SKIN INTEGRITY WOUND CARE ATI
QUESTIONS AND STUDY BOOK
A nurse is caring for a client who is 2 days postoperative following an
appendectomy and has type I diabetes myelitis. Their Hgb is 12 g/dL and BMI is
17.1. This incision is approximated and free of redness, with scant serous
drainage on the dressing. The nurse should recognize that the client has which of
the following risk factors for impaired wound healing? Select all that apply
A. Extreme in age
B. Chronic illness
C. Low hemoglobin
D. Malnutrition
E. Poor wound care - correct answer B,c,d
A nurse is collecting data from a client who is 5 days postoperative following
abdominal surgery. The surgeon suspects an incisional wound infection and has
prescribed antibiotic therapy for the nurse to initiate after collecting wound and
blood specimens for culture and sensitivity. Which of the following findings
should the nurse expect? Select all that apply
A. Increase in incisional pain
B. Fever and chills
C. Reddened wound edges
D. Increase in serosanguineous drainage
E. Decrease in thirst - correct answer A,b,c
A nurse educator is reviewing the wound healing process with a group of nurses.
The nurse educator should include in the information. Which of the following
alterations for wound healing by secondary intention? Select all that apply
