ch 11 venous insuff ulcers

Question 1

o Venous insufficiency ulcers are the most common type of leg ulcer, accounting for _____% of all ulcers

Answer 1

70-90%

Question 2

Sustained venous _________ is required for the development of venous insufficiency ulcerations

Answer 2

hypertension

Question 3

According to this theory, ulceration results from local hypoxia due to venous congestion, white blood cell trapping, and the increased demands placed on affected tissues by the ensuing inflammatory response

Answer 3

white blood cell trapping theory

Question 4

the cause of skin and tissue breakdown is ________ secondary to venous hypertension

Answer 4

hypoxia

Question 5

gold standard for identifying DVT

Answer 5

venogram

Question 6

special test/sign that can help identify the presence of a DVT

Answer 6

Homan’s sign

Question 7

a Well’s DVT prediction score of _________ is considered high probability of DVT and further assessment should be requested

Answer 7

3 or higher

Question 8

performing an ABI could dislodge a DVT.

T or F

Answer 8

True

Question 9

Patients with venous insufficiency ulcers and an ABI less than 0.7 should be managed with compression due to coexisting arterial insufficiency.

T or F

Answer 9

False, SHOULD NOT

Question 10

gold standard for evaluating the venous system

Answer 10

doppler US

Question 11

pain pattern of venous insuff ulcers

Answer 11

mild to mod, decreased with elevation or compression

Question 12

position of venous insuff ulcers

Answer 12

medial malleolus, medial lower leg

Question 13

presentation of venous insuff ulcers

Answer 13

irregular shape
red or ruddy wound bed
copious drainage

Question 14

periwound of venous insuff ulcers

Answer 14

edema
dermatitis
lipodermatosclerosis

Question 15

pulses near venous insuff ulcers

Answer 15

normal or decreased

Question 16

temperature of venous insuff ulcers

Answer 16

normal to mild

Question 17

these factors do NOT affect venous ulcer healing

Answer 17

gender
race
skin condition
infection

Question 18

standard of care for venous insuff ulcers provided arterial insuff is not present

Answer 18

compression

Question 19

Bandages that are highly elastic are not appropriate for managing venous insuff ulcers

t or f

Answer 19

True

Question 20

Highly elastic bandages, such as the typical Ace-type bandage, do NOT enhance the effectiveness of the calf muscle pump and have NOT been found to be effective in the management of venous insufficiency ulcers.

T or F

Answer 20

true

Question 21

Contraindications to Compression Therapy for Patients with Venous Insufficiency

Answer 21

Arterial insufficiency with an ABI < 0.7
Acute infection
Pulmonary edema
Uncontrolled or severe congestive heart failure
Active DVT

Question 22

type of bandaging that is proven to be effect in managing compression for venous insuff ulcers

Answer 22

paste bandages

Question 23

Venous insuff ulcers are the most common type of leg ulcer.

T or F

Answer 23

True