NAWCO-AWCC Dumps
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NAWCO Advanced Wound Care Certified
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A clinician is evaluating a patient with compromised blood flow due to peripheral vascular disease. Which assessment parameter should be prioritized to determine the severity of the patient’s condition and its potential impact on wound healing?
Serum albumin levels
Capillary refill time
assessment scale
er: B
nation: Capillary refill time is a quick measure of blood flow and perfusion. Delayed capillar es poor blood circulation, which directly impacts wound healing capacity.
a clinical trial on a novel wound care treatment, the researchers discover unexpected advers in a subset of participants. What is the most appropriate action for the researchers to take ing the dissemination of these findings?
it until the trial is completed to report the findings cuss the findings only with the participants affected blish the findings without consulting the IRB mediately inform the IRB and halt the trial
er: D
nation: Immediate reporting to the IRB is crucial to ensure participant safety and ethical stan
Pain
Answ
Expla y refill
indicat
During e
effects regard
Wa
Dis
Pu
Im
Answ
Expla dards,
allowing for a reassessment of the trial's risk-benefit ratio.
A nurse is educating a patient about the use of hydrocolloid dressings for their wound management. Which statement should the nurse include to ensure proper understanding of the dressing's function?
Hydrocolloids are used exclusively for dry wounds.
Hydrocolloids should be changed daily.
Hydrocolloids promote a moist environment that aids in healing.
Hydrocolloids do not allow for gas exchange.
Answer: C
essing a wound, you observe a 3 cm x 5 cm ulcer with a yellow slough covering the wound b dges are well-defined, and there is a slight odor. What does the presence of yellow slough in ing the healing process?
ection or necrosis nulation tissue formation althy epithelial migration
wound environment
er: A
nation: Yellow slough often indicates necrotic tissue or infection, which can hinder the heali and must be addressed in the treatment plan.
In ass ed.
The e dicate
regard
Inf
Gra
He
Dry
Answ
Expla ng
process
A patient with a chronic venous ulcer has been treated with compression therapy for several weeks, but the wound has not progressed toward healing. What additional treatment should be considered to optimize the healing process?
Introduction of a topical antiseptic to prevent infection
Change to a hydrogel dressing to maintain moisture
Assessment of venous function and potential surgical intervention
Increase in the frequency of dressing changes
Answer: C
Explanation: Assessing venous function and considering surgical interventions, such as vein stripping or endovenous laser therapy, may be necessary when chronic venous ulcers do not respond to conservative management like compression therapy.
election of appropriate pressure redistribution strategies for a patient with a complex medic and multiple comorbidities, how does the use of lateral rotation beds contribute to overall p
reducing the risk of aspiration nhancing mobility
roviding continuous pressure relief improving patient comfort
er: C
nation: Lateral rotation beds provide continuous pressure relief by periodically redistributing which is essential for patients with complex medical histories at high risk for pressure ulce
operative patient develops a hematoma at the incision site. Which of the following sympto most likely indicate that this hematoma is evolving into a more serious complication?
calized swelling and bruising sistent pain at the site
history atient
care?
By
By e
By p
By
Answ Expla
weight, rs.
A post- ms
would
Lo
Per
Fever and increased heart rate
Minimal drainage from the incision
Answer: C
Explanation: The combination of fever and increased heart rate suggests a potential systemic infection or complications arising from the hematoma, necessitating prompt assessment.
During a wound care meeting, a discussion arises about the use of alginates in managing wounds with heavy exudate. What critical aspect of alginates makes them particularly effective in such scenarios?
They are non-adherent.
They absorb moisture and gel upon contact with exudate.
They provide a cooling effect.
er: B
nation: Alginates absorb moisture and form a gel when in contact with exudate, which is effe naging wounds with heavy drainage.
ent from a different cultural background refuses a standard wound care treatment due to pers As a clinician, what is the best approach to respect the patient's preferences while ensuring
priate care?
vide alternative treatment options that align with their beliefs st on the treatment for the patient's well-being
cument the refusal and proceed with the standard care
er the patient to another clinician without further discussion
er: A
nation: Offering alternative treatment options shows respect for the patient's cultural beliefs a
Answ
Expla ctive
for ma
A pati onal
beliefs. appro
Pro
Insi
Do
Ref
Answ
Expla nd
preferences while still aiming to provide effective wound care.
