Exam (elaborations)
WOUND CARE WOCN QUESTIONS AND ANSWERS
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WOUND CARE WOCN QUESTIONS AND ANSWERS
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WOUND CAREWOCN QUESTIONS
AND ANSWERS
TEWL - Answers -Transepidermal water loss
What is the most common type of skin cancer? - Answers -basal cell carcinoma (BCC)
How does basal cell carcinoma present? - Answers -"pearl like" translucent papule with
central ulceration
What is the second most common type of skin cancer? - Answers -Squamous cell
carcinoma (SCC)
How does squamous cell carcinoma present? - Answers -Enlarging keratotic papule
ABCDEs of melanoma - Answers -Asymmetric, border irregular, color variance,
diameter >0.6 cm, evolution
What are some conditions that interfere with normal valvular function? - Answers -
Obesity, DVT or phlebitis, thrombophilic conditions, and inflammatory autoimmune
conditions
Conditions that cause impaired calf muscle functions - Answers -Paralysis, gait
alterations, advanced age, and sedentary lifestyle or reduced mobility
Pain associated with venous ulcers - Answers -"aching" pain that is worsened by
dependency and relieved by elevation
Physical findings in a patient with venous ulcers - Answers -Edema, hemosiderosis,
palpable pulses, warm feet, and possibly venous dermatitis
, What is the most reliable and commonly used non-invasive test used to diagnose
venous disease - Answers -Venous duplex ultrasound; it detects venous reflux or
obstruction and the anatomic location of obstruction
What is the order of repair in an acute wound? - Answers -Brief inflammatory phase,
epithelial resurfacing and granulation tissue formation and remodeling
What is the max tensile strength for a full-thickness wound healing by scar tissue
formation? - Answers -80% of original tissue strength
What strategy is used to help convert a chronic wound into an acute wound? - Answers
-Surgical debridement
intermittent claudication - Answers -pain and discomfort in calf muscles while walking; a
condition seen in peripheral arterial disease
What are the nutritional requirements of patients with open wounds or at risk for
pressure ulcer? - Answers -30 to 35 cal/kg/day; 1.25 to 1.5 proteins/kg/day; and
30mL/kg/day of fluids
Moisture retentive dressings - Answers -permit evaporation of moisture from the skin ad
wound--NOT OCCULSIVE
TIME framework for wound healing - Answers -tissue management, control of
inflammation/infection, moisture balance, edge advancement
Appropriate wound cleansers that flush away exudate without damaging proliferative
cells include: - Answers -saline, commercial wound cleansers, and potable tap water
Cleansing of "dirty" wounds - Answers -Require 4 to 15 psi irrigating force and may
involve cytotoxic solutions
contact layers - Answers -1. single layer of woven net
2. protects new granulation tissue
3. can irrigate through it
4. can use with topical med
5. needs a secondary dressing
6. not to be used with think exudate
Hydrocolloid dressing - Answers -Inappropriate for infected wounds and exudative
wounds.
transparent adhesive dressing - Answers -semipermeable, bacteria do not penetrate the
wound.
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