
Composite
Hydrogel
Hydrogels are ideal for hydrating dry wounds and promoting autolytic debridement of eschar.
Which dressing type is the BEST choice for a wound with fragile granulation tissue?
Silicone-based dressing
Calcium alginate
Hydrofiber
Wet-to-dry gauze
Silicone
Silicone-based dressings are non-adherent and gentle on fragile tissue.
The provider has just finished debriding your patient’s wound. Which dressing is the best choice to promote hemostasis?
Gauze dressing
Hydrofiber
Hydrogel
Calcium alginate
Calcium alginate
When applied with gentle pressure, calcium ions in alginate dressings promote hemostasis in mildly bleeding wounds. There are no hemostatic properties in hydrogel dressings.
Pick the BEST product to apply in order to protect a patient’s periwound from damage caused by excess drainage.
Hydrogel impregnated gauze
Moisture barrier
Hydrofiber dressing
Composite dressing
Moisture Barrier
Moisture barrier creams protect periwound skin from damage caused by excess moisture.
Which practice helps minimize trauma when removing adhesive dressings from fragile periwound skin?
Pull the dressing off quickly
Pull quickly opposite the direction of hair growth
Slowly pull and stretch the dressing
Use no sting adhesive remover to loosen it
Use no sting adhesive remover to loosen it
Using a no-sting adhesive remover to loosen the bond is a good way to minimize trauma during removal of adhesive dressings.
Your patient has a copious draining abdominal wound that requires fresh dressings three times a day. Which is the best option for protecting the patient’s periwound skin?
Montgomery straps
Stretch net gauze
Paper tape
Plastic tape
Montgomery straps
Montgomery straps can hold a primary dressing in place and secure it without requiring the removal of an adhesive dressing, reducing the need for repeated skin adhesive removal.
The practitioner has just applied a skin substitute to a wound. The patient will need their dressing changed in 5 days, but the graft should not be disturbed. Which dressing would be the BEST choice?
Gauze
Calcium alginate
Contact layer
Hydrocolloid dressing
Contact Layer
Contact layers are nonadherent and porous. They are often used over skin substitutes as they allow exudate to pass through them and pull into the secondary dressing, which can be changed without disturbing the graft.
You are treating a patient with a heavily draining diabetic foot ulcer on the plantar surface. Which dressing would be the BEST initial option to manage the exudate and promote healing?
Hydrocolloid
Calcium alginate
Transparent film
Hydrogel sheet
Calcium alginate
Calcium alginate dressings are indicated for heavily draining wounds as they absorb significant amounts of exudate while maintaining moisture balance.
Your patient has a latex allergy but needs a cohesive bandage to secure a dressing to their leg. What product should you avoid to protect the periwound skin?
A cohesive bandage made of cotton
A cohesive bandage made with rubber
A bandage made with silicone
A cohesive bandage made of polyester
Correct
Latex is made from rubber, therefore, never use a cohesive dressing made with rubber for a patient with latex allergies.
A cohesive bandage made with rubber
Latex is made from rubber, therefore, never use a cohesive dressing made with rubber for a patient with latex allergies.
Which of the following dressings is contraindicated for use on a heavily exudative wound?
Calcium alginate
Foam
Hydrocolloid
Specialty absorptive
Hydrocolloid
Hydrocolloids are occlusive and not suitable for heavily exudative wounds because they can trap exudate, leading to maceration.
Your patient with diabetes has a stable dry eschar to their left heel, what is the best dressing choice?
Hydrocolloid
Transparent film
Dry gauze
Hydrogel gauze
Dry gauze
A stable eschar on the heel of a diabetic should not be disturbed. Offloading, applying a dry gauze dressing, and monitoring it daily for drainage is the best course of treatment.
When is the use of silver-containing dressings contraindicated?
On full-thickness infected wounds
When using enzymatic debriders
For wounds with heavy exudate
On partial-thickness infected wounds
When using enzymatic debriders
Silver dressings can interfere with the action of enzymatic debriders, reducing their effectiveness, so they should not be used together.
Which of the following best describes an effective practice for applying tape to secure a dressing on fragile skin?
Use no sting adhesive remover before applying the tape.
Stretch the tape tightly over the dressing to prevent movement.
Apply the tape gently and avoid stretching it over the skin.
Wrap tape circumferentially around a limb for securement.
Correct
Apply the tape gently and avoid stretching it over the skin.
Applying tape gently without stretching helps to prevent trauma to fragile skin, which is especially important in patients with sensitive or fragile skin.