Ch 32 Skin Intergrity

Question 0

Debridement

Answer 0

Cleaning away devitalized tissue and foreign matter from a wound

Question 1

Bandage

Answer 1

Piece of gauze or other material used to cover a wound

Question 2

Dehiscence

Answer 2

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

Question 3

Dermis

Answer 3

Layer of the skin below the epidermis

Question 4

Desiccation

Answer 4

Dehydration; the process of being rendered free from moisture

Question 5

Dressing

Answer 5

Protective covering placed over wound

Question 6

Epidermis

Answer 6

Superficial layer of the skin

Question 7

Eschar

Answer 7

A thick leathery scab or dry crust that is necrotic and must be removed for adequate healing to occur

Question 8

Evisceration

Answer 8

Protrusion of viscera through an incision

Question 9

Exudate

Answer 9

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

Question 10

Fistula

Answer 10

An abnormal passage from an internal organ to the skin or from one internal organ to another

Question 11

Friction

Answer 11

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

Question 12

Granulation Tissues

Answer 12

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

Question 13

Ischemia

Answer 13

Deficiency of blood in a particular area

Question 14

Maceration

Answer 14

overhydration; of the skin related to urinary and fecal incontinence

-can lead to impaired skin integrity

Question 15

Necrosis

Answer 15

Death of cells and tissue

Question 16

Negative-pressure Wound Therapy (NPWT)

Answer 16

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

Question 17

Pressure Ulcer

Answer 17

Any lesion caused by unrelieved pressure that results in damage to underlying tissue

Question 18

Wound

Purulent Drainage

Answer 18

Comprised of white blood cells, liquified dead tissues debris, and both dead and live bacteria

Question 19

Serosanguineous Drainage

Answer 19

Mixture of serum and red blood cells

Question 20

Scar

Answer 20

Connective tissue that fills a wound area

Question 21

Serous Drainage

Answer 21

Composed of clear, serous portion of the blood and from serous membrane

Question 22

Shear

Answer 22

Force created when layers of tissue move on one another

Results when one layer of tissue slides over another layer it separates the skin from underlying tissues

Question 23

Subcutaneous Tissue

Answer 23

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

Question 24

Wound

Answer 24

Injury that results I a disruption in the normal continuity of a body tissue

Question 25

Peripheral

Answer 25

Pert. to or located at the periphery or away from the center. In anatomy and physiology, it refers to the outer part or surface of an organ or body or to the part of the nervous system outside the central nervous system or to the blood flow of the systemic circulation; in ophthalmology, to vision perceived near the outer edges of the retina.

Question 26

Ecchymosis

Answer 26

Superficial bleeding under the skin or a mucous membrane; a bruise

Question 27

Phases of Wound healing

Answer 27

• Hemostasis: sometimes concerned a part of the inflammation phase
• Inflammation
• Proliferation
• Maturation

Question 28

Braden Scale

Answer 28

For predicting pressure sore risk it examines the skin
-sensory perception :ability to respond meaningfully to pressure related discomfort

• moisture : degrees to which skin is exposed to moisture
• activity : degree of physical activity
• mobility :ability to change and control body position
• nutrition :usual food intake pattern
• friction & shear

Question 29

Serum

Answer 29

1. A pale, watery fluid, esp. the fluid that moistens the surfaces of serous membranes.
2. The watery portion of the blood after coagulation. It is the fluid found when clotted blood is left standing long enough for the clot to shrink.
3. Serum obtained from blood that contains antibodies against a specific microorganism. It is used to provide immediate passive immunity.

Question 30

Serous

Answer 30

1. Having the nature of serum.

2. Thin or watery, rather than syrupy, thick, or viscous.

Question 31

Effects of applying Cold

Answer 31

• constricts peripheral blood vessels
• reduces muscle spams
• promotes comfort
• reduces blood flow to tissues
• decrease local release of pain-producing substances like histamine, serotonin and bradykinin
• this action reduces edema and inflammation

Question 32

Penrose Drain

Answer 32

Soft and flexible drain ; it does not have a collection device ; exits the skin through a stab wound or by the surgeon