{"id":142276,"key":"SELF/Perioperative_Nursing/Surgical_Wound_Dressing/Patient_Assessment_and_Wound_Evaluation_Quiz","title":"SELF/Perioperative Nursing/Surgical Wound Dressing/Patient Assessment and Wound Evaluation Quiz","latest":{"id":1262463,"timestamp":"2026-08-28T19:23:50Z"},"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 step should always be completed before cleansing a postoperative surgical wound?\n|type=\"()\"}\n- Apply the new sterile dressing\n|| ''The new dressing is applied only after the wound has been assessed and cleansed.''\n+ Assess the wound and removed dressing systematically\n|| '''The nurse should assess the wound and the removed dressing before cleansing so abnormal findings, drainage, odor, bleeding, or wound separation are recognized before routine care continues.'''\n- Irrigate the wound with sterile saline\n|| ''Cleansing should only begin after the wound has been assessed.''\n- Secure the sterile drapes\n|| ''Preparing the sterile field occurs before wound assessment but does not replace assessment itself.''\n\n{Which finding is generally expected during normal early postoperative wound healing?\n|type=\"()\"}\n- Purulent yellow drainage\n|| ''Purulent drainage is an abnormal finding that suggests possible infection.''\n- Separation of the wound edges\n|| ''Wound edge separation is an abnormal finding that requires further assessment.''\n+ Minimal serosanguinous drainage with closed wound edges\n|| '''Small amounts of serosanguinous drainage and well-approximated wound edges are common findings during normal early healing.'''\n- Rapidly spreading redness extending beyond the incision\n|| ''Spreading erythema is an abnormal finding that requires further assessment.''\n\n{After removing the dressing, the nurse notices a small amount of dried serosanguinous drainage on the gauze, but the wound edges remain closed and there is no spreading redness, odor, or purulent drainage. What should the nurse do?\n|type=\"()\"}\n- Stop the dressing change and request immediate surgical review\n|| ''These findings may be consistent with expected early postoperative healing and do not automatically require urgent review.''\n- Irrigate the wound deeply to remove all dried drainage\n|| ''Routine postoperative dressing care should not include unnecessary deep irrigation unless ordered or clinically indicated.''\n- Apply extra layers of gauze because any drainage indicates infection\n|| ''A small amount of serosanguinous drainage does not necessarily indicate infection.''\n+ Continue the dressing change using aseptic technique while documenting the findings.\n|| '''Expected findings should still be assessed and documented, but routine wound care may continue if no concerning signs are present.'''\n\n{While removing a postoperative dressing, the gauze adheres to the wound. What is the most appropriate action?\n|type=\"()\"}\n+ Moisten the dressing with sterile saline before gently removing it\n|| '''Moistening an adherent dressing helps minimize trauma to newly healing tissue.'''\n- Pull steadily with increased force to remove it in one motion\n|| ''Forceful removal can damage tissue and increase pain or bleeding.''\n- Leave the old dressing in place and cover it with a new sterile dressing\n|| ''Covering an old adherent dressing does not allow proper wound assessment or safe dressing change.''\n- Cut away the loose outer portion and leave the adherent section attached\n|| ''Leaving part of the dressing in place may interfere with assessment and wound care unless specifically directed by policy or the surgeon.''\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}}"}