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CHAPTER TWELVE. Wound Debridement

Which class of medications requires that extreme caution be used when debriding with sharp instruments or mechanical techniques?

a. β-blockers

b. Corticosteroids

c. Anticoagulants

d. Antipsychotics

Which of the following is a contraindication for sharp debridement?

a. Diabetic foot ulcers

b. Pressure ulcers

c. Venous insufficiency

d. Severe arterial insufficiency

Autolytic debridement is

a. The application of a topical pharmaceutical preparation that is specifically designed to target and break down the devitalized collagen

b. Use of an outside force or energy directly to the wound surface to remove necrotic tissue

c. The process by which the body’s endogenous enzymes loosen and liquefy necrotic tissue

d. The use of maggots to digest and debride necrotic tissue

Which of the following procedures is a method of nonselective debridement?

a. Wet-to-dry debridement

b. Sharp debridement

c. Enzymatic debridement

d. Autolytic debridement

Which of the following debridement techniques is an absolute contraindication for removing necrotic tissue in a venous insufficiency leg ulcer?

a. Autolytic debridement

b. Whirlpool

c. Enzymatic debridement

d. Low-frequency ultrasound

Which group of patients is more inclined to have difficulty with autolytic debridement, often requiring more aggressive forms of debridement to clean the wound bed of necrotic tissue?

a. Older adults

b. Children

c. Immobilized patients

d. Patients who smoke

Maggot debridement proposed actions include all of the following except

a. Debridement of necrotic tissue

b. Antimicrobial activity

c. Facilitation of wound healing

d. Improved arterial blood flow

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