PSW Ch. 22 Flashcards
True/False
When changing a dressing, you need to wear gloves only if there is drainage
False
True/False
You should never apply lotion to a skin crease
True
True/False
A venous ulcer is caused by poor blood return through the veins
True
True/False
When a client slides down in a bed or chair, shearing occurs. Blood vessels and tissues are damaged
True
True/False
A flotation pad or cushion is placed in a pillowcase so the pad doesn’t touch the skin
True
True/false
Paper and plastic tape do not cause allergic reactions
True
To prevent pressure injuries, the health care team may place the client in a surface such as….
A foam, air, alternating air, or gel mattress
Clients who are in pain are at greater risk for developing pressure injuries because…
They are less likely to move or reposition themselves
Wound definition
A wound containing large amounts of bacteria
Dirty or infected wound
Wound definition
A wound that doesn’t heal easily
Chronic wound
Wound definition
A wound created for therapy
Intentional wound
Wound definition
A wound resulting from trauma
Unintentional wound
Wound definition
A wound occurring from surgical entry of the urinary, reproductive, respiratory, or gastro-intestinal system
Clean-contaminated wound
Wound definition
A wound that is not infected, microbes have not entered the wound
Clean wound
Wound definition
A wound with high risk of infection
Contaminated wound
Wound definition
A wound in which dermis, epidermis, and subcutaneous tissue are penetrated; muscle and bone may be involved
Full-thickness wound
Wound definition
A wound in which the tissues are injured, but the skin is not broken
Closed wound
Wound definition
A wound in which skin or mucous membrane is broken
Open wound
A wound in which dermis and epidermis of the skin are broken
Partial-thickness wound
Wound drainage
A thin, watery drainage that is blood tinged
Serosanguineous drainage
Wound definition
A thick green, yellow or brown drainage
Purulent drainage
Wound definition
Bloody drainage
Sanguineous drainage
Wound definition
A clear, watery fluid
Serous drainage
Pressure injury stages
Stage 1 is
When the skin is red, and the colour doesn’t return to the skin when pressure is relieved
Pressure injury stages
Stage 2 is
The skin cracks, blisters and peels
Pressure injury stages
Stage 3 is
The skin is gone, and underlying tissues are exposed
Pressure injury stages
Stage 4 is
Muscle and bones are exposed and damaged
Wounds healing phases
Tissue cells multiply to repair the wound
Proliferative phase
Wounds healing phases
The scar eventually becomes thin and pale
Maturation phase
Wounds healing phases
Blood supply to the would increases
Inflammatory phase
What is the purpose of a drain placed in a wound
When large amounts of drainage are expected
what are common causes of skin breakdown and pressure injuries
pressure, friction, shearing
what are the common sites for venous ulcers
lower legs, feet
what are the risk factors for the development of arterial ulcers
high blood pressure, diabetes, aging, smoking
clients with infected and draining wounds will require more of which 2 nutrients
protein and vitamin C
