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Fundamentals Wound Care > Fundamentals Wound Care > Flashcards

Fundamentals Wound Care Flashcards

1
Q

Shallow crater where the skin or mucous membranes is missing

A

Ulceration

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2
Q

Opening in skin or tissue caused by sharp pointed object

A

Puncture

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3
Q

Clean separation of skin, tissue with smooth, even edges

A

Incision

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4
Q

Stripping away of large amounts. Skin, tissue leaving cartilage and bone exposed

A

Avulsion

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5
Q

Wound in which surface layer scraped away

A

Abrasion

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6
Q

Separation of skin tissue were edges or torn and irregular

A

Laceration

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7
Q

Closed, discolored wound caused by blood trauma

A

Contusion

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8
Q

How should you wrap when applying an ace wrap or other dressing on an extremity

A

Distal to proximal

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9
Q

What is the debridement

A

Remove dead tissue from wound

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10
Q

Allows bodies own enzymes to soften, liquefy tissue

A

Autolytic

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11
Q

Involves physical removal of debris of a wound

A

Mechanical

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12
Q

Requires use of sterile scissors, forceps, or similar items

A

Sharp

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13
Q

Topically applied chemical substances are utilized

A

Enzymatic

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14
Q

What should you know about eye irrigation’s

A

Pull eye lid down and squirt liquid in eye sack

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15
Q

What should you know about ear irrigations

A

Do not use force one putting something in the ear

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16
Q

What is a special concern about hot and cold applications

A

Always keep a layer of fabric between heat and cold on skin

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17
Q

What is the best treatment for wounds

A

Prevention

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18
Q

How do wounds heal

A

From inside to outside

19
Q

What are the types of wound closures for healings

A

Staples, stitches, and steri-strips

20
Q

Stage 1

A

Skin is not broken and does not blanche, tingling at site

21
Q

Stage 2

A

Skin is broken, skin has blisters, allows infection to enter

22
Q

Stage 3

A

Full thickness loss and wound is deeper

23
Q

Stage 4

A

Life-threatening, patient could end up with osteomyelitis

24
Q

Unstageable

A

Tissue loss(dead or slough) slough is attached to wound

25
Q

Deep tissue pressure injury

A

Intact or non-intact skin, skin does not blanche

26
Q

What is the purpose of drains

A

To remove drainage so the wound can heal

27
Q

Tissue destruction through the epidermis extending into but not through the dermis is

A

Partial thickness

28
Q

Tissue destruction extending through the dermis to involve subcutaneous tissue and possibly bone and muscle

A

Full thickness

29
Q

Course or pathway that can extend in any direction from the wound, results in dead space

A

Tunneling

30
Q

Tissue destruction underlying intact skin along wound margins

A

Undermining

31
Q

A drainage pathway from a deep focus of acute infection through tissue and or bone to an opening on the surface

A

Sinus tract

32
Q

Thin,watery,clear

A

Serous

33
Q

Thin, bright red

A

Sanguineous

34
Q

Thin, watery, pale red to pink

A

Serosanguineous

35
Q

A wound that is not infected

A

Clean

36
Q

This can be a surgical wound caused by trauma that has been grossly contaminated by breaking asepsis

A

Contaminated

37
Q

A wound that was surgically made, it’s not infected, but that has direct contact with a normal flora in the respiratory tract

A

Clean-contaminated

38
Q

An infected wound is one in which the infectious process is already established

A

Infected

39
Q

Higher in number of micro organisms present but is without sign of infection

A

Colonized

40
Q

A wound in which the skin remains intact is considered a

A

Closed wound

41
Q

A wound in which the skin integrity has been breached is a

A

Open wound

42
Q

How often should skin assessment be done

A

On a daily basis

43
Q

When the wound is clean with little tissue loss, such as surgical incision, the edges are approximated and the wound
is sutured closed

A

First Intention

Fundamentals Wound Care (1 decks)

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