{"id":142279,"key":"SELF/Perioperative_Nursing/Surgical_Wound_Dressing/Decision-Making_During_the_Procedure_Quiz","title":"SELF/Perioperative Nursing/Surgical Wound Dressing/Decision-Making During the Procedure Quiz","latest":{"id":1262469,"timestamp":"2026-08-28T21:07:14Z"},"content_model":"wikitext","license":{"url":"https://www.appropedia.org/Appropedia:Copyrights","title":"CC-BY-SA-4.0"},"source":"{{Perioperative Nursing Curriculum Notice}}Use the quiz below to check your understanding of the material.{{Highlight\n| class = float\n| title = Instructions\n| text = Work through each question carefully to choose the best answer, and submit the quiz to view your results. After completing the quiz, read through the answer explanations to review the reasoning behind both correct and incorrect options.\n\n{{Return to main}}\n\n}}<quiz display=\"simple\">\n{During a dressing change, the nurse notices the incision edges are intact, but the surrounding skin is becoming irritated from repeated tape removal. What is the most appropriate action?\n|type=\"()\"}\n- Continue using the same tape placement because the wound itself is intact\n|| ''Skin irritation can worsen and affect dressing tolerance, so the nurse should not ignore it.''\n+ Protect the surrounding skin and adjust the securement method if appropriate\n|| '''The nurse should maintain dressing security while protecting the periwound skin from avoidable injury.'''\n- Apply tape more tightly so the dressing does not shift\n|| ''Tighter tape may worsen skin injury and does not address the irritation.''\n- Leave the dressing unsecured to prevent further skin irritation\n|| ''The dressing still needs to be secured appropriately to protect the wound.''\n\n{While applying a sterile dressing, the clean forceps accidentally touch the used dressing. What should the nurse do?\n|type=\"()\"}\n- Continue if the sterile dressing has not yet contacted the wound\n|| ''The forceps are no longer sterile and should not continue to be used.''\n- Wipe the forceps with sterile saline and continue\n|| ''Sterile saline does not restore sterility.''\n+ Replace the contaminated forceps before continuing\n|| '''Once contaminated, sterile instruments should be replaced before the procedure continues.'''\n- Continue using the forceps if only the handle touched the dressing\n|| ''Once contamination occurs, the instrument should no longer be considered sterile.''\n\n{During the dressing change, the patient reports a sudden increase in pain that is greater than expected. What is the most appropriate response?\n|type=\"()\"}\n- Complete the dressing change as quickly as possible\n|| ''Rushing to finish does not address the unexpected change in the patient's condition.''\n- Reassure the patient that increased pain is always expected\n|| ''Unexpected pain should not be dismissed, as it may indicate a change in the patient's condition or the wound.''\n+ Reassess the wound and patient before continuing\n|| '''Unexpected pain should prompt reassessment because it may indicate a change in the patient's condition or the wound.'''\n- Apply additional dressing layers without further assessment\n|| ''Further assessment should occur before continuing routine care.''\n\n{During dressing removal, the nurse notices a moderate amount of fresh bleeding that continues despite gentle pressure. What should the nurse do?\n|type=\"()\"}\n- Apply a larger dressing and continue routine care\n|| ''A larger dressing may absorb blood but does not address ongoing bleeding.''\n- Continue cleansing so the wound can be fully assessed\n|| ''Continued cleansing may worsen bleeding and should not take priority over controlling and escalating the concern.''\n- Well-approximated wound edges with minimal swelling\n|| ''These are expected findings during normal early healing.''\n+ Protect the wound and escalate for surgical review\n|| '''Ongoing fresh bleeding is not a routine finding and should be managed promptly with wound protection and appropriate review.'''\n</quiz>{{Return to main}}{{Page data\n| part-of = Wound Dressing - ECSACONM\n| keywords = surgery, health\n| sdg = SDG03 Good health and well-being\n| organizations = ECSACONM, SELF\n}}"}