A patient with a long-standing ulcer has been prescribed several medications. Which aspect of the medication history is critical to explore to understand its effects on wound healing?
Dosage frequency
Duration of each medication
Side effects experienced
Drug interactions Answer: D
Explanation: Understanding potential drug interactions is vital as they can adversely affect wound healing or the effectiveness of prescribed treatments.
enario where a patient’s religious beliefs oppose certain medical treatments for wound care, nician's best approach to ensure ethical practice?
ucate the patient on the importance of the treatment
laborate with the patient to find compatible treatment options miss the beliefs if they contradict medical advice
cument the beliefs and proceed with the recommended treatment
er: B
nation: Collaborating with the patient respects their religious beliefs while finding a treatmen ith both the patient's values and medical needs.
ent with a recent history of surgery has a blood sugar level of 140 mg/dL postoperatively. W ost appropriate action regarding their management?
Quest In a sc what is the cli Ed Col Dis Do Answ Expla t that aligns w A pati hat is the m Initiate insulin therapy No action needed Increase oral hypoglycemics Monitor blood sugar levels only Answer: A Explanation: A blood sugar level of 140 mg/dL postoperatively may warrant insulin therapy to ensure Which aspect of patient education is crucial for promoting adherence to a wound care regimen, particularly in patients with chronic wounds? importance of regular follow-ups ar instructions on dressing changes and signs of infection role of family support in healing er: C nation: Clear instructions on dressing changes and recognizing signs of infection are essential ting adherence to the wound care regimen and preventing complications. of the following factors is likely to exacerbate the impact of smoking on wound healing in diabetic patients? Poor glycemic control h protein diet gular exercise equate hydration er: A The aesthetic benefits of healing The Cle The Answ Expla for promo Which A. Hig Re Ad Answ Explanation: Poor glycemic control in diabetic patients can exacerbate the negative effects of smoking on wound healing, further impairing vascular and immune responses. What is the primary advantage of utilizing negative pressure therapy in the treatment of complex wounds, especially in terms of tissue management? Rapid closure of the wound Enhanced patient comfort Decreased need for dressing changes Promotion of granulation tissue Answer: D onsidering adjunctive therapies for a patient with a non-healing pressure ulcer, which optio be least effective in addressing the underlying pathology? gical intervention ema management through pumps perbaric oxygen therapy al contact casting er: D nation: Total contact casting is primarily effective for diabetic foot ulcers with pressure point uitable for pressure ulcers where the primary issue is pressure relief rather than offloading. wound assessment, determining the presence of tunneling is crucial. What is the best appro or tunneling accurately? When c n would Sur Ed Hy Tot Answ Expla s and is not s During ach to assess f Using a cotton swab to explore the wound edges Visual inspection alone Relying on patient feedback regarding pain Measuring the wound only in two dimensions Answer: A Explanation: Using a cotton swab to gently explore the wound edges allows for accurate detection of The application of alginate dressings in wound care presents unique advantages. However, what is a potential limitation of using alginates on dry, eschar-covered wounds? ey can cause maceration of surrounding skin. ey can lead to wound desiccation. ey may not adhere adequately to the wound bed. er: C nation: Alginates are not suitable for dry, eschar-covered wounds as they may draw moisture he wound, leading to desiccation and hindered healing. year-old female with a stage II pressure ulcer reports a recent decline in appetite and increase Which assessment would provide the most relevant information regarding her nutritional st mprehensive metabolic panel ay food diary Mini Nutritional Assessment (MNA) dy composition analysis er: CQuest
Question: 1403
ion: 1404
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Question: 1405
ion: 1406
ion: 1407
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Quest
Question: 1408
ion: 1409