Question

1. Mrs. Abby has a chronic wound that is contaminated. The tissues surrounding the wound have not been further damaged and the healing of the patient’s wound is not impaired. How should you approach caring for this patient and her wound?

A. The patient should receive advanced wound care and systemic antibiotics to prevent infection.

B. The patient should receive local wound care. Silver dressings should be used to address the contamination within the wound to prevent progression to overt infection.

C. The patient should receive local wound care. Wound cleansing with an antiseptic is indicated to address wound contamination.

D. The patient should receive local wound care. Vigilance is required but treatment of the contamination is not warranted.

2. Mr. Green has a large wound that had been healing appropriately. Yesterday, Mr. Green began to complain of new pain. At today’s assessment, you note an increase in purulent exudate, pocketing, and bridging. Based on these findings, the patient’s wound care plan should focus on managing/treating:

A. Wound colonization

B. Localized wound infection

C. Spreading wound infection

D. Systemic wound infection

3. Proper technique for performing a wound culture includes:

A. Cleansing the wound and applying antibiotic cream prior to swabbing

B. Swabbing the area with the largest collection of exudate

C. Culturing the site beneath crusts, which have been removed

D. All of the above

E. None of the above

4. You are part of the multidisciplinary team caring for Mrs. Wiley, a diabetic patient with a non-healing wound that has become infected with a biofilm. Which of the following is most likely to be the planned course of treatment for the patient’s infection?

A. Topical antimicrobials and wound management

B. Systemic antimicrobials and wound management

C. Regular debridement, antimicrobials, and wound management

D. Wound management, antimicrobials, and negative pressure wound therapy

Answer 1

1.As the infection is no t spread to blood systemic antibiotics are not necessary

Silver dressing is required in case of burns wounds or that to be kept dry

As it is contaminated at the wound site antiseptic care at the site is necessary to treat the infection

Always contaminated wound requires a treatment

Ans:The patient should receive local wound care .Wound cleansing with antiseptic is indicated ti address wound contamination

2. Wound colonization refers to growth or multiplication of microorganisms at the infeted site.This can cause discharge,pain

Localised wound infection is preseny at the sire where the wound is

Systemic wound infection spreads to circulatoy system

Spreading wound infection invades the nearby tissues and organs

Ans: Localised wound infection

3.Antibiotic should be applied after taking a culture

Always swan from the site where there is large collection of exudate

Do not take swab from where a crust is taken bevause these place has low microorganisms and starts to healing

Ans:Swabbing the area with largest collection of exudate

systemic antimicrobial is necessary and not topical antimicrobial with wound care, debridement as per need ,definite negative pressure wound therapy to remove the infected fluid

Ans:wound management, antimicrobial, negative pressure wound therapy