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Wound Care
| Question | Answer |
|---|---|
| Define the term wound. | Damaged skin or soft tissue. |
| Name three phases of wound repair. | Inflammation, proliferation, and remodeling. |
| Identify five signs and symptoms classically associated with the inflammatory response. | Swelling, redness, warmth, pain, and decreased function. |
| Discuss the purpose of phagocytosis, including the two types of cells involved. | Phagocytosis, a process that removes pathogens, coagulated blood, and cellular debris, is performed by white blood cells known as neutrophils and monocytes. |
| Name three ways in which the integrity of a wound is restored. | Resolution, regeneration, or scar formation. |
| Explain first, second, and third intention healing. | First- also called primary intention, the wound edges are directly next to each other. Second, wound edges are widely separated, more time consuming. Third, - wound edges are intentionally left widely separated and later brought together by a closure. |
| Name two types of wounds. | Pressure ulcers and surgical wounds. |
| State at least three purposes for using a dressing. | Keeping wounds clean, absorbing drainage, and controlling bleeding. types of dressings include: gauze, transparent, hydrocolloid, hydrogel, and alginate dressings. |
| Explain the rationale for keeping wounds moist. | A moist wound heals more quickly because new cells grow more rapidly in a wet environment. |
| Describe two types of drains, including the purpose of each. | Open and closed. Open drains are flat, flexible tubes that provide a pathway for drainage toward the dressing. Closed drains are tubes that terminate in a receptacle. They pull fluid by creating a vaccum or negative pressure. |
| Name the two major methods for securing surgical wounds together until they heal. | Sutures or staples hold the edges of an incision together. |
| Explain three reasons for using a bandage or a binder. | A bandage or a binder helps to hold a dressing in place, especially when tape cannot be used or the dressing is extremely large; reduces pain by supporting the wound; or limits movement to promote healing. |
| Discuss the purpose for using one type of binder. | A T-binder is used to secure a dressing to the anus, perineum, or groin. |
| Give examples of four methods used to remove nonliving tissue from a wound. | Sharp debridement, enzymatic debridement, autolytic debridement, and mechanical debridement. |
| List three commonly irrigated structures. | Eye, ear, or vagina. |
| State two uses for applying heat and cold. | Heat is applied to promote circulation and speed healing; cold is used to prevent swelling and control bleeding. |
| Identify at least four methods for applying heat and cold. | Ice bags, compresses, soaks, and therapeutic baths. |
| List at least five risk factors for developing pressure ulcers. | Inactivity, immobility, malnutrition, dehydration, and incontinence. |
| Discuss three techniques for preventing pressure ulcers. | Changing client's positions every 1 to 2 hours, keeping the skin clean and dry, and preventing friction and shearing force on the skin. |
Created by:
Jessica Venyke
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