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PTH 270 wound care
wound care
| Question | Answer |
|---|---|
| absorbs exudate, provides moist environment, autolytic debridement, used with partial and full-thickness wounds, tends to roll, not used with infections. a.hydrogels b.foams c.hydrocolloids d.alginates | hydrocolloids |
| used on superficial/partial thickness wounds w/ min drainage, provides moist environment, autolytic debridement, potential to dehydrate wounds, requires secondary dressing. a.foams b.transparent films c.hydrocolloids d.hydrogels | hydrogels |
| allow for aborption from contact layer, over partial/full thickness wounds, used with hydrogels, provide protection mod absorption, may roll, lack of transparency a.alginates b.transparent films c.foams d.hydrogels | foams |
| permeable to vapor and O2 used for superficial/partial thick wounds, can visualize wound, shear resistant, exudate can build up and lead to maceration, not used on infective wounds a.alginates b.foams c.transparent films d.hydrocolloids | transparent films |
| highly absorptive, used with infective wounds made from seaweed a.foams b.hydrogels c.hydrocolloids d.alginates | algninates |
| used on infected or non infected wounds, cheap used with other dressing or topical agents, tend to adhere to wound bed a.hydrocolloid b.transparent film c.gauze d.algninates | gauze |
| RED-BLACK-YELLOW system moist slough, remove exudate and absorb drainage | yellow |
| RED-YELLOW-BLACK system: pick granulation, protect wound maintain moist environment | red |
| RED-YELLOW-BLACK system: thick eschar, debride tissue | black |
| ____ and ____ must occur during the inflammation phase for every wound to heal. a.revascularization,tensile strength b.scarring,stretching c.granulation,re-eppithelialization d.clotting,inflammation | clotting, inflammation |
| which of the following is a good anti-inflammatory drug? a.vitamin A b.vitamin B c.vitamin C d.copper | Vitamin C |
| the inflammation phase lasts for: a.1-3 days b.3-20 days c.1-10 days d.9-20 days | 1-10 days |
| which of the follwing occurs with the proliferative phase: a.coagulation,inflammation b.granulation,re-epithelialization c.increase tensile strength,revascularization d.hot pack, continuous US | granulization, re-epithelialization |
| collagen,hydration, nutrients/O2 circulation is indicative of good: a.re-epithelialization b.wound contraction c.granulation d.coagulation | granulation |
| which of the following will all wounds need for nutrients: a.vitamin A, copper b.vitamin B, lydocaine c.vitamin C, Zinc d.vitamin E, acetate | vitamin C, Zinc |
| cells migrating from the edges to center is indicative of? a.granulation b.ES c.re-epithelialzation d.bandaging | re-epithelialization |
| you would remove eschar for a wound contraction T/F? | true, the surrounding tissue must be soft, pliable, and healthy |
| you would start doing ROM and massage during the proliferative phase. T/F? | true |
| collagen III into Collagen I starts during what phase? a.proliferation b.inflammation c.remodeling d.regranulation | remodeling |
| what stage does revasculariztion occur? | remodeling |
| Sharp cuts, sterile environment, sewing, but heals quickly with little scarring is which repair process? a.delayed intention b.secondary intention c.primary intention d.remodeling phase | primary intention |
| a large open wound, that heals slowly from outside border, with a large scar is which type of repair process? a.primarary b.secondary c.delayed d.proliferation | secondary |
| a wound occuring outside ER, left open to drain, will want to heal inside out and possibly close later in Surgery is which type of repair process? a.primary b.secondary c.delayed d.inflammation | delayed |
| a painful wound, that heals quickly with islands of epithelial cells is which thickness of burn? a.full-thickness b.partial thickness c.deep b.superficial | partial thickness |
| a burn where skin graft is recommended, and high chance of necrotizing infections is which burn thickness? a.partial b.full c.superficial | full |
| any wound that does not heal in a reasonable time period is termed ____ | chronic |
| which of the following would be an intrinsic factor for delayed closure of a wound? a.wound dressings b.diabetes c.infection d.condition of peri-wound | B,C,D are all indicative of intrinsic factor for delayed closure of a wound |
| Allowing dressing to dry would is an example of environmental factors for delayed closure of a wound. T/F? | True |
| the maximum PSI to clean a wound is? a.2 b.6 c.4 d.8 | 8 |
| you use a __ cc syringe and __ gauge needle to clean out a wound. a.30,18 b.38,15 c.35,19 d.20,19 | 35,19 |
| would you use a film over a wound in which the pt had high blood sugar? | yes |
| increased BUN, decreased Na, and increased cratinine is indicative of a pt being dehydrated? | False, increased, Na, BUN and creatinine are all showing in dehydration |
| couch potato, tobacco use and alchohol use are part of a pt's social history? T/F | true |
| arterial pain will decrase with exercise. T/F? | False Arterial pain will Increase with exercise |
| AHCPR stands for? a.acadamy of Health Concerns for Policy and Research b.agency for Human Care and Public Research c.agency for Health Care Policy and Research d.agency for Health Centers and Policy Research | c |
| wound down to but not through fascia is a stage __ ulcer. a.one b.two c.three d.four | three |
| Full thickness loss and visible SubQ adipose is seen in what stage ulcer? a.one b.two c.three d.four | three |
| Full thickness loss to tendon or muscle may be seen in what stage ulcer? a.one b.two c.three d.four | four |
| visible eschar is a stage four ulcer T/F? | False it's a stage x "unstagable" ulcer |
| Long sinus tracks straight in a wound is called underminding. T/F? | False, Tunneling |
| what is the term for skin that folds under a wound and does not close in on the wound itself? a.rolling b.turning c.lipping d.tracking | lipping |
| dry,scant, min/mod/profuse are terms for describing what on wound drainage? a.color b.odor c.consistency d.amount | amount |
| slight indention recovering in 15 seconds is what grade of pitting edema? a.one b.two c.three d.four | two |
| deep indention, returning to normal in 30 seconds is what stage of pitting edema? a.one b.two c.three d.four | three |
| which of the following is Invasive vascular testing? a.checking pulse b.doppler US c.angiogram d.cuff test | angiogram |
| a 4+ grade on a pulse test that is bounding could mean aneurysm. T/F? | True |
| a diminished pulse is a grade? a.one b.two c.three d.four | two |
| what is the name of the filaments used to check for neuropathies? a.Winston-Shurr b.dermatome c.Semmes-Weinstein d.Siemen-Weirstein | Semmes-Weinstein |
| scorring escar is called? a.Slouthing b.Tunneling c.Crosshatching d.debriding | Crosshatching |
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