{"id":142275,"key":"SELF/Perioperative_Nursing/Surgical_Wound_Dressing/Indications_and_Contraindications_Quiz","title":"SELF/Perioperative Nursing/Surgical Wound Dressing/Indications and Contraindications Quiz","latest":{"id":1262462,"timestamp":"2026-08-28T19:13:02Z"},"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{Which situation is the most appropriate indication for performing a routine postoperative surgical wound dressing?\n|type=\"()\"}\n- A patient with a dehisced abdominal incision requiring immediate surgical review\n|| ''A dehisced incision requires surgeon review rather than a routine dressing change.''\n+ A stable postoperative incision due for a scheduled dressing change\n|| '''Routine postoperative dressing changes are performed according to the surgeon's orders or local protocol when the wound is healing as expected.'''\n- A patient with extensive tissue necrosis requiring debridement\n|| ''Tissue necrosis requires further assessment and management beyond a routine dressing change.''\n- A patient with uncontrolled wound bleeding\n|| ''Uncontrolled bleeding requires immediate assessment before a routine dressing change proceeds.''\n\n{Which finding should prompt the nurse to seek surgeon review before proceeding with a routine postoperative dressing change?\n|type=\"()\"}\n- Mild bruising and small serosanguinous drainage near the incision\n|| ''This may be expected soon after surgery and does not automatically require surgeon review before routine dressing care.''\n- Slight swelling around the incision without wound separation\n|| ''Mild localized swelling may be part of the expected postoperative course, but it should still be observed and documented.''\n- Mild discomfort at the incision site during dressing removal\n|| ''Some discomfort may occur, but it does not by itself indicate that the wound is unsuitable for routine dressing change.''\n+ Separation of wound edges with purulent drainage\n|| '''Wound separation with purulent drainage suggests a complication and requires surgeon review before proceeding as routine care.'''\n\n{A nurse removes the outer dressing and observes increasing redness extending beyond the wound edges and thick yellow drainage. What is the most appropriate action?\n|type=\"()\"}\n- Complete the dressing change as planned and reassess at the next scheduled change\n|| ''These findings should be escalated rather than deferred to the next scheduled dressing change.''\n- Apply a larger dressing to absorb the drainage\n|| ''A larger dressing does not address the underlying wound complication.''\n+ Protect the wound aseptically and notify the surgeon before routine care\n|| '''Increasing redness and thick yellow drainage suggest possible infection, so the nurse should maintain aseptic protection and seek surgical review.'''\n- Clean the wound thoroughly and continue unless the patient develops a fever\n|| ''The wound findings alone warrant escalation.''\n\n{During dressing preparation, the nurse is unsure whether the wound appearance is expected after surgery or represents early infection. What is the safest next step?\n|type=\"()\"}\n+ Compare the wound with expected findings, assess the patient, and seek review if concerns remain.\n|| '''The nurse should use clinical assessment, expected postoperative findings, and escalation when the wound may not be suitable for routine care.'''\n- Proceed with routine dressing because uncertainty is common after surgery\n|| ''Uncertainty should not be ignored when the wound may show signs of complication.''\n- Cover the wound quickly and wait for the next scheduled dressing change\n|| ''Covering the wound without addressing concern may delay recognition of infection or wound breakdown.''\n- Ask another nurse to complete the dressing without sharing the concern\n|| ''Handover of concern is essential; transferring the task does not resolve the clinical question.''\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}}"}