What type of dressing allows for multiple inspections and changes without disrupting the skin because the tape is left in place?
Tegaderm or Opsite
Abdominal pads held in place with paper tape
Retention
Montgomery straps
The Correct Answer is D
Choice A rationale
Tegaderm or Opsite dressings are transparent and adhesive, allowing for wound inspection without removal, but they do not involve tape that remains in place for multiple changes.
Choice B rationale
Abdominal pads held in place with paper tape would require the tape to be removed and replaced with each dressing change, which can disrupt the skin.
Choice C rationale
The term ‘retention’ is incomplete and does not specify a type of dressing. Retention typically refers to the ability to keep something in place, such as a dressing, but does not imply that the tape remains in place.
Choice D rationale
Montgomery straps are designed with ties that attach to an adhesive base that remains on the skin. This allows the dressing to be changed without removing and reapplying tape, thus preventing skin disruption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
The remodeling phase is the final stage of the healing process, where the wound strength and function are gradually restored over time. This phase does not involve initial suturing; rather, it is the period after the wound has closed. Therefore, this choice does not pertain to the initial management of a wound with an active infection.
Choice B rationale
Healing by primary intention involves closing a wound with sutures, staples, or adhesive to facilitate healing. However, when there is an infection, suturing is delayed until the infection is resolved to prevent trapping bacteria inside, which could worsen the infection or lead to abscess formation. Once the infection is under control, the wound can be closed, promoting faster and more cosmetically appealing healing. This method reduces scarring and speeds recovery compared to secondary intention, where the wound is left open to heal from the bottom up.
Choice C rationale
Tertiary intention, also known as delayed primary closure, is used when there is a need to delay closing the wound, often due to infection. The wound is left open to allow for adequate drainage and resolution of the infection before it is sutured closed. This method helps to prevent the entrapment of bacteria within the wound, which could exacerbate the infection1.
Choice D rationale
Secondary intention healing occurs when a wound is left open and allowed to close on its own without surgical closure. This method is typically used for wounds with significant tissue loss or those that cannot be closed directly. It is not specifically related to the delay of suturing due to infection
Correct Answer is A
Explanation
Choice A rationale
Keeping a superficial wound moist can promote faster healing. A moist environment helps to protect the new tissue, prevent the wound from drying out and forming a scab, which can slow down the healing process. It also allows cells to move across the wound more easily, which can speed up healing.
Choice B rationale
While it was once common practice to keep wounds dry, research has shown that a dry environment can actually slow down the healing process by causing cells to dehydrate and scabs to form, which can impede the growth of new tissue.
Choice C rationale
A wet-to-dry dressing is typically used for mechanical debridement and not for the purpose of speeding up healing. This type of dressing can be useful for removing dead tissue but is not necessarily conducive to the fastest healing of superficial wounds.
Choice D rationale
Debridement is the removal of dead or infected tissue from a wound to help healing. While it is an important part of wound care, the act of debridement itself does not speed up healing; rather, it sets the stage for it by cleaning the wound.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.