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Wound Care > Exam 4: Management of Exudate > Flashcards

Exam 4: Management of Exudate Flashcards

1
Q

Acute wounds have exudate for the first ___ - ___ hours

A

48-72

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2
Q

In chronic wounds, increase exudate is a response to the _____ process

A

inflammatory

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3
Q

In (acute/chronic) wounds, increased exudate is a response to the inflammatory process

A

chronic

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4
Q

Infected wounds may have exudates that (thickens/thins) and becomes purulent

A

thickens

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5
Q

What are the 6 characteristics that exudate can be evaluated by

A 
color
consistency
adherence
distribution in the wound
presence of odor
amount of exudate present
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6
Q

What type of wound will have dry or scant serous (clear) exudate

A

arterial/ischemic wounds

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7
Q

What type of exudate would an arterial/ischemic wound have

A

dry or scant serous exudate

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8
Q

What type of wound will have minimal exudate and serous serosanguineous fluid

A

neuropathic wounds

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9
Q

What type of exudate would a neuropathic wound have

A

minimal exudate, serous serosanguineous fluid

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10
Q

What type of wound would be highly exudative and commonly develops LE edema

A

venous

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11
Q

What type of exudate does a venous wound have

A

a lot of exudate with common LE edema

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12
Q

What type of pressure injury would have serous or serosanguineous fluid or minimal to moderate exudate

A

Partial thickness wound

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13
Q

Describe what type of fluid/exudate would be found in a partial thickness wound

A

minimal to moderate exudate and serous or serosanguineous fluid

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14
Q

What type of pressure injury wound have have exudate similar to a partial thickness wound, but may become bloody as the wound heals

A

full thickness

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15
Q

Describe what type of fluid/exudate wound be found in a full thickness wound

A

similar to partial thickness, but as the wound heals the exudate may become bloody

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16
Q

What are the three categories of infection

A
  1. Bacterial contamination
  2. Bacterial colonization
  3. Critical colonization
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17
Q

Which category of infection is the presence of nonproliferating bacteria on the wound surface

A

bacterial contamination

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18
Q

Which category of infection is the presence of proliferating bacteria on the surface of the wound

A

bacterial colonization

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19
Q

Which category of infection is the presence of bacteria in stalled wounds in absence of typical signs and symptoms of inflammation

A

critical colonization

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20
Q

When does a bacterial infection occur?

A

After all three categories of an infection has occurred

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21
Q

____ infection is the presence of bacteria within viable tissue invading living tissue causes an immune response

A

bacterial

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22
Q

True or False:

Contamination means infection

A

false

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23
Q

When bacterial contamination is present there (is/is not) any visible injury to host and a (absent/present) inflammatory reponse

A

is not, absent

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24
Q

When bacterial colonization is present, there (is/is not) any visible injury to the host and a (absent/present) inflammatory response

A

is not; absent

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25
Q

In order to make sure a bacterial infection is present, a ____ must be done.

A

culture

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26
Q

If a local infection is present, it means the infection is ____

A

hidden

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27
Q

When critical colonization is present there (is/is not) any visible damage to the host and a (absent/present) inflammatory response

A

is (biofilm is present); absent inflammatory response

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28
Q

If a culture has greater than ________ organisms/bacteria per milliliters, an infection is present

A

100,000 or 10^5

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29
Q

If a culture has greater than 100,000 organisms/bacteria per milliliters, an _____ is present

A

infection

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30
Q

What two categories of infection require monitoring

A

contamination and colonization

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31
Q

Which two categories of infection require intervention

A

critical colonization and infection

32
Q

Large acute wounds react (the same/differently) to bacterial burden than small chronic wounds

A

differently

33
Q

(acute/chronic) wounds are more susceptible to bacterial invasion by skin flora

A

acute

34
Q

acute wounds are more susceptible to bacterial invasion by ___ ___

A

skin flora

35
Q

What is skin flora

A

stuff on the skin at all times

36
Q

True or False:

wounds with a large amount of tissue loss are at greater risk of infection

A

true

37
Q

True or False:

MRSA is a part of normal skin flora and can be found on the skin of healthy people

