The nurse is performing a dry sterile dressing change for an abdominal wound.
The nurse should use a swab to clean:

From the left to the right across the wound.

From the outer abdomen toward the wound.

In a circular motion around the wound, circling to the outside.

Directly over the wound.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Cleaning from left to right across the wound can introduce bacteria from the surrounding skin into the wound, which can lead to infection.

Choice B rationale:

Cleaning from the outer abdomen toward the wound can also introduce bacteria from the surrounding skin into the wound.

Choice C rationale:

Cleaning in a circular motion around the wound, circling to the outside, helps to move bacteria away from the wound and reduce the risk of infection.

Choice D rationale:

Cleaning directly over the wound can disrupt the healing process and potentially introduce bacteria into the wound.

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Correct Answer is C

Explanation

Choice A rationale:

Moistening the dressing with povidone iodine could cause irritation and is not the best method for removing a dressing stuck to the wound bed.

Choice B rationale:

Pulling off the dressing using slow, steady pressure could cause trauma to the wound bed and increase pain.

Choice C rationale:

Adding normal saline to loosen the dressing minimizes trauma to the wound bed and reduces pain during dressing removal.

Choice D rationale:

Leaving the old dressing in place and covering it with new, wet dressings could lead to infection and is not the best method for managing a dressing stuck to the wound bed.

A. tertiary intention. B. remodeling phase. C. primary intention. D. secondary intention.

Correct Answer is A

Explanation

Choice A rationale:

Tertiary intention, also known as delayed primary closure or secondary suture, is a type of wound healing where the wound is initially left open and closed after several days.

Choice B rationale:

The remodeling phase is not a type of wound healing, but a stage of wound healing where the wound fully closes and the new tissue slowly gains strength and flexibility.

Choice C rationale:

Primary intention is a type of wound healing where the wound edges are approximated (brought together) and the wound heals by the process of epithelialization.

Choice D rationale:

Secondary intention is a type of wound healing where the wound is left open and heals by granulation, contraction, and epithelialization.

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The nurse is performing a dry sterile dressing change for an abdominal wound.
The nurse should use a swab to clean: