Wound Care 2024 Study Guide Questions With Correct Answers 100% Pass
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Course
Wound care
Institution
Wound Care
Wound Care 2024 Study Guide Questions
With Correct Answers 100% Pass
A wound is a_____ - answerdisruption of the integrity and function of tissues in the body
pressure ulcers are usually located where? - answerover bony prominences
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EXAM STUDY MATERIALS July 30, 2024 11:26 AM Wound Care 2024 Study Guide Questions With Correct Answers 100% Pass A wound is a_____ - answer✔✔disruption of the integrity and function of tissues in the body pressure ulcers are usually located where? - answer✔✔over bony prominences To get more questions with correct answers email jamesdickson3161@gmail.com. We also provide Test banks and other E books to students - answer✔✔ Types of wounds - answer✔✔surgical, pressure, trauma, burns pressure ulcers - answer✔✔a wound caused by unrelieved pressure resulting in damage to underlying tissue. pressure ulcers may be caused by____ - answer✔✔braces, casts or splints risk factors for pressure ulcers - answer✔✔age- more common in elders r/t changes in skin and decreased imm unity, delayed healing chronic illness -diabetes, anemia vascular disease cause tissue changes incontinence - local irritation, maceration from prolonged contact and secondary infections from irritated or open skin diminished level of consciousness - inability to feel or interpret pressure or pain activity and mobility alterations alterations in nutrition and hydration serum albumin levels <3.5 are - answer✔✔at risk for skin breakdown risk scales for pressure ulcers - answer✔✔Norton -mental condition, activity, mobility, continence Braden - sensory perception, moisture, activity, mobility, nutrition, and shear/friction Pressure is the result of - answer✔✔intensity and time the first sign of damage is ___ - answer✔✔rednes s- if redness does not disappear after 20 -30 minutes of relieved pressure, damage has occurred how do you know damage has occurred - answer✔✔if redness does not blanch when pressed EXAM STUDY MATERIALS July 30, 2024 11:26 AM shear is produced when - answer✔✔adjacent surfaces slide across one another . causes twisting and tearing of blood vessels moisture - answer✔✔incontinence, starting or wet dressing cause to maceration and breakdown of the skin pressure ulcer staging: Stage 1 - answer✔✔observable pressure related alteration of intact skin Pressure Ulcer stage 2 - answer✔✔partial thickness skin loss involving epidermis, dermis, or both. May present as an abrasion, blister, shallow crater or blister Pressure Ulcer Stage 3 - answer✔✔full thickness skin loss exposing subcutaneous and or fatty tissue pressure ulcer stage 4 - answer✔✔full thickness skin loss with extensive destruction, tissue necrosis and damage to muscle, bone, or supporting structures pressure ulcer undermining and tunneling - answer✔✔face of clock to describe Unstageable/unclassified ul cer - answer✔✔presence of eschar hampers assessment and healing. Need to view wound base unstageable pressure ulcer if - answer✔✔a. eschar is a thick, leathery, dead or necrotic tissue; black or brown b. red, moist skin indicates granulation, healing c. ye llow tissue is slough Characteristics of damaged dark skin - answer✔✔a. may appear darker than surrounding skin b. may be taut, shiny or indurated c. may feel warmer or cooler than surrounding tissue arterial ulcers are caused by - answer✔✔inadequate circu lation Office oxygenated blood to the tissue which leads to tissue ischemia and damage description of arterial ulcers - answer✔✔appears punched out, small and round with smooth borders. The wound bas is usually pale with or without necrotic tissue. Ulcers tend to occur over the distal part of the leg, especially the ankles, toes, side of the foot and shin. The surrounding skin appears shiny, thin and dry and is cool to touch. Often there is loss of hair in the surrounding area. The area has delayed capillar y refill time, and patients may complain of pain that worsens with increased activity. Arterial ulcers are the most common in lower extremities but can occur anywhere. This type of ulcer can lead to serious injury and even death.
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