Wound Care and Bleeding Control
A wound is any break in the skin or underlying tissues caused by trauma or disease. Wounds can be classified according to their cause, depth, appearance, or infection status.
Bleeding is the loss of blood from blood vessels due to injury or disease. Bleeding can be classified according to its source, rate, or appearance.
The principles of wound care and bleeding control are:
- Stop the bleeding: Apply direct pressure to the wound with a clean cloth or bandage. If possible, elevate the injured part above the level of the heart. If bleeding does not stop, apply pressure to a pressure point near the wound or use a tourniquet as a last resort.
- Clean the wound: Wash the wound with soap and water or saline solution to remove any dirt or debris. Do not use alcohol, hydrogen peroxide, or iodine as they can damage healthy tissue and delay healing.
- Dress the wound: Cover the wound with a sterile dressing to protect it from infection and further injury. Change the dressing as needed and watch for signs of infection, such as redness, warmth, pus, or fever.
- Seek medical attention: Depending on the severity of the wound, you may need to seek medical attention for stitches, antibiotics, tetanus shot, or other treatments.
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Questions on Wound Care and Bleeding Control
Correct Answer is B
Explanation
<p>Reason: Hemorrhagic bleeding is severe and life-threatening, and it can be arterial or venous, but it is not a specific type of bleeding.</p>
Correct Answer is ["C","D","E"]
Explanation
<p>Choice E Reason: Using a tourniquet as the first option to control bleeding is not recommended, as it can cause tissue damage and necrosis by cutting off blood supply to the limb. It should only be used as a last resort when other methods fail, and it should be loosened every 10 minutes to check for signs of circulation.</p>
Correct Answer is D
Explanation
<p>Reason: Cleaning a wound with hydrogen peroxide every day can harm healthy tissue and delay healing, as well as increase the risk of infection by altering the pH balance of the wound environment. This indicates a need for further intervention by the nurse.</p>
<p>Reason: A transparent film dressing does not compress the wound, so it is not suitable for wounds that are bleeding or have edema. A gauze or elastic bandage would be more appropriate for these types of wounds, as they compress the wound and prevent bleeding and edema.</p>
<p>Reason: Applying an occlusive dressing over the wound may help prevent air from entering or escaping from the pleural space, but it does not remove any existing air that has already caused tension pneumothorax.<br />
</p>
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