PSW Ch. 22 Flashcards

1
Q

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

A

False

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2
Q

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

A

True

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3
Q

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

A

True

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4
Q

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

A

True

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5
Q

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

A

True

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6
Q

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

A

True

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7
Q

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

A

A foam, air, alternating air, or gel mattress

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8
Q

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

A

They are less likely to move or reposition themselves

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9
Q

Wound definition
A wound containing large amounts of bacteria

A

Dirty or infected wound

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10
Q

Wound definition
A wound that doesn’t heal easily

A

Chronic wound

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11
Q

Wound definition
A wound created for therapy

A

Intentional wound

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12
Q

Wound definition
A wound resulting from trauma

A

Unintentional wound

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13
Q

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

A

Clean-contaminated wound

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14
Q

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

A

Clean wound

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15
Q

Wound definition
A wound with high risk of infection

A

Contaminated wound

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16
Q

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

A

Full-thickness wound

17
Q

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

A

Closed wound

18
Q

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

A

Open wound

19
Q

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

A

Partial-thickness wound

20
Q

Wound drainage
A thin, watery drainage that is blood tinged

A

Serosanguineous drainage

21
Q

Wound definition
A thick green, yellow or brown drainage

A

Purulent drainage

22
Q

Wound definition
Bloody drainage

A

Sanguineous drainage

23
Q

Wound definition
A clear, watery fluid

A

Serous drainage

24
Q

Pressure injury stages
Stage 1 is

A

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

25
Q

Pressure injury stages
Stage 2 is

A

The skin cracks, blisters and peels

26
Q

Pressure injury stages
Stage 3 is

A

The skin is gone, and underlying tissues are exposed

27
Q

Pressure injury stages
Stage 4 is

A

Muscle and bones are exposed and damaged

28
Q

Wounds healing phases
Tissue cells multiply to repair the wound

A

Proliferative phase

29
Q

Wounds healing phases
The scar eventually becomes thin and pale

A

Maturation phase

30
Q

Wounds healing phases
Blood supply to the would increases

A

Inflammatory phase

31
Q

What is the purpose of a drain placed in a wound

A

When large amounts of drainage are expected

32
Q

what are common causes of skin breakdown and pressure injuries

A

pressure, friction, shearing

33
Q

what are the common sites for venous ulcers

A

lower legs, feet

34
Q

what are the risk factors for the development of arterial ulcers

A

high blood pressure, diabetes, aging, smoking

35
Q

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

A

protein and vitamin C