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Nursing 104 > Ch 32 Skin integrity and wound care > Flashcards

Ch 32 Skin integrity and wound care Flashcards

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1
Q

Abscess

A

Collection of infected fluid that has not drained

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2
Q

Bandage

A

A piece of gauze or other material used to cover a wound

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3
Q

Biofilm

A

A thick grouping of microorganisms

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4
Q

Debridement

A

Cleaning away devitalized tissue and foreign matter from a wound

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5
Q

Dehiscence

A

Separation of the layers of a surgical wound; may be partial, superficial, or a complete disruption of the surgical wound

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6
Q

Dermis

A

Layer of skin below the Epi-dermis

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7
Q

Desiccation

A

Dehydration; the process of being rendered free for moisture

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8
Q

Dressing

A

Protective covering placed over a wound

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9
Q

Epidermidis

A

Superficial layer of the skin

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10
Q

Epithelialization

A

Stage of wound healing in which the epithelial cells form across the surface of the wound; tissue color ranges from the color of ground glass to pink

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11
Q

Erythema

A

Redness of the skin

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12
Q

Eschar

A

Thick, leather scabbard dry crust that is necrotic and must be removed for adequate healing to occur

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13
Q

Evisceration

A

Protrusion of viscera through an incision

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14
Q

Exudate

A

Fluid that accumulates in a wound; may contain serum, cellular debris, bacteria, and white blood cells

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15
Q

Fistula

A

And abnormal passage from the internal organ to the skin or from one internal organ to another

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16
Q

Friction

A

 occurs when two Surfaces rub against each other; the resulting injury resembles an abrasion and can also damage superficial blood vessels directly under the skin

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17
Q

Granulation tissue

A

New tissue that is pink/red in color and composed of fiber blast and small blood vessels that fill an open wound when it starts to heal

18
Q

Hematoma

A

Localized mass of unusually clotted blood

19
Q

Ischemia

A

Deficiency of blood in a particular area

20
Q

Maceration

A

Softening through liquid; overhydration

21
Q

Necrosis

A

Death of cells and tissue

22
Q

Negative pressure wound therapy (NPWT)

A

Activity that promotes wound healing and wound closure through the application of uniform negative pressure on the wound bed, reduction in bacteria in the wound, and removal of excess wound fluid

23
Q

Pressure injury

A
  1. Localized damage to the skin and the underlying tissue that usually occurs over bony prominence or is related to the use of a medical or other device
  2. Any lesion caused by unrelieved pressure that results in damage to underlying tissue; formally known as pressure ulcer
24
Q

Purulent drainage

A

Composed of white blood cells, liquefied the tissue debris, and both dead and live bacteria

25
Q

Sanguineous Drainage

A

Containing or mixed with blood

26
Q

Scar

A

Connective tissue that fills a wound area

27
Q

serosanguineous drainage

A

Mixture of serum and Red blood cells

28
Q

Serous drainage

A

Composed of clear, serius portion of the blood and from serous membranes

29
Q

Shear

A

Force created when layers of tissue move on one another

30
Q

Subcutaneous tissue

A

Underlying layer that anchors the skin layers to the underlying tissues of the body

31
Q

Wound

A

 injury that results in a disruption in the normal continuity of a body tissue

32
Q

Nodule

A

Elevated, firm, circumcised lesion; deeper than dermis than a papule; 1 to 2 cm in diameter (lipoma)

33
Q

Papule

A

An elevated, firm circumcised area less than 1 cm in diameter; (wart, elevated mole)

34
Q

Patch

A

A flat, non-palpable, irregularly shaped Macule more than 1 cm in diameter (Port wine stain)

35
Q

Plaque

A

Elevated, firm, and rough lesion with flat top surface greater than 1 cm in diameter; psoriasis

36
Q

Pustule

A

Elevated, superficial lesion; similar to a vesicle but filled with purulent fluid; (acne)

37
Q

Bulla

A

Vesicle greater than 1 cm in diameter; blister

38
Q

Vesicle

A

Elevated, Circumscribed, superficial, not into dermis; filled with serous fluid; less than 1 cm in diameter; chicken pocks

39
Q

Wheal

A

Elevated irregularly shaped area of cutaneous edema; solid, temporary; variable diameter; insect bite

40
Q

Lichenification

A

Rough, Second epidermis is secondary to persistent rubbing, itching, or skin irritation; often involves the flexor surface of the extremity; chronic dermatitis

41
Q

Telangiectasia

A

Fine, irregular red lines produced by capillary dilation; found in rosacea

42
Q

Macule

A

A flat, circumcised area that is a change in the color of the skin; less than 1 cm in diameter; freckles, flat mall

Nursing 104 (32 decks)

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