Question

1. Delayed healing due to wound infection is influenced by which of the following?

A. Number of bacteria present

B. Virulence of bacteria

C. Host Resistance

D. All of the Above

E. None of the Above

2. An antimicrobial dressing has been ordered for patient Mrs. Thomas. Mrs. Thomas has fragile skin and a low threshold for pain. Her wound is producing a copious amount of exudate. Which of the following dressings would be the most appropriate for Mrs. Thomas’ wound?

A. PHMB

B. Iodine

C. Silver

D. A or B

E. B or C

F. Any of the above

3. Which of the following statements is false?

A. Treatment of localized wound infection (critical colonization) takes 2 to 4 weeks.

B. When critical colonization/infection has resolved, use of antimicrobial dressings should be discontinued.

C. Use of antimicrobial dressings should be reviewed every 2 to 3 weeks.

D. Discontinue using antimicrobial dressings if no benefits have been demonstrated after 2 to 4 weeks of treatment.

4. Mr. Brown has a large, non-healing wound. Yesterday, during assessment, the following symptoms were noted: pain, wound breakdown, lymphangitis, and crepitus. 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

5. 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

Answer 1

1.Delayed wound healing is due to the following factors : host resistance, virulence of the organism, any comorbidities of the patient like diabetes. Hence the answer is option (D) all of the above.

2.In an exudative wound, the aim of dressing is to absorb the exudate and reduce the soakage. For this purpose material like Poly Hexa Methylene Biguanide (PHMB) can be used. Hence the answer is option (A) PHMB.

3.The false statement is option (B) When critical colonization /infection has resolved, use of antimicrobial dressings should be discontinued. In the infected wound antimicrobial dressing is necessary. When it has resolved, it should not stop abruptly, give it for a period of time until one or two consecutive cultures become negative.

4.Pain,crepitus,wound breakdown in a non healing wound is suggestive of spreading wound infection. Hence the answer is option (C) spreading wound infection.