301 Test 2 wounds detail

Question 1

Darkly pigmented skin may not have visible ___; but its color may differ from the surrounding area

Answer 1

blanching

Question 2

stage __ pressure ulcers may also present as an intact or open/ruptured serum-filled or serosangineous-filled blister

Answer 2

2

Question 3

stage 2 presents as a shiny or dry shallow ulcer without __ or bruising

Answer 3

slough

Question 4

This stage should not be used to describe skin tears, tape burns, maceration, or excoriation

Answer 4

stage 2

Question 5

Tissue loss extends into the dermis

Answer 5

stage 2

Question 6

refers to tissue destruction underneath intact skin at the wound edge.

Answer 6

Undermining

Question 7

Wound edges are not attached to the wound base. Rather, skin edges overhang the periphery of the wound

Answer 7

Undermining

Question 8

unstageable wounds must be either stage __ or __

Answer 8

3 or 4

Question 9

eschar should not be removed from which part of the body

Answer 9

heels

Question 10

___ erythema cannot be seen in mucous membranes

Answer 10

Nonblanchable

Question 11

The healing of partial thickness wounds occurs predominantly through re-___

Answer 11

epithelialization

Question 12

The healing of ___-thickness wounds occurs in phases.
Inflammation Phase
Proliferation Phase
Maturation Phase

Answer 12

full

Question 13

separation of both epidermis and dermis from underlying structures

Answer 13

Full Thickness

Question 14

Location

Toes, dorsum of the foot, lateral malleolus, distal lower leg

Answer 14

Arterial Ulcers

Question 15

Thin, shiny skin

Answer 15

Arterial Ulcers

Question 16

Decreased or absent skin hair

Answer 16

Arterial Ulcers

Question 17

Decreased pulse strength in affected extremity

Answer 17

Arterial Ulcers

Question 18

Skin pallor on foot elevation; dusky rubor on dependency

Answer 18

Arterial Ulcers

Question 19

Dystrophic toenails

Answer 19

Arterial Ulcers

Question 20

Round and regular in shape

Pale wound bed

Answer 20

Arterial Ulcers

Question 21

Can be shallow in depth or relatively deep

Smooth wound edges

Answer 21

Arterial Ulcers

Question 22

Gangrenous/necrotic tissue may cover the wound
Minimal drainage
Severe pain

Answer 22

Arterial Ulcers

Question 23

Risk Factors include being female and being pregnant

Answer 23

Venous Ulcers

Question 24

Hyperpigmentation of lower calf and ankle skin from hemosiderin staining

Answer 24

Venous Ulcers

Question 25

hardened skin

Answer 25

Venous Ulcers

Question 26

Dry scaly skin that may be itchy

Answer 26

Venous Ulcers

Question 27

Irregular in shape

Defined wound edge

Answer 27

Venous Ulcers

Question 28

Moderate to large amount of drainage is common

Answer 28

Venous Ulcers

Question 29

Often surrounded by a rim of calloused tissue

Answer 29

diabetic