{"id":142278,"key":"SELF/Perioperative_Nursing/Surgical_Wound_Dressing/Wound_Cleansing_and_Dressing_Application_Quiz","title":"SELF/Perioperative Nursing/Surgical Wound Dressing/Wound Cleansing and Dressing Application Quiz","latest":{"id":1262467,"timestamp":"2026-08-28T20:39:33Z"},"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{Why should a new sterile swab be used for each cleansing pass during routine postoperative wound cleansing?\n|type=\"()\"}\n- To reduce the amount of cleansing solution required\n|| ''The purpose of changing swabs is not to conserve solution.''\n+ To avoid carrying microorganisms back across the wound\n|| '''Using a new sterile swab for each pass helps maintain aseptic technique and reduces the risk of cross-contamination.'''\n- To shorten the overall procedure time\n|| ''Changing swabs may take additional time but improves patient safety.''\n- To improve patient comfort by keeping the wound dry\n|| ''The purpose is infection prevention rather than improving comfort.''\n\n{While applying the new dressing, the nurse realizes the dressing is sterile but has been picked up with the dirty forceps. What is the most appropriate action?\n|type=\"()\"}\n- Apply it if the dressing has not touched the wound\n|| ''The dressing has been contaminated by the dirty forceps and should not be applied.''\n- Turn the dressing over and apply the untouched side\n|| ''Both sides should be considered contaminated once the dressing has been handled with dirty forceps.''\n+ Discard the dressing, and obtain a sterile replacement\n|| '''A sterile dressing handled with contaminated forceps is no longer sterile and should be replaced.'''\n- Rinse the dressing with sterile saline before applying it\n|| ''Sterile saline does not restore sterility.''\n\n{Which cleansing technique best supports safe wound healing during routine postoperative wound care?\n|type=\"()\"}\n- Cleanse back and forth across the incision until all drainage is removed\n|| ''Repeated back-and-forth cleansing may transfer microorganisms across the wound.''\n+ Clean from clean to less clean, using one pass per swab\n|| '''This technique minimizes cross-contamination while protecting healing tissue.'''\n- Reuse the same swab until no visible drainage remains\n|| ''Each swab should be used for only one cleansing pass.''\n- Apply firm pressure during cleansing to remove all dried drainage\n|| ''Aggressive cleansing may damage healing tissue.''\n\n{During cleansing, the nurse notices that dried drainage remains after one gentle pass. What should the nurse do?\n|type=\"()\"}\n- Scrub firmly until all dried drainage is removed\n|| ''Firm scrubbing can damage healing tissue and increase pain or bleeding.''\n- Reuse the same swab because it already contains cleansing solution\n|| ''Reusing the swab can transfer organisms and debris back across the wound.''\n- Leave the wound uncovered until all drainage softens naturally\n|| ''The wound should not be left exposed unnecessarily.''\n+ Use a new sterile swab and repeat gentle cleansing as appropriate\n|| '''If further cleansing is needed, a new sterile swab should be used while avoiding unnecessary tissue trauma.'''\n\n{After cleansing, the nurse notes new bleeding from the incision that was not present when the old dressing was removed. What is the safest next step?\n|type=\"()\"}\n- Apply the dressing quickly and reassess at the next change\n|| ''New bleeding should not be ignored or hidden under the dressing without assessment.''\n- Continue cleansing firmly to identify the bleeding source\n|| ''Continued firm cleansing may worsen bleeding or disrupt healing tissue.''\n- Leave the wound open until the bleeding stops completely\n|| ''The wound should be protected while the nurse assesses and escalates as needed.''\n+ Apply gentle pressure as appropriate and seek review if bleeding continues\n|| '''New bleeding requires assessment, appropriate immediate action, and escalation if it does not settle or appears abnormal.'''\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}}"}