CCCI Final

What is tunneling and undermining in wounds?

Tunneling refers to a narrow channel that develops under the skin and undermining is the separation of tissue from the base of the wound. Both require careful packing and assessment.

How can you care for a Stage 2 wound?

A Stage 2 wound should be placed on a turn and reposition schedule, and it's important to know the characteristics that qualify as a Stage 2 wound.

What should be done when a surgical wound shows drainage and redness?

A culture should be obtained to assess for potential infection.

What indicates the need to notify a Provider regarding a wound?

If there is increased drainage, separation of the wound edges, or any sign of delayed healing, the Provider should be notified.

What is the role of negative pressure (VAC) in wound care?

Negative pressure therapy increases blood flow and promotes granulation tissue formation in wounds.

What precautions should be taken during wound care on burn patients?

Sterile gloves should be worn when performing wound care on burn patients to prevent infection.

What is the closed wound method?

The closed wound method helps decrease the risk of cross-contamination by keeping the wound covered.

How should ingrown toenails be treated?

Ingrown toenails can be treated by soaking them in warm Epsom salt water.

What is the appropriate treatment for seborrheic dermatitis?

If shampoos are ineffective, a topical corticosteroid can be recommended for treatment.

What does the term 'macule' refer to?

A macule is a flat, distinct, discolored area on the skin that is less than 1 cm wide.

What is indicated by non-blanchable discoloration in skin assessment?

Non-blanchable discoloration indicates a deep tissue injury that requires prompt attention.

What is the recommended intervention for patients with phantom pain?

Phantom pain should be managed with analgesics to provide relief.

How is C. diff infection managed in a healthcare setting?

C. diff requires the use of gloves during care and ensuring the patient is on contact isolation.

What does increasing lymphocyte levels indicate?

Increased lymphocytes often indicate a viral infection.

What should be reported if a urinary catheter changes?

If urine becomes cloudy with a strong odor, it should be reported as it may indicate an infection.

What is the primary concern with compound fractures?

The primary concern is to reduce the risk of infection, which may require the administration of antibiotics.

How can DVTs be prevented?

DVT prevention can include ambulation, prescribing blood thinners, and using Sequential Compression Devices (SCDs).

What are the key nursing interventions for patients who are hearing impaired?

Speak clearly in a normal tone, ensure adequate lighting, have your mouth visible, and face the patient directly during communication.

What should be assessed in patients showing signs of dysphagia?

In patients with dysphagia, it is important to consider positioning them in High Fowlers during meals to aid swallowing.

What is the importance of review before administering new medication?

It's essential to review drug references before giving new medications to ensure safety and correct dosing.