Integumentary Part Four

Question 1

does epidermis contain blood vessels

Answer 1

NAWH

Question 2

continous moist wounds purpose

Answer 2

protection of clean wounds

autolytic debridement of eschar

delivery of topical needs

Question 3

what is Hyperbaric oxygen therapy

Answer 3

patient breathes 100% oxygen in a sealed, full body chamber with elevated atmospheric pressure

Question 4

what is pulsed levage

Answer 4

delivery of irrigating solution under pressure that is produced by an electrically powered device

Question 5

what side of the foams are hydrophobic and hydrophilic

Answer 5

hydrophobic: nonwound side
hydrophillic: wound side

Question 6

Semmes-Weinstein monofilaments… what are the normal sized filament

Answer 6

5.07

Question 7

contraindications for occlusive dressings

Answer 7

infection

deep ischemic ulcers

full thickness burns

stage IV ulcers

Question 8

can vacuum-assisted closure be used with infection

Answer 8

yes

Question 9

what are foams

Answer 9

cushion and protect the wound

these dressings are hydrophilic and hydrophobic

Question 10

what is contained within the dermis

Answer 10

blood vessels

lymphatics

nerve endings

sebaceous/sweat glands

Question 11

what are hydrogels

Answer 11

water or glycerine based gels

Question 12

purpose of alginates

Answer 12

wounds with moderate to large amount of exudate

or

with combination exudate and necrosis

Question 13

recommended pressure range for wound cleansing

Answer 13

4-15 psi

Question 14

normal location of aterial insufficiency ulcers

Answer 14

lateral malleolus

toes

Question 15

what is dermis made of

Answer 15

collagen and dense irregular CT

Question 16

purpose of hydrocolloid dressing

Answer 16

absorbs minimal to moderate exudate

protects partial thickness wounds

Question 17

trophic changes can indicate

Answer 17

poor arterial nutrition

Question 18

pulsed levage with vacuum assists in…

Answer 18

removal of wound debris

Question 19

itching AKA

Answer 19

pruritis

Question 20

edema management: compression stockings AKA

Answer 20

Jobst

Question 21

what is turgor

Answer 21

lift skin on back of hands

tells about hydration status

Question 22

purpose of the cathode for estim with wound healing

Answer 22

to promote granulation

control inflammation

inhibit certain bacteria

Question 23

is whirlpool therapy good for wound care

Answer 23

NO DONT DO IT

Question 24

continuous dry gauze purpose

Answer 24

heavily exudating wounds

Question 25

surgical interventions are used for what ulcers

Answer 25

III

IV

Question 26

normal capillary refill time

Answer 26

less than 3 seconds

Question 27

purpose of vacuum-assisted closure

Answer 27

when a wound is not closing

lack of arterial perfusion

excessive exudate that can’t be controlled with dressing

Question 28

best ultrasound currents for edema management

Answer 28

high voltage pulsed

pulsed biphasic

Question 29

what type of ultrasound should be used for wound healing

Answer 29

low intensity

pulsed

3x/week

Question 30

ABCDs of melanoma examination

Answer 30

Asymmetry

Border: edges are irregular

Color: color varies throughout the mole

Diameter: mole’s diameter is over 6mm

Question 31

purpose of films

Answer 31

to maintain moist wound environment with minimum to moderate exudate often in stage 1 and stage 2 pressure ulcers

Question 32

contraindications for hyperbaric oxygen therapy

Answer 32

untreated pneumothorax

some antineoplastic medications

Question 33

negative-pressure wound therapy AKA

Answer 33

vacuum-assisted closure

Question 34

normal finding for rubor of dependency test

Answer 34

sole of foot should exhibit rubor in neutral in less than 15 seconds

Question 35

what are hydrocolloid dressings

Answer 35

adhesive wafers that interact with the wound to form gelatinous mass

Question 36

wound matrix dressings: what is it

Answer 36

provide a scaffolding for cellular deposit

Question 37

what is negative-pressure wound therapy

Answer 37

open-cell foam dressing placed into wound

controlled subatmospheric pressure is applied via specialized device

Question 38

what meds should be used for iontophoresis for wound healing

Answer 38

zince

histamine

Question 39

purpose of hydrogels

Answer 39

used with partial or full thickness wounds with necrosis

minimal amounts of exudate

Question 40

for cleaning most ulcers, what type of medication is used IN GENERAL

Answer 40

normal saline (0.9% NaCl)

Question 41

purpose of the anode for estim with wound healing

Answer 41

used to promote epithelial cell migration

and

for reactivation of the inflammatory phase

Question 42

what are films

Answer 42

clear adhesive membrane permable to atmospheric oxygen and moisture vapor and impermeable to water, bacteria, and contaminants

Question 43

cyanosis can indicate ____ insufficiency

Answer 43

arterial

Question 44

what is wet-to-dry gauze removal

Answer 44

mechanical debridement of necrotic tissue and slough

Question 45

most common e-stim for wound healing

Answer 45

HVPC

Question 46

what is contained within the subcutaneous tissue

Answer 46

loose CT and fat

Question 47

purpose of negative-pressure wound therapy (vacuum-assisted closure)

Answer 47

helps maintain a moist wound environment

control edema

increase localized blood flow

reduce infectious material

Question 48

when is gauze useful

Answer 48

early debridement

exudate present

wound with dead spaces/tunneling

necrotic tissue with exudate

Question 49

purpose of occlusive dressings

Answer 49

useful to maintain tissue hydration

facilitate autolytic debridement

wound healing with less pain