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AMSA Advanced Nursing 2 In-class Reviewed questions & answers.
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AMSA Advanced Nursing 2 In-classReviewed questions & answers.
A term for a disruption of the integrity and function of the tissues in the body is __________ ANS - a
wound or injury
In this wound classification, the wound proceeds through an orderly and timely process to produce
anatomical and functional integrity ANS - acute wound
In this wound classification, the wound fails to proceed through an orderly and timely process to
produce anatomical and functional integrity. Caused by vascular compromise or chronic inflammation
ANS - chronic wound
For which wound intention are the wound edges not approximated, so the wound may be left open until
it becomes filled by scar tissue? ANS - secondary intention
For which wound intention is the wound is left open for several days, THEN wound edges are
approximated? ANS - tertiary intention
What is the innermost layer of the epidermis? ANS - stratum basale
What layer of the skin provides tensile strength and protection for the underlying muscles, bones, and
organs? ANS - dermis
Which is the only cell type in the skin that produces collagen? ANS - fibroblasts
Which healing process is characterized by the wound being shallow, very painful, and red in
appearance? ANS - partial-thickness wound repair
Which healing process takes longer than the healing of a partial thickness wound? ANS - full-thickness
wound repair
, During which healing phase of full-thickness wound repair is a fibrin matrix formed to provide the
framework for cellular repair? ANS - hemostasis
During which healing phase of full thickness wound-repair will the patient present with redness, edema,
warmth, and throbbing pain? ANS - inflammatory phase
Which healing phase of full-thickness wound repair is characterized by scar tissue containing fewer
melanocytes, which leads to a lighter color than normal skin? ANS - maturation
What are 4 types of patients who are at an increased risk for pressure ulcers? ANS - - decreased mobility
- decreased sensory perception, diabetes
- patients with incontenence
- poor nutrition
This stage of a pressure ulcer consists of intact skin with non-blanchable redness of a localized area,
usually over a bony prominance ANS - Stage I
This stage of a pressure ulcer may include undermining and tunneling ANS - Stage III
To reduce the risk of pressure ulcers—how often should a patient's position be changed? ANS - every 2
hours
Which type of burn is characterized by dry skin, redness, and pain that is eased by cooling? ANS -
superficial (first-degree) burn
In which type of burn is the entire epidermis effected? ANS - partial-thickness (second-degree) burn
For which type of wound debridement is local anesthesia sometimes indicated? ANS - conservative
sharp debridement
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