Exam (elaborations)
N450 - Skin and Wound Assessment and Management (1)
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N450 - Skin and Wound Assessment and Management (1)
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N450 - Skin and Wound Assessment andManagement
What are different types of wounds? - ANS-abrasion, incision, Puncture, Pressure ulcer,
venous ulcer, arterial ulcer, diabetic ulcer
What is a primary intention wound healing - ANS-when the edges of a clean wound are
well approximated with sutures
minimal scarring
What is a secondary intention wound healing? - ANS-large wounds with tissue loss
ends are not approximated
healing occurs by formation of granulation tissue
greater chance of infection and scarring
What is a tertiary intention wound healing? - ANS-left open for several days to allow
edema or infection to resolve or exudate to drain; then are closed
How should you assess wounds? - ANS-Inspection = sight and smell
Palpation = appearance, drainage and pain, infected?
How does an infected wound look like? - ANS-swollen, deep red, hot on palpation,
increased drainage, foul smelling
What are the different wound complications? - ANS-1. infection
2. hemorrhage
3. dehiscence and evisceration
What is dehiscence? - ANS-a closed wound separating and opening
What is evisceration? - ANS-dehiscence + organs protruding
Medical emergency!!
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