PSW Ch. 22

Question 1

True/False
When changing a dressing, you need to wear gloves only if there is drainage

Answer 1

False

Question 2

True/False
You should never apply lotion to a skin crease

Answer 2

True

Question 3

True/False
A venous ulcer is caused by poor blood return through the veins

Answer 3

True

Question 4

True/False
When a client slides down in a bed or chair, shearing occurs. Blood vessels and tissues are damaged

Answer 4

True

Question 5

True/False
A flotation pad or cushion is placed in a pillowcase so the pad doesn’t touch the skin

Answer 5

True

Question 6

True/false
Paper and plastic tape do not cause allergic reactions

Answer 6

True

Question 7

To prevent pressure injuries, the health care team may place the client in a surface such as….

Answer 7

A foam, air, alternating air, or gel mattress

Question 8

Clients who are in pain are at greater risk for developing pressure injuries because…

Answer 8

They are less likely to move or reposition themselves

Question 9

Wound definition
A wound containing large amounts of bacteria

Answer 9

Dirty or infected wound

Question 10

Wound definition
A wound that doesn’t heal easily

Answer 10

Chronic wound

Question 11

Wound definition
A wound created for therapy

Answer 11

Intentional wound

Question 12

Wound definition
A wound resulting from trauma

Answer 12

Unintentional wound

Question 13

Wound definition
A wound occurring from surgical entry of the urinary, reproductive, respiratory, or gastro-intestinal system

Answer 13

Clean-contaminated wound

Question 14

Wound definition
A wound that is not infected, microbes have not entered the wound

Answer 14

Clean wound

Question 15

Wound definition
A wound with high risk of infection

Answer 15

Contaminated wound

Question 16

Wound definition
A wound in which dermis, epidermis, and subcutaneous tissue are penetrated; muscle and bone may be involved

Answer 16

Full-thickness wound

Question 17

Wound definition
A wound in which the tissues are injured, but the skin is not broken

Answer 17

Closed wound

Question 18

Wound definition
A wound in which skin or mucous membrane is broken

Answer 18

Open wound

Question 19

A wound in which dermis and epidermis of the skin are broken

Answer 19

Partial-thickness wound

Question 20

Wound drainage
A thin, watery drainage that is blood tinged

Answer 20

Serosanguineous drainage

Question 21

Wound definition
A thick green, yellow or brown drainage

Answer 21

Purulent drainage

Question 22

Wound definition
Bloody drainage

Answer 22

Sanguineous drainage

Question 23

Wound definition
A clear, watery fluid

Answer 23

Serous drainage

Question 24

Pressure injury stages
Stage 1 is

Answer 24

When the skin is red, and the colour doesn’t return to the skin when pressure is relieved

Question 25

Pressure injury stages Stage 2 is

Answer 25

The skin cracks, blisters and peels

Question 26

Pressure injury stages Stage 3 is

Answer 26

The skin is gone, and underlying tissues are exposed

Question 27

Pressure injury stages Stage 4 is

Answer 27

Muscle and bones are exposed and damaged

Question 28

Wounds healing phases Tissue cells multiply to repair the wound

Answer 28

Proliferative phase

Question 29

Wounds healing phases The scar eventually becomes thin and pale

Answer 29

Maturation phase

Question 30

Wounds healing phases Blood supply to the would increases

Answer 30

Inflammatory phase

Question 31

What is the purpose of a drain placed in a wound

Answer 31

When large amounts of drainage are expected

Question 32

what are common causes of skin breakdown and pressure injuries

Answer 32

pressure, friction, shearing

Question 33

what are the common sites for venous ulcers

Answer 33

lower legs, feet

Question 34

what are the risk factors for the development of arterial ulcers

Answer 34

high blood pressure, diabetes, aging, smoking

Question 35

clients with infected and draining wounds will require more of which 2 nutrients

Answer 35

protein and vitamin C