wound assessment and healing
This type of healing occurs when wound edges are pulled together and approximated with sutures or staples, allowing a scar to form gradually
primary intention?
This specific width around the edge of a sterile drape is considered nonsterile and can be touched with clean hands
1 inch (2.5 cm)?
When cleansing a wound or a drain site, the nurse should always move the swab or spray in this direction
least contaminated area to the most contaminated?
This type of open-drain system removes fluid and deposits it directly onto the skin surface, often requiring a safety pin to prevent it from slipping into the wound
Penrose drain?
These stainless-steel closures are designed for strength and uniform tension but are typically not used on the face, hands, or feet
This color and consistency of drainage is thick and yellow, pale green, or white, and often indicates a wound infection
purulent drainage?
This term describes what happens when liquids permeate a sterile field or barrier, resulting in immediate contamination
strike-through?
This type of dressing is specifically used to mechanically debride wounds that have necrotic or slough tissue
moist-to-dry (or wet-to-dry) dressing?
Unlike open systems, Jackson-Pratt and Hemovac drains rely on this to pull accumulated fluid into a reservoir
vacuum (or suction)?
If healing is uncomplicated, staples are generally removed within this many days
5 to 7 days?
This positive sign of healing, appearing 5 to 9 days after surgery, is a firm accumulation of new tissue felt beneath the skin along an incision
healing ridge?
To maintain sterility before a procedure, a nurse should keep their gloved hands in this position
interlocked/clasped and above waist level (in front of the body)?
To minimize trauma when removing a dry gauze dressing that has stuck to a wound, the nurse should first do this
moisten it with sterile 0.9% sodium chloride or sterile water?
This is the maximum amount of fluid a Hemovac drain can typically accommodate in 24 hours
500 mL?
After staples are removed, these are often applied to support the wound; patients should allow them to fall off on their own
wound closure strips (or Steri-Strips)?
When measuring these two types of tissue destruction, the nurse uses the "face of a clock" as a guide, with 12 o'clock representing the patient's head
undermining and tunneling?
When opening a sterile kit with an outer wrap, the nurse must open the flaps in this specific order to avoid reaching over the field
outermost flap away from the body, then side flaps, and finally the innermost flap toward the body?
This is the primary clinical purpose of "packing" a wound
fill dead space and prevent the formation of an abscess?
After emptying a Jackson-Pratt bulb, the nurse must do this to the bulb before replacing the cap to re-establish suction
compress it?
This specific type of nursing specialist should be consulted if a wound does not appear to be healing as expected
Wound, Ostomy, and Continence (WOC) nurse?
These are two validated tools nurses use to determine if a pressure injury is healing as expected
Bates-Jensen Wound Assessment Tool (BWAT) and the Pressure Ulcer Scale for Healing (PUSH)?
If a nurse sees these on a sterile glove package, the gloves must be discarded because they indicate previous water contamination
water stains?
Because adhesive tape can tear the fragile skin of older adults, a nurse can create this "window" using hydrocolloid strips to secure a dressing
stomahesive window?
when providing care for any drain, the nurse must be careful not to do this, which could cause accidental dislodgment
apply tension to the tubing?
This specific supplement can be used on healing tissue and scars to potentially aid the healing process
Vitamin E?