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WebWoc WND580: Questions And Complete Answers
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WebWoc WND580: Questions And Complete Answers
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WebWoc WND580: Questions And Complete AnswersIntermittent claudication leg pain is characterized as pain that occurs:
Right Ans - With activity and is relieved by rest.
As you examine a patient's lower extremity you observe a thin leg with dry
skin and very little hair; the ABI is 0.5. From this data, what condition would
you assess to be present? Right Ans - Arterial insufficiency.
Which of the following statements about inelastic compression bandages is
accurate? Right Ans - They are only effective in the ambulatory patient.
What is Mrs. Lang's foot deformity called when there is a rocker bottom
appearance to her foot? Right Ans - Charcot's joint.
Which of the following statements about contact casting is correct? Right
Ans - The contact cast redistributes the weight of the diabetic foot.
Mrs. Anderson has dependent rubor and elevation pallor of her right lower
extremity. The systolic pressure in her R. arm is 170 mmHg; L arm is 165
mmHg, R. dorsal pedis systolic pressure was 100 mmHg and the posterior
tibial pressure was 95 mmHg. What is Mrs. Anderson's ABI for the RLE?
Right Ans - 0.59
Record the highest brachial pressure in the arms. Record the highest pressure
from the dorsal pedis and posterior tibial pulse location. Calculate the ABI by
dividing the higher of two ankle pressures by the higher of the two brachial
pressures. 100 (highest of two ankle pressures) is divided by 170 (highest of 2
brachial pressures) = 0.588; round off to 0.59 ABI.
An ambulatory patient with insulin dependent diabetes has an ulcer located
on the plantar surface of the left foot over the third metatarsal head. The ulcer
is 1 cm in diameter, with a dry red surface. The patient denies any pain in the
ulcer. What type of wound does this most likely represent? Right Ans -
Neuropathic Ulcer.
Which of the following assessments is most indicative of an arterial ulcer?
Right Ans - An ABI of 0.7. An ABI of less than 0.9 is indication that the wound
has an arterial insufficiency or LEAD (lower extremity arterial disease). Pain
, occurs with many types of leg ulcers as well as arterial. Many factors can
contribute to the color and condition of the wound bed.
Which of the following statements is TRUE? Venous dermatitis: Right Ans -
results in erythema, crusting, scaling skin of the leg.
Which of the following statements concerning the management of a mixed
venous/arterial ulcer with an ABI of .75 is TRUE? Right Ans - Graduated
compression can be provided at a modified level of support.
Mrs. James has an eschar covered heel ulcer and you decide that the best
approach to management is NOT to debride but to keep the eschar covered,
dry and intact. The rationale for your decision is that the: Right Ans -
TcPO2 (transcutaneous oxygen) is 15 mmHg.
A TcPO2 level below 40 mmHg demonstrates skin/tissue hypoxia and is a sign
for possible delayed healing. If the eschar is non-infected and dry, it is best left
in place because it provides a natural barrier to outside pathogens. Infection
of an ischemic leg ulcer requires aggressive systemic antibiotics and
debridement of necrotic tissue. Periwound erythema may also be a sign of
infection, but further data is needed. Albumin levels of 3.0 show some reduced
protein stores but this is not as important of a factor in non-debridement of an
eschar covered wound.
A patient in the outpatient wound clinic has a venous ulcer and with
palpation, the skin around the ulcer feels firm and woody or hardened. This
describes what condition? Right Ans - Lipodermatosclerosis.
Mrs. Jones has an ulcer located on the dorsal surface of the third toe on the left
foot. The ulcer is 1 cm in diameter, with a dry, pale pink wound bed. She
reports significant pain in the ulcer and denies any history of diabetes. What is
the MOST likely cause of this ulcer? Right Ans - Arterial insufficiency.
The wound nurse is providing discharge education to a patient who suffered a
deep partial thickness burn to their lower extremity. What intervention would
be most appropriate in the plan of care? Right Ans - Moisturizers and OTC
antihistamines.
Lymphedema is the accumulation of: Right Ans - Protein rich fluid in the
soft tissue.
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