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Stack #4609996
| Question | Answer |
|---|---|
| A partial thickness wound typically heals within about | 14 days |
| Rule of 9s | Head/neck: 9% (4.5% front, 4.5% back) Anterior trunk: 18% Posterior trunk: 18% Leg: 18% (9% front, 9% back) Arm: 9% (4.5% front, 4.5% back) Genitals: 1% |
| Hot tub folliculitis is most often caused by: | Pseudomonas aeruginosa |
| The most common site for venous ulcers is: | Medial malleolus |
| ABI scoring interpretation | >1.4: abnormally high, may indicate calcification of vessel wall 1.0-1.4: normal reading, asymptomatic 0.9-1.0: low reading, but acceptable unless other indications of PAD are present 0.8-0.9: likely some arterial disease is present 0.5-0.8: Moderate |
| Procedure for lidocaine soak | 1. Draw 5-10 ml of 2% lidocaine into a syringe 2. Remove wound dressing and cleanse wound 3. Place clean dry gauze over surface of wound 4. Saturate the wound area and gauze with lidocaine 5. Allow the lidocaine solution on wound for 3-5 minutes 6. E |
| At what angle should Doppler probe be place over artery: | 45 degrees |
| Older patients are more prone to xerosis than younger patients because of: | loss of sebaceous and sweat glands |
| What wound irrigation pressure | 10-15 psi |
| High level compression therapy should exert: | 30-40 mm/Hg |
| Which nutrient is needed for all phases of healing | Protein |
| Which nutrient is needed during the inflammatory stage to facilitate clotting? | Vitamin K |
| Which nutrient is needed during the proliferation stage to synthesize hemoglobin? | Iron |
| Which nutrient is needed during the proliferation stage for a number of different effects, including cell differentiation? | Vitamin D |
| Which vitamin is needed for inflammation and proliferation? | Vitamin A |
| Which vitamin is needed for hemostasis, inflammation, proliferation? | Vitamin C |
| Proliferation? | Zinc, copper |
| Which medication is an absolute contraindication to HBOT for treatment of a diabetic ulcer? | Bleomycin, cisplatin |
| Vibratory perception thereshold (VPT) | Test first on sternum Earn a point for each time they fail Score from 0(good) to 8 (impaired) |
| Classifications of compression stockings | Class 1: 20-30 mmHg (varicose veins) Class 2: 30-40 mmHg (venous ulcers and their prevention) Class 3: 40-50 mmHg (refractory venous ulcers and lymphedema) Class 4: 50-60 mmHg (lymphedema) |
| In the acute surgical wound, signs of inflammation are normal for the first: | 4 days |
| How long should maggots be left on on the wound? | 48 hours |
| Classifications of exudate | Covers less than 1/3=small Covers less than 2/3=moderate Covers more than 2/3=large |
| Nylon monofilament test, how many sites: | 10: bottom of the foot, press into the foot until line buckles, test great, 3rd, 5th toes, left, medial, right areas of the ball of foot, right and left of arch, middle of heel, dorsal aspect |
| The primary reason for ambulating with an Unna boot is to: | provide static support to the calf muscle pump |
| Indications of limb ischemia | Ankle pressure <40 mmHg Toe pressure <30 mmHg |
| Norton Pressure Ulcer Scale | 19-20: low risk 14-18: medium risk 10-14: high risk 5-9: very high risk |
| After acute surgery, the remodelin phase of wound healing of the incision usually lasts: | 1-2 years |
| Range of protein for different patients | Pressure injury or risk of malnutrition: 1.25-1.5 g/kg per day Surgical patients: 1.2-2.0 g/kg per day Chronic wounds: 1-2 g/kg per day |
| Most effective treatment for squamous cell carcinoma and basal cell carcinoma | Mohs procedure |
| Vancouver Scar Scale | Measures: scar formation, assess pigmentation and vascularity, pliability and height. 0(normal)-3-5(severe) Pigmentation ranges from normal to hypo- to hyperpigmentation VAscularity ranges from normal to pink, red and purple Pliability ranges from no |
| If an older patient has xerosis, tub baths should be limited to no more than: | 15 minutes |
| Malignant skin cancer unrelated to sun exposure | Kaposi's sarcoma |
| Bates-Jensen Wound Assessment Tool (BWAT) levels | 13-20: minimal 21-30: mild 31-40: Moderate 41-65: Critical |
| Irrigation pressures | 35 ml syringe with 19 g needle: 8 psi Squeeze bottle 4.5 psi 6ml/19g: 30 psi 12ml/19g: 20 psi 12ml/22g: 13 psi 35ml/21g: 6 psi 35ml/25g: 4 psi >15 trauma |