A

true

38
Q

MRSA can be found on the skin of ___% to __% of healthy people

A

20 to 50

39
Q

Which patients are at the highest risk for developing MRSA colonization or infection

A

patients with a history of IV drug use
Patients with prolonged stay in healthcare facilities
Patients admitted to intensive care

40
Q

What does MRSA stand for

A

methicillin-resistant Staphylococcus aureus

41
Q

____ ________ is a major way of developing MRSA so we must follow all of the universal precautions

A

cross contamination

42
Q

Like MRSA, ____ is a new type of bacteria

A

BRE

43
Q

What are the characteristics to be looking for in a systemic infection

A

elevated temperature
elevated white blood count
confusion or agitation in older adults
red streaks from wound`

44
Q

A ____ can cause confusion or agitation in an older adult, which is a systemic signs of infection

A

UTI

45
Q

What are 3 local signs of infection specific to chronic wounds

A

Friable granulation tissue
wound breakdown
foul odor

46
Q

What are three ways that quantitative wound cultures are done

A

tissue biopsy
needle aspiration
quantitative swab technique

47
Q

Which type of wound culture involves the removal of a piece of tissue

A

tissue biopsy

48
Q

Which type of wound culture involves the insertion of a needle into the tissue to aspirate fluid that contains organisms

A

needle aspiration

49
Q

Which type of would culture involves the end of a sterile cotton tipped applicator being rotated in the wound for 5 seconds as pressure is applied to allow the swab to absorb wound fluid

A

quantitative swab technique

50
Q

what are the two types of aseptic techniques

A

surgical/sterile and medical/clean

51
Q

Which aseptic technique is used in surgery for all instruments and heath care workers involved with the process

A

surgical/sterile

52
Q

Which aseptic technique is a procedure to reduce the number of pathogens and decrease the transfer of pathogens

A

medical/clean

53
Q

Which type of health care setting should sterile techniques be used in

A

acute care hospitals and clinics in acute care facilities

54
Q

Which type of healthcare setting should clean technique be used in

A

home care
long term facilities
community clinics
physician’s offices

55
Q

What type of procedures should use sterile technique

A

invasive procedures and sharp debridement

56
Q

what type of procedures should use clean technique

A

routine procedures

dressing changes

57
Q

What type of patients should sterile technique be used with

A

immunocompromised
advanced age or very young age
diabetic

58
Q

What type of patients should clean technique be used with

A

patients not at high risk for infection

59
Q

_____ are chemicals that eliminate living organisms that are pathogenic to the host

A

antibacterials

60
Q

neosporin and bacitracin are examples of _____

A

antibacterials

61
Q

Routine use of antibacterials is strongly (encouraged/discouraged)

A

discouraged

62
Q

_______ posses bactericidal or bacteriostatic properties

A

antispetics

63
Q

What is the difference between bactericidal and bacteriostatic

A

bactericidal means kill off the bacteria and bacteriostatic stops the growth of bacteria

64
Q

Someone at (higher/lower) risk of infection should antibacterials

A

higher

65
Q

peroxide and propidine iodine are examples of ______

A

antiseptics

66
Q

List different types of dressings that contain antiseptics

A

iodine, silver, honey, polyhexanide, superoxidized water

67
Q

Charcoal is used for preventing wound ____, but not much else

A

odor

68
Q

Why is honey used to manage exudate of an infection

A

because the sugar content produces an enzyme that makes hydrogen peroxide

69
Q

polyhexanide is used for wounds that are in the ____ ______ stage

A

critical colonization

70
Q

Superoxidized water is reactive with ___ and ____

A

chorine and oxygen

71
Q

_____ is an organic chemical that has ability to kill or prevent growth of microorganisms like penicillin

A

antibiotic

72
Q

_____ are agents that destroys or stops bacertial growth

A

antibacterial

73
Q

_____ are agents that inhibit or kill fungi

A

antifungal

74
Q

What are 4 cleaning methods of exudate/infection

A

soaking, whirlpool, scrubbing, and irrigation

75
Q

whirlpool is not recommended for ____ wounds

A

clean

Wound Care (8 decks)

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