Other systems

Question 1

Should you elevate legs when treating a patient with an arterial ulcer?

Answer 1

No patients should avoid leg elevation

Question 2

What are some general recommendations for treating venous ulcers?

Answer 2

risk reduction
education
inspect legs and feet daily
compression to control edema 
elevate legs above heart when resting or sleeping
attempt active exercise 
wear appropriate socks/shoes

Question 3

What is another term for pressure ulcers?

Answer 3

Decubitus ulcers

Question 4

What is a superficial wound?

Answer 4

A wound that causes trauma to the skin with the epidermis remaining in tact. A non blistering sunburn

Question 5

What is a partial-thickness wound?

Answer 5

A wound that extends into the dermis but not through it. Ex: abrasions, blisters, and skin tears.

Question 6

What is a full thickness wound?

Answer 6

A wound that extends deeper that the dermis into the subcutaneous fat. Wounds deeper that 4mm are classified as full thickness wounds

Question 7

What is a subcutaneous wound?

Answer 7

Wounds that extend past the subcutaneous tissue into the muscle, tendon or bone. They requires secondary intention to heal.

Question 8

What is classified as a stage 1 pressure ulcer?

Answer 8

intact skin with localized erythema. color changes do not include purple or maroon.

Question 9

What are characteristics of a stage 2 pressure ulcer?

Answer 9

Partial-thickness with skin loss and exposed dermis. The wound bed is viable, pink, moist, and may also present with a serum-filled blister.

Question 10

Stage 3 pressure ulcer is classified as what?

Answer 10

Full-thickness loss of skin, the subcutaneous tissue is visible. There may be tunneling.

Question 11

What is a stage 4 pressure ulcer?

Answer 11

Full-thickness skin and tissue loss with exposed palpable muscle facia, muscle, tendon, ligament, cartilage, or bone. There is some eschar.

Question 12

What is an unstageable pressure ulcer?

Answer 12

it is an obscured full-thickness skin and tissue loss. the damage of the ulcer cannot be confirmed because of the eschar.

Question 13

What is a deep tissue pressure injury?

Answer 13

Intact or non-intact skin with localized area of persistent non-blanchable deep red, maroon, purple discoloration. Red blood filled blister

Question 14

What is Serous exudate?

Answer 14

clear, light color, and thin watery. Considered to be normal in a healthy healing wound in the inflammatory and proliferative phase

Question 15

Sanguineous Exudate?

Answer 15

Red color and thin watery. new blood vessel growth or disruption of blood vessels

Question 16

Serosanguineous

Answer 16

Presents with a light red or pink coor and thin watery consistency

Question 17

Serosanguineous

Answer 17

Presents with a light red or pink color and thin watery consistency normal for wound healing

Question 18

Seropurulent

Answer 18

Presents with a cloudy or opaque yellow tan watery consistency. Early warning sign of impending infection.

Question 19

Purulent

Answer 19

Presents with a yellow or green color and a thick viscous consistency. Indication of wound infection