Advanced Wound Care (Exam 3)

Question 1

Wounds caused by ____, ______, or ____ should be differentiated from a pressure ulcer.

Answer 1

Venous, Arterial Insufficiency or Diabetes

Question 2

Wound over a ____ is usually a pressure ulcer.

Answer 2

Bony Prominence

Question 3

Blister

Answer 3

Stage #2 Pressure Ulcer

Question 4

A wound accompanied by edema and dark dusky skin discoloration is a ______ wound.

Answer 4

Venous Insufficiency

Question 5

Often located in the area of the medial malleolus.

Answer 5

Venous Insufficiency

Question 6

A shallow wound that develops when the leg veins don’t return blood back toward the heart normally due to venous valves working improperly. Slow to heal, reoccur 48% by 5th year after healing.

Answer 6

Stasis Ulcer

Question 7

Pre-ulcer the skin turns dark red or purple over the area where the blood is leaking out of the vein. The skin may become thick, dry, and itchy.

Answer 7

Venous Wound/Ulcer

Question 8

Usually are superficial, appearance frequently ruddy, beefy red, granular tissue. Moderate to heavy exudate. Irregular margins. Hyper pigmentation, dermatitis, lipodermatosclerosis. May be painless, pain varies unpredictability and often relieved with leg elevation.

Answer 8

Venous Ulcer Characteristics

Question 9

Compression garments assist venous blood flow to return to the blood and to not pool.

Answer 9

Compression Therapy

Question 10

Inadequate blood supply due to peripheral vascular disease, diabetes, mellitus, trauma, and advanced age. Pain with exercise, night, and resting. Usually deep wounds.

Answer 10

Arterial Ulcer

Question 11

Anywhere on the leg, usually distal to impaired arterial supply, between toes or tip of toes, phalangeal heads, lateral malleolus, sites subjected to trauma or rubbing of footwear. May be superficial or deep. Pale, gray, yellow with no evidence of tissue growth, cellulitis may be present. Dry necrotic eschar.

Answer 11

Arterial Ulcer Characteristics

Question 12

Percussion, DVT

Answer 12

Venous Insufficiency Tests

Question 13

Rubor or Dependency, Venous Filling Time, Claudication

Answer 13

Arterial Insufficiency Tests

Question 14

Press patient’s calf while moving foot into dorsiflexion. If patient complains of pain, test is positive.

Answer 14

Homan’s Sign (DVT)

Question 15

Apply blood pressure cuff around pt’s calf and inflate gradually. A patient with an active condition will not be able to tolerate pressure higher than 40mm Hg.

Answer 15

Another test method (DVT)

Question 16

The patient walks on a level grade treadmill at 1 MPH until ____ occurs.

Answer 16

Claudication

Question 17

Involves the controlled application of sub atmospheric pressure to a wound. Draws out fluid, increased blood flow.

Answer 17

Negative Pressure Wound Therapy (Wound Vac)