Chapter 26 Soft Tissue Injuries

Question 1

The sebaceous glands produce sebum, a material that _____.

Answer 1

waterproofs the skin and keeps it supple

Question 2

A closed soft tissue injury characterized by swelling and ecchymosis is called a(n) _____.

Answer 2

contusion

Question 3

What is the process during the inflammation phase of the healing process?

Answer 3

The immune system releases histamines, which cause vasodilation and increased capillary permeability, resulting in local redness and swelling

Question 4

What open soft tissue injury is limited to the superficial layer of the skin and results in the least amount of blood loss?

Answer 4

Abrasion

Question 5

A 56 year old male has an incomplete avulsion to his right forearm. After controlling any bleeding from the wound, you should _____.

Answer 5

replace the avulsed flap to its original position and cover it with a sterile dressing

Question 6

A 33 year old male sustained an abdominal evisceration to the left lower quadrant of his abdomen after he was cur with a large knife. After appropriately managing his ABC’s and assessing his for other life-threatening injuries, how should you care for his wound?

Answer 6

Cover it with a moist, sterile gauze and secure with an occlusive dressing

Question 7

In addition to severe bleeding, the most life threatening complication associated with an open neck injury is _____.

Answer 7

an air embolism

Question 8

Burns to pediatric patients are generally considered more serious than burns to adults because _____.

Answer 8

pediatric patients have more surface area relative to total body mass

Question 9

A 21 year old male was working in an auto repair shop and sustained radiator burns to the anterior aspect of both arms and to his anterior chest. According to the rule of nines, this patient has burns that cover _____ of his BSA.

Answer 9

18%

Question 10

When caring for a patient whose are is covered with a dry chemical, you should _____.

Answer 10

brush away the chemical before flushing with water

Question 11

The skin regulates temperature in a cold environment by _____.

Answer 11

constricting the blood vessels

Question 12

A(n) _____ occurs when a great amount of force is applied to the body for a long period of time.

Answer 12

crushing injury

Question 13

Define compartment syndrome

Answer 13

When an injury develops edema and swelling that increases pressure within a closed off soft tissue compartment; interferes with circulation

Question 14

Define hematoma

Answer 14

Blood that has collected within a damaged tissue or body cavity

Question 15

What is the rule of nines for an adult?

Answer 15

Head: 9
Torso: 18
Back: 18
Arms: 9
Hand/genitals: 1
Legs: 18