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Principles
Wound Care ATI 30
Question | Answer |
---|---|
What is pallor? | loss of color |
How long should it take for color to return after capillary refill? | 3 seconds |
Brown pigmentation changes with? | venous insufficiency |
Shiny and translucent skin without hair on the toes and foot is seen with? | arterial insufficiency |
What does poor turgor mean? | dehydration |
How is strength graded? | 0-4 |
What is 0? | absent |
What is 1+? | diminished weaker |
What is 2+? | brisk, expected |
What is 3+? | increased |
What is 4+? | full volume, bounding |
Swelling should be assessed for? | discoloration, location and tenderness |
The depth of the pitting indicates? | the degree of edema |
What is 1+ edema? | trace |
What is 2+ edema? | mild |
What is 3+ edema? | moderate |
What is 4+ edema? | severe |
Examine lesions for? | size, color, size, shape, consistency, elevation, location, distribution, configuration, tenderness, and presence of fluid |
What is a macule? | freckle |
What is a papule? | elevated nevus |
What is a nodule? | wart |
What is a vesicle? | blister |
What is a pustule? | acne |
What is a wheal? | insect bite |
Wht is an erosion? | ruptured vesicle |
What is a crust? | scab |
What is a scale? | dandruf |
What is a fissure? | tinea pedis |
What is an ulcer? | pressure ulcer |
Vascular lesions are created with? | aging changes and when damage occurs to the blood vessels near the skin |
What is peripheral vascular? | thicker, more rigid peripheral blood vessel walls with a narrowed lumen leading to poor peripheral circulation |