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NUR 2206 ( LATEST 2024 / 2025 ) MIDTERM 2 | GRADED A+ | PASSED | NEW FULL EXAM ACTUAL
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NUR 2206 ( LATEST 2024 / 2025 ) MIDTERM 2 | GRADED A+ | PASSED | NEW FULL EXAM ACTUAL
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NUR 2206 Midterm 21. acute wound
Answer
heals quickly, edges approximated, low risk of infection
2. chronic wound
Answer
do not heal as expected, remain in inflammatory phase
--> could be due to arterial or venous insufficiency
3. phases of wound healing
Answer
1. hemostasis
2. inflammatory phase
3. proliferation phase
4. materation phase
4. inflammatory phase
Answer
4-6 days; phagocytosis and WBC, generalized body response to hemostasis, growth factor
released
-acute inflammation (pain, heat, redness, swelling)
5. proliferation phase
Answer
lasts several weeks;
granulation tissue develops to fill in wounds; fibroblastic, regenerative, connective tissue
-new blood cell formation
-oxygen and nutrients needed to heal
,6. maturation phase
Answer
begins ~ day 21;
can last months of years; *collagen* remodeled; blood vessels compressed
-scar
7. primary intention
Answer
wound edges well approximated
8. secondary intention
Answer
wound edge not well approximated; heals by granulation tissue formation
9. tertiary intention
Answer
delayed primary intention
10. desiccation
Answer
drying up of wound; cells die and rust over wound site
11. maceration
Answer
overhydration of cells due to moisture somewhere on skin;
--> leads to softening and breakdown of skin
12. dehiscence
Answer
partial or total separation of wound layers due to excessive stress on wounds that are not healed;
sutures holding wound together pop
--> pts. with a lot of fat, diabetic, or elderly
, --> cannot be closed the same way due to bacteria
13. evisceration
Answer
complete separation of wound with protrusion of viscera through incision (intestines/organs
coming out that happens 2-7 days after surgery)
14. fistula
Answer
abnormal passage from internal organ to outside the body or from one internal organ to another
--> skin doesnt heal well or suture slips
--> caused by abscess
15. granulation tissue
Answer
During a dressing change, inspection of the wound reveals what appears to be reddish-pink
tissue in the wound. The nurse interprets this as most likely indicating
16. area of maceration
Answer
A patient has a wound caused by exposure to moisture. This wound is considered to be
17. ischemia
Answer
paleness in area where pressure was applied; deficiency of blood in a particular area
18. reactive hyperemia
Answer
blanchable reddening of the skin when pressure is re- moved
19. stage 1 pressure ulcer
Answer
area of intact skin with nonblanchable redness of localized area usually over bony prominence;
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