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Which of the following are contraindications for sharp debridement?

Question : Which of the following are contraindications for sharp debridement? : 2139468

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

1) Which of the following are contraindications for sharp debridement?

A) Slough.

B) Uninfected heel ulcers with normal ankle-brachial indices (ABIs).

C) Areas that cannot be adequately visualized.

D) Eschar.

2) Which of the following is NOT a purpose for debridement?

A) Decrease the effectiveness of topical antimicrobials.

B) Decrease bacterial concentration within a wound.

C) Shorten the inflammatory phase of wound healing.

D) Decrease wound odor.

3) Using the red-yellow-black system of wound bed description, the treatment goals for a red wound include all of the following EXCEPT:

A) debriding the erythematous periwound region.

B) maintaining a warm, moist wound environment.

C) protecting the wound bed.

D) protecting the periwound.

4) Which of the following statements regarding blisters and calluses is true?

A) It is beyond the scope of practice for physical therapists to debride calluses but not blisters.

B) Blisters require debridement but calluses should not be debrided.

C) Blisters and calluses should be debrided.

D) Calluses require debridement but blisters should not be debrided.

5) Which of the following is NOT a form of mechanical debridement?

A) Wound scrubbing.  B) Enzymatic debridement.

C) Whirlpool.  D) Wet-to-dry dressings.

6) Sharp debridement requires sterile technique—the use of sterile instruments, sterile supplies, and sterile gloves.

A) True. B) False.

7) Order the following types of debridement from most expedient to slowest.

A) Enzymatic, autolytic, sharp.  B) Enzymatic, sharp, autolytic.

C) Sharp, enzymatic, autolytic. D) Sharp, autolytic, enzymatic.

8) Traditional gauze dressings have a higher rate of wound infection than covering a wound with a moisture-retentive dressing and leaving it in place for three to five days.

A) True. B) False.

9) Which of the following best completes the statement? Wet-to-dry dressings ________.

A) are also known as moisture-retentive dressings

B) are the standard of care for patients with open wounds

C) could be used on wounds which are 100% slough covered

D) A and C

10) Surgical debridement is indicated for all of the following EXCEPT:

A) wounds with ascending cellulitis.

B) in the presence of osteomyelitis.

C) wounds with extensive undermining and necrosis.

D) when another form of debridement will suffice.

11) Biologic debridement may assist with wound debridement because:

A) the bacteria within the wound digest the maggots leading to bacterial cell wall collapse.

B) larvae produce enzymes that degrade necrotic tissue without harming living tissue.

C) maggots protect granulation tissue.

D) A and B.

12) You choose to use enzymatic debridement to debride your patient's wound. You are not sure if the enzyme is working. How long should you wait before modifying your treatment plan?

A) Two days.  B) Two weeks.  C) Six days.  D) Four weeks.

13) All of the following substances can be used for enzymatic debridement EXCEPT:

A) lipase.  B) proteolytics.  C) collagenase.  D) fibrinolysin.

14) Serial instrumental debridement:

A) occurs over a series of visits.

B) must be followed by dry dressings for the first 8-24 hours after the procedure.

C) may require the use of hemostatic agents, such as Gelfoam or silver nitrate.

D) occurs at the demarcation between viable and nonviable tissue.

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