A set of multiple-choice questions about wound care and pressure ulcer prevention.

The purpose of appropriate dressing of wounds includes the following except: The primary purposes of wound dressings are to protect from injury and infection, absorb exudate, and maintain a moist wound environment and temperature. Providing nutrition is not a direct purpose of a wound dressing.

• The correct answer is C.

Which of the following is a primary risk factor for pressure ulcer formation? Impaired mobility leads to prolonged pressure on bony prominences, which is a primary cause of pressure ulcers.

• The correct answer is C.

The nurse plans to remove a client's sutures. Which of the following actions demonstrates appropriate standards of care? Using a clean technique (which includes hand hygiene, clean gloves, and sterile instruments) is essential to prevent infection during suture removal.

• The correct answer is A.

Friction and tear are mechanical forces that contribute to the development of pressure ulcers. Which of the following is an example of shear injury? Shear injury occurs when the skin remains stationary while underlying tissues and bone move, stretching and damaging blood vessels. This commonly happens when a patient slides down in bed while in a semi-sitting position.

• The correct answer is B.

When caring for a client who is at risk of developing pressure ulcers the nurse should avoid which one of the following? Massaging reddened areas can further damage capillaries and underlying tissue, potentially worsening a developing pressure injury.

• The correct answer is C.

Serous drainage from a wound is defined as... Serous drainage is clear, thin, and watery, consisting of plasma that has seeped out of the blood vessels.

• The correct answer is B.