| The optimal sitting position to decrease risk of impaired perfusion is: | 95 degrees at hip and knee and 90-95 degrees at ankles |
| Rates of contraction of wound shapes | Linear=quickest Square, rectangular=intermediate Circular=slowest |
| Appropriate biological skin substitute for post-Mohs repair | Integra |
| STONES to identify deep infection | S: size is bigger T: temp has increased O: bone is exposed or prone to exposure N: new or satellite areas of tissue breakdown are evident E: exudate, erythema, edema are evident S: smell is present |
| Number of calories for adequate wound healing | 1500-3500 cal/day |
| To provide support for a scar, microporous tape should be applied: | Longitudinally along the length of the scar |
| With low-level lasar therapy for wound care, which of the following must be done immediately before treatment: | The wound must be cleansed with NS and covered with semipermeable film |
| PQRST to assess patients pain | P: palliative/provacative: makes it better or worse Q: quality of pain: type and description R: region/radiation: location and spread S: severity: pain rating T: temporal aspects: start/stop, continuous/intermittent, time of day |
| Which one of the labs help predict poor wound healing? | Transferrin Normal: 200-400 Mild deficiency: 150-200 Moderate deficiency: 100-150 Severe deficiency: <100 |
| Phases of healing | Hemostasis: (within minutes): platelets seal vessels, thrombin stimulates the clotting mechanism Inflammation: (1-5 days): inflammatory cells seek out and destroy bacteria. erythema, edema and pain are presnt. |
| phase of healing | Proliferation(2-3 weeks): granulation forms along with epithelization and wound contracture Remodeling/maturation (up to 2 years): new collagen forms, scarring is reduced, and tissue gains tensile strength. |
| When assessing venous refill time, venous occlusion is indicated with times of: | >20 seconds |
| Foam mattresses tend to bottom out and should be replaced after about: | 3 years |
| If a healthcare provider fails to provide adequate documentation regarding treatment outcomes, this may result in a: | claim of negligence |
| According to CMS guidelines regarding MIST therapy for debridement of wounds, continuing treatment is considered NOT medically necessary if there is no sign of improvement after: | 4-6 treatments |
| Which is the best dressing to apply to protect reddened but intact skin in order to prevent skin breakdown? | Hydrocolloids or film dressings |
| How many vials of antivenin | Grade I (mild) envenomation(perioral paresthesia): 5 vials Grade II (moderate) envenomation (paind, edema spreaad, systemic manifestions mild coagulopathy: 5-10 vials Grade III (severe): severe systemic signs and coagulopathy: 15-20 Grade IV (life thre |
| Stung by stingray. In addition to narcotics, what else? | Heat immersion |
| If a patient has hemosiderin staining on the lower extremities, preventative measures should be take to prevent: | Venous ulcers |
| NERDS to identify superficial infection | N: non-healing wound is present E: exudate is present from the wound R: red and bleeding surface granulation tissue is evident D: Debris includes yellow or black necrotic tissue on the surface of the wound S: smell or malodor present |
| Toe pressures | 55mmHg or greater: minimally adequate for healing 30-54 mmHg: some vascular compromise may impair healing <30 mmHg: vascular compromise present |
| Which of the following indicates that sharp instrument debridement must be discontinued? | Pain and bleeding occur |
| Payne-Martin Classification for skin tears | Category 1: skin tear (linear full-thickness or flap partial thickness) leaving avulsed skin adquate to cover wound. Category 2: moderate to large tissue loss type with more than 25% loss of epidermal flap |
| Category 3: skin tear with complete loss of tissue, involving partial-thickness wound with no epidermal flap. | |
| MEASURES | M: minimize trauma to wound bed E: eliminate dead space A: assess/manage exudate S: support the bodys defense system U: use nontoxic wound cleansers R: remove infection, debris, and necrotic tissue E: environmental maintenance |
| S: surrounding tissue protection |
Created by:
esoliz