Chapter 31 Wound Care Flashcards
Abrasion
A partial-thickned and wound caused by the scraping away or rubbing of the skin
Arterial ulcer
An open wound on the lower legs or feet caused by poor arterial blood flow
Chronic wound
A wound that does not heal easily
Clean-Contaminated wound
A wound that occurs from the surgical entry of the reproductive urinary respiratory or gastrointestinal system
Clean wound
A wound that is not infected
Closed wound
Tissue are injured but the skin is not broken
Compress
A soft pad applied over a body area
Constrict
To narrow
Contaminated wound
A wound with a high risk of infection
Contusion
A closed wound caused by a blow to the body; a bruise
Dehiscence
The separation between of wound layers
Diabetic foot ulcer
An open wound to on the foot caused by complications from diabetes
Dilate
To expand or open wilder
Dirty wound
See infected wound
Edema
Swelling caused by fluid collecting in tissue
Embolus
A blood clot ( or other foreign matter) that travels through the vascular system until it lodges in a vessel
Evisceration
The separation of the wound along with the protrusion of abdominal organs
Full-thickness wound
The dermis, epidermis, and subcutaneous tissue are penetrated; muscle and bone may be involved
Gangrene
A condition in which there is death of tissue
Hyperthermia
A body temperature (thermia) that is much higher than the persons normal range
Hypothermia
A very low hypo) body temperature
Incision
A cut produced surgically by a sharp instrument; it creates an opening into an organ or body space
Infected wound
A wound containing large amounts of microbes that show signs of infection; dirty wound
Intentional wound
A wound created for therapy
Laceration
an open wound with torn tissues and jagged edges
Open wound
The skin or mucous membrane is broken
Pack
Wrapping a body part with a wet or dry application
Partial - thickness wound
The dermis and epidermis of the skin are broken
Penetrating wound
An open wound that breaks the skin and enters a body are organ or cavity
Phlebitis
Inflammation of a vein
Puncture wound
An open wound made by a sharp object
Purulent drainage
Thick green, yellow or brown drainage
Sanguineous drainage
Bloody drainage
Serosanguineous drainage
Thin, watery drainage that is blood-tinged
Serous drainage
Clear, watery fluid
Skin tear
A break or rip in the outer layers of the skin; the epidermis (top skin layer) separates from the underlying tissue
Thrombus
Blood clot
Trauma
An accident or violent act that Injuries the skin mucous membranes, bones, and organs
Ulcer
A shallow or deep crater like sore of the skin or a mucous membrane
Unintentional wound
A wound resulting from trauma
Vascular ulcer
An open sore on the lower legs or feet caused by poor venous blood flow ; stasis ulcer
Wound
A break in the skin or mucous membrane
Common cause of a wound!
Surgery’s
Trauma= • accident or violent act that injures the skin mucous membranes, bones, and organs; falls vehicle crashes, gun shots, stabbing, burns
•Pressure injuries
•Decreased blood flow through the arteries or veins
•Nerve damage
A person has laceration on the right leg from a fall. The wound is
Open,unintentional, and contaminated
A person had rectal surgery, the person has a
Clean contaminated wound
The skin and underlying tissue are pierced this is
Penetrating wound
Which can cause skin tears ?
Wearing rings
A person has a vascular ulcer. Which measures should you question?
Hold socks in place with elastic garters
Compression (antiembolism) stocking
Prevent blood clots
Compression stocking are applied
Before the person gets out of bed
When applying an elastic bandage
Position the part in good alignment
Persons with diabetes are at risk for diabetic foot ulcer because of
Never and blood vessels damage
A person has diabete. You should check the person feet every
Day.
A person with diabetes needs to wear socks with shoes to prevent
Blisters
A woman is separating. This is called
Dehiscence
Clear watery drainage from a wound is called
Serous drainage
A dressing does the following except
Support the wound and reduce swelling
A person receives a pain- relief medication before a dressing change. How long should you wait for the medication to take effect?
30min
To remove tape
Pull it toward the wound
An abdominal binder is used to
Provide support and hold dressings in place
Warm applications have these effects except
Decreased blood flow
The greatest threat from warm appreciation is
Burns
These statements are about moist warm applications. Which is false?
The effects from moist heat are less than from a dry heat application
These Statements are about site baths. Which is false?
Sits baths last 25 to 30 minutes
A person uses an aquatheemia pad. which Is false?
Pins secure the pad in place
Cold applications
Reduce pain, prevent swelling, and decrease circulation
Which is not a complication of a cold application?
Infection
