integumentary practice test 1/19

Question 1

wagner ulcer grade?

• diabetic ulcer that penetrates the subcutaneous tissue
• extending into the subcutaneous fat and fascia
• no gangrene, osteomyelitis

Answer 1

grade 2 - goes down to sub Q

deep ulcer penetrating into the subcutaneous tissue, but without gangrene.

Question 2

wagner ulcer grade?

- no ulcer formed yet

Answer 2

grade 0

Question 3

wagner ulcer grade?

- osteomyelitis present

Answer 3

grade 3

Question 4

wagner ulcer grade?

gangrene required amputation

Answer 4

grade 5

Question 5

type of ulcer?

lateral leg, pulseless, cool, painful

Answer 5

arterial insufficiency

Question 6

type of ulcer?
medial leg, irregular borders, painless
leg swollen, red, warm to touch

Answer 6

Venous insufficiency

Question 7

type of ulcer?

bony prominences, shows non-blanchable redness at the perimeter of the wound, pink appearance.

Answer 7

pressure

Question 8

type of ulcer?

bony prominence, began as a small scrape or blister several months ago, concomitant diagnosis of diabetic neuropathy

Answer 8

diabetic neuropathic

Question 9

superficial or deep wound?
dressing:
- transparent film
- polymeric membrane dressings

Answer 9

superficial disruption of skin

Question 10

granulating, eschar, slough or infected? 
dressing:
- Alginates
- Hydrofibers
- Foams
- PMDs polymeric membrane dressings

Answer 10

exudates, absorbent

Question 11

what type of wound to use these dressings?

• Hydrocolloids
• Hydrogels
• PMDs polymeric membrane dressings

Answer 11

Granulating, epithelializing wounds

Eschar

Question 12

granulating, eschar, slough or infected? 
dressing:
- Protease lowering dressings
- Hydrogels
- hydrocolloids

Answer 12

Fibrinous wound bed, slough

Question 13

superficial or deep wound?
dressing:
- PMDs polymeric membrane dressings
- Alginates
- Hydrofiber
- hydrocolloid

Answer 13

Deep wounds

Question 14

granulating, eschar, slough or infected?
dressing:
- Silver
- Iodide

Answer 14

Colonized or infected wounds

Question 15

burns to what part of body?
can cause high levels of edema and respiratory distress
what intervention?

Answer 15

Burns to the face and neck

- requiring intubation and surgical interventions.

Question 16

what pressure ulcer stage?

extends through cutaneous tissue with subcutaneous fat visible

Answer 16

Stage III is a full thickness skin breakdown

Question 17

common interventions to prevent hypertrophic scarring

Answer 17

Compression wraps and pressure garments, combined with scar massage

Question 18

what term?
wound splitting open along a surgical suture site.
- typically from trauma to the wound

Answer 18

Dehiscence

Question 19

healing time?

extremely minor superficial burn

Answer 19

1-3 days

Question 20

healing time?

superficial burn

Answer 20

2-5 days

Question 21

healing time?

deep partial-thickness burn.

Answer 21

15-30 days

Question 22

healing time?

superficial partial-thickness burn

Answer 22

6-20 days

Question 23

dressings:

• foam
• collagen
• calcium alginate

Answer 23

granular wound that is draining

- all highly absorbent, good for granular wound

Question 24

what pathology?

• infection in the skin and underlying tissues after bacterial contamination of a wound.
• Pain, tenderness to palpation, swelling, warmth, erythema with an advancing irregular margin, and reddish streaks near the wound,
• fever, chills, and malaise, are present

Answer 24

Cellulitis

Question 25

type of dressing

• disrupt the formation of granular tissue in a wound bed.
• will result in delayed healing due to hypogranulation and little to no epithelialization.

Answer 25

Wet-to-dry dressings