Module 4 Part two

Question 1

open or closed tissue injury

disruption of normal anatomic structure or function that results from bodily injury or a pathological process

Answer 1

wound

Question 2

disruption or break in the skin

Answer 2

open

Question 3

no disruption or break in the skin

Answer 3

closed

Question 4

free of infectious and potentially infectious microbes

Answer 4

clean

Question 5

wound with microbes

infected

Answer 5

contaminated

Question 6

break in epidermis, dermis or underlying tissue

Answer 6

penetrating

Question 7

superficial injury caused by rubbing and scrapping

Answer 7

abrasion

Question 8

open wound with jagged edge

Answer 8

laceration

Question 9

what are the signs of wound infection

Answer 9

accumulation of fluid and RBCs
loss of function
draining
wound dehiscence

Question 10

what symptoms occur when infection wound

Answer 10

erythema
edema
heat
pain
function

Question 11

what is the wound assessment

Answer 11

REEDA

redness, edema, ecchymosis, draining, approximation

Question 12

what are risk factors of pressure ulcers

Answer 12

old age, contractures, diabetes, immobility, incontinence, impaired circulation, obesity, vascular disease

Question 13

what does the braden scale measure

Answer 13

sensory perception, moisture, activity, mobility, nutrition, and friction

Question 14

how to check for pressure ulcers

Answer 14

assess bony prominences

Question 15

transverse depressions of nails

Answer 15

Beau’s lines

Question 16

elevated ridges, common in elderly

Answer 16

longitudinal ridges

Question 17

white spots in the nail plate

Answer 17

leukonychia punctata

Question 18

red swelling of nail fold

Answer 18

paronychia

Question 19

what are developmental variations in newborns

Answer 19

first few hours may be red

dark skinned don’t always manifest coloration (except in nail bed and scrotal)

Question 20

developmental variations in neonatal

Answer 20

acrocyanosis, erythema toxicum, harlequin color changes, Mongolian spots, telangiectasis, physiologic jaundice, milia

Question 21

stork bite

Answer 21

telangiectasis

Question 22

pink papular rash on neonatal

Answer 22

erythema toxicum

Question 23

cyanosis of hands and feet

Answer 23

acrocyanosis

Question 24

developmental variations in pregnancy

Answer 24

striae gravidarum, linea nigra, chloasma, darkening of moles, palmar erythema

Question 25

developmental variations in older adults

Answer 25

transparent skin, dry skin, wrinkling/drooping, cherry angiomas, seborrheic keratosis, senile lentigines

Question 26

orientation

Answer 26

what is the year, season, date, day, month

where are we state, country, town, hospital, floor

Question 27

registration

Answer 27

name three objects and patient must repeat them

Question 28

attention and calculation

Answer 28

serial sevens (stop after 5)

Question 29

recall

Answer 29

ask for the three objects repeated from above

Question 30

language

Answer 30

1) name a pencil and watch
2) repeat the following
3) follow 3 stage command
4) read and obey the following (close your eyes)
5) write a sentence
6) copy and design a trapeze