Which type of wound debridement is Dakin’s solution used for?

Autolytic debridement

Sharp debridement

Enzymatic debridement

Chemical debridement

Answer and Explanation

The Correct Answer is D

Choice A:

es and moisture to digest necrotic tissue. While Dakin's solution can support this process by maintaining a moist wound environment, it does not directly cause autolytic debridement.

Choice B:

Sharp debridement involves the use of a scalpel, scissors, or other sharp instrument to remove dead tissue. Dakin's solution does not perform this function.

Choice C:

Enzymatic debridement involves the use of a topical application of enzymes to break down necrotic tissue. Dakin's solution does not contain these enzymes.

Choice D:

This is the correct choice. Dakin's solution, a sodium hypochlorite-based solution, is used for chemical debridement¹. It can be used to irrigate the wound bed or as the solution for wet-to-moist dressing, effectively cleansing away wound debris and helping create the ideal environment for healing.

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Correct Answer is D

Explanation

Choice A rationale
Preparing a discard bag next to the wound is a practical step in the process, but it is not the most critical action to prevent infection.

Choice B rationale
Remaining very still during the procedure is important, but it does not directly relate to maintaining the sterility of the dressing change.

Choice C rationale
Restraining from moving the patient is not typically necessary unless the patient is at risk of causing harm to themselves or disrupting the procedure.

Choice D rationale
Changing gloves after removing the old dressing is crucial to maintain sterility. The old dressing may be contaminated, and fresh gloves reduce the risk of introducing bacteria to the clean wound.

A. Second intention. B. Fourth intention. C. Third intention. D. First intention.

Correct Answer is D

Explanation

Choice A rationale
Healing by second intention occurs when a wound is left open and allowed to close by granulation, epithelialization, and contraction. This method is used for wounds that are infected, have lost tissue, or where there is a delay in suturing. It is not applicable in this case as the wound is sutured and healing cleanly.

Choice B rationale
There is no recognized method of wound healing known as fourth intention. This option does not exist in medical terminology related to wound healing and is therefore not a correct choice.

Choice C rationale
Third intention, also known as delayed primary closure, is when a wound is initially left open due to contamination or infection and is not closed until it is clean. This is not the case here as the wound has been sutured closed from the beginning.

Choice D rationale
First intention, also known as primary intention, is when a clean wound is immediately closed with sutures, staples, or adhesive, leading to minimal scarring. This is the method described in the scenario, where the post-surgical wound is clean, dry, and the sutures are intact, indicating healing by first intention. This method is typically used for surgical incisions under sterile conditions.

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Which type of wound debridement is Dakin’s solution used for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When preparing to change a sterile dressing over an incision, it is most important to remember to:

Correct Answer is D

Explanation

The nurse is taking care of a post-surgical patient and notes the incision is clean and dry, with sutures intact. The nurse further assesses that the wound is healing by:

Correct Answer is D

Explanation

The nurse assesses the large raised scar on the African American patient. How should the nurse document the lesion?

A patient has a pooling of blood under unbroken skin of the hip after a fall. The nurse should document that this patient has a/an:

While assessing the client’s abdomen, you note that the Jackson-Pratt drain’s reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?

A 28-year-old male patient at your clinic reports a minor motorcycle accident that occurred 5 days ago, resulting in several scrapes and wounds. The wound on his calf has a pinkish-red center area that appears bumpy. What does this indicate about the wound?

The nurse places Dakin’s solution in a wound for which purpose?

Because the patient with an abdominal dressing requires frequent dressing changes, and the abdomen is beginning to show skin irritation from repeated tape removal, the nurse would change the dressing procedure in order to use:

Superficial wounds heal faster when kept: