Test on Surgical Wound Management: A Comprehensive Guide

Question 1: Is the primary goal of sterile wound irrigation to completely dehydrate the wound surface to prevent microbial adhesion?

A. Ano

B. Ne

Explanation: The study materials state that the purposes of sterile wound irrigation are to remove secretions (exudate, blood, pus, bacteria) from the wound, to optimize the healing environment, and to instil medication. Completely dehydrating the wound surface is not listed as a purpose.

Question 2: Which of the following statements correctly describe principles to ensure the maintenance of asepsis for a sterile table?

A. A sterile object remains sterile even if touched by a clean object, provided the contact is brief.

B. Sterile objects or fields are considered unsterile if they are out of the range of vision or below waist level.

C. The edges of a sterile field, specifically a 2.5 cm margin, are considered contaminated.

D. Prolonged exposure to air does not contaminate a sterile object or field.

Explanation: According to the study materials, a sterile object remains sterile only when touched by another sterile object (Principle 1), making option 0 incorrect. Sterile objects or fields out of the range of vision or below waist level are considered unsterile (Principle 3), which makes option 1 correct. The edges of a sterile field, specifically a 2.5 cm margin, are considered contaminated (Principle 5), making option 2 correct. A sterile object or field becomes contaminated by prolonged exposure to air (Principle 4), which makes option 3 incorrect.

Question 3: When collecting a swab sample from a septic wound, the sample should be sent to the lab before the wound dressing procedure is completed.

A. Ano

B. Ne

Explanation: The study materials indicate that if a swab was prescribed, a sample should be collected, labeled, and sent to a lab after finishing dressing a wound, not before.

Question 4: According to the A SEPTIC WOUND Redressing Procedure, which statement accurately describes a step in managing the wound?

A. Septic wound irrigation is carried out only if it has been ordered.

B. The cleaning strokes for a septic wound are directed from the incision outward.

C. A sterile contact dressing is applied immediately after cleaning a septic wound.

D. Before any other steps, the septic wound is assessed for its healing per primam intentionem.

Explanation: The study materials state under the Septic Wound Redressing Procedure, point 4: 'Perform the septic wound irrigation (if it is ordered)'. This confirms that irrigation is contingent on an order. Cleaning a septic wound is done 'toward to wound', not 'from the incision outward' which is for aseptic wounds. Applying a sterile contact dressing is a step for aseptic wounds, not septic wounds, which instead suggest applying 'appropriate solution, ointments etc.'. Septic wounds heal 'per secundam or per tertiam intentionem', not 'per primam intentionem', and assessment is done after removing the old dressing, not before any other steps.

Question 5: The first step for alcohol handrub, applying the alcohol-based formulation, requires prior wetting of the hands with water.

A. Ano

B. Ne

Explanation: The study materials for alcohol handrub show the first step as applying the alcohol-based formulation directly to the hand without any mention or image of prior wetting. Wetting hands with water is specified as the first step for hand washing with water and soap.