Skin And Wound Care

Question 0

Thin dressing that forms a moist environment to promote healing. Great to keep urine and stool out of wound. Decreases friction and shearing

Answer 0

Transparent or film dressing

Question 1

Prevents stool and urine from breaking down skin

Answer 1

Barriers

Question 2

Adds moisture and helps with healing

Answer 2

Creams

Question 3

Made to work with wound to promote healing and will autolytic debride. Do not use on infected wound.

Answer 3

Hydrocolloid dressings

Question 4

Used to absorb, protect, doesn’t stick to wound as easily. Some have medications in them

Answer 4

Foam dressings

Question 5

Keeps wound moist for 48-72 hrs. Can autolytic debride. Forms membrane that promotes healing. Great for open areas at any stage and burns.

Answer 5

Hydrogel (saline dressings)

Question 6

Dressing that is great for packing and helps with draining wounds.

Answer 6

Aliginate Dressings

Question 7

Used to help heal. Does great when wound is in remodeling stage

Answer 7

Collagen Dressing

Question 8

Why would you not use cold therapy?

Answer 8

If site is edematous, impaired circulation, neuropathy, shivering,

Question 9

Wound drainage that is clear and watery plasma

Answer 9

Serous

Question 10

Wound drainage that is thick yellow green tan or brown?

Answer 10

Purulent

Question 11

Wound drainage that is pale pink watery mixture if clear and red fluid

Answer 11

Serosanguineous

Question 12

Bright red, indicates active bleeding

Answer 12

Sanguineous

Question 13

Used to help adhesives stick

Answer 13

Skin prep

Question 14

Observed pressure-related alteration of intact skin. Non-blanchable redness of a localized area usually over a bony prominence.

Answer 14

Stage I pressure ulcer

Question 15

Partial thickness skin loss or blister. Presents as a shallow open ulcer with red-pink wound bed and no slough

Answer 15

Stage 2 pressure ulcer

Question 16

Full thickness skin loss (fat visible)

Subcutaneous fat may be visible, but bone tendon or muscle are not. May include undermining or tunneling.

Answer 16

Stage 3 pressure ulcer

Question 17

Full thickness tissue loss with muscle/bone visible. Slough or eschar may be present.

Answer 17

Stage 4 pressure ulcer

Question 18

Full thickness tissue loss in which actual depth of ulcer is completely obscured by slough and/or eschar

Answer 18

Unstageable pressure ulcer