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NRSG 317 Exam 3 wound
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NRSG 317 Exam 3 wound
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NRSG 317 EXAM 3 WOUND QUESTIONSWITH COMPLETE SOLUTION
d what is a primary intention? - surgical wound
what is a secondary intention? - wounds left open to heal by scar formation. ex) pressure ulcers,
dehisced incicions
what is a tertiary closure? - wounds managed by delayed closure. ex) surgical abdominal wounds,
antibacterial washed
what are the stages of healing? - 1. injury
2. homeostasis
3. inflammatory phase
4. proliferation phase
5. maturation phase
what is the homeostasis phase in wound healing? - coagulation pathway, fibrin clots form, platelets and
growth factors released.
what is the inflammatory phase in wound healing? - leakage of plasma, neutrophils, macrophages into
wound bed. can cause edema, erythema, warmth, exudate, or debridement by phagocytosis of bacteria.
what is the progliferative phase of wound healing? - continued production and recruitment of growth
factors. granulation formation, contraction of wound edges and epithelia resurfacing
what is the maturation phase of wound healing? - collagen synthesis and scar formation.
what is a chronic wound? - wounds that do not progress past the inflammatory phase.
how do you measure a wound? - height- the longest part
width- the widest part
depth- the deepest part
what is tunneling? - unequal healing of a wound.
what is the best conditions for wound healing? - -prevention of infection
-clean wound
-removal of nonviable tissue
-moisture
-elimination of dead space
, -odor control
-minimize pain
- protect wound and periwound
what daspect dof dnutrition dis dimportant din dwound dhealing? d- dadequate dprotein dintake
what dis dthe dname dof dthe dtechnique dused din dwound dculture? d- dlevine dtechnique
what dare dthe dsteps din dthe dlevine dtechnique? d- d- dclean dand drinse dwound
- didentify dclean darea dof dwound dbed
- dmoisten dculturette
- dapply dpressure dand drotate dswab don dwound dbed
- dinsert dswab dinto dvial
-label dand dchart
what ddoes dvenous dinsufficiency dcause? d- dleg dulcers, dwarm dskin, dred dbrown ddiscoloring dof dskin,
dscaling, dcrusting. dMost dcommon dat dankle dto dknee.
what ddoes darterial dinsufficiency dcause? d- dcool dskin, dpallor, dshiny dskin, ddry dskin, dthick dcoarse dnails
what ddoes dvenous ddermatitis dcause? d- ditching, derythema, dinflammation, dcrusting, dlesions
what ddoes dcellulites dcause? d- dfever, dpain, dwarm dskin, dtenderness, dblisters.
how ddo dyou dtreat dvenous ddermaitis? d- dcompression
how ddo dyou dtreat dcellulites? d- dantibotics
how dlong ddoes dit dtake dfor da dpressure dulcer dto dform? d- das dlittle das d2 dhours
what dare dthe dcausative dfactors dof dpressure dulcers? d- d-shear
-friction
-moisture
-skin ddamage
what doccurs din dstage d1 dof da dpressure dulcer? d- dredness dof da dlocalized darea dusually dover da dboney
dprominence
what doccurs din dstage d2 dof da dpressure dulcer? d- dpartial dthickness dloss dof ddermis, dshallow dopen dulcer
dwith dred dpink dwound dbed.
what doccurs din dstage d3 dof da dpressure dulcer? d- dfull dthickness dtissue dloss, dsubcutaneous dfat dvisible.
dsome dundermining dor dtunneling dpossible
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