Skin Integrity And Wound Care

Question 1

Clean-contaminated wounds

Answer 1

Surgical wounds where respiratory, GI, genital or urinary tract have been entered. No evidence of infection

Question 2

Contaminated wound

Answer 2

Open, fresh, accidental wounds. Major break in sterile technique. Shows inflammation

Question 3

Dirty or infected wound

Answer 3

Dead tissue, infection, drainage

Question 4

Shearing force

Answer 4

Combination of friction and pressure

Question 5

Maceration

Answer 5

Tissue softened by prolonged wetting or soaking

Question 6

Excoriation

Answer 6

Area of lost superficial layers of skin

Question 7

Primary intention healing

Answer 7

Tissue surfaces have been approximated. (Closed) Minimal or no tissue loss

Question 8

Secondary intention healing

Answer 8

Extensive, tissue loss.

Pressure ulcer

Question 9

Tertiary intension

Answer 9

Wounds left open for 3 to 5 days then closed up by sutures

Question 10

Phases of wound healing

Answer 10

Inflammatory
Proliferator
Remodeling

Question 11

Hemostasis

Answer 11

Cessation of bleeding

Question 12

Eschar

Answer 12

Scab

Question 13

Keloid

Answer 13

Hypertrophic scar. Abnormal amount of collage laid down

Question 14

Serous exudate

Answer 14

Serum. (Clear portion of blood)

Question 15

Purulent exudate

Answer 15

Thicker than serous. PUS

Question 16

Suppuration

Answer 16

Process of pus formation

Question 17

Sanguineous exudate

Answer 17

Large amounts of RBC

Question 18

Hemorrhage

Answer 18

Massive bleeding

Question 19

Hematoma

Answer 19

Localized collection of blood underneath the skin

Question 20

Dishiscence

Answer 20

Partial or total rupturing of a sutured wound

Question 21

Evisceration

Answer 21

Protrusion of the internal viscera through an incision

Question 22

Debridement

Answer 22

Removal of the necrotic material

Question 23

Compress

Answer 23

Moist gauze dressing applied to a wound or injury

Question 24

Sitz bath

Answer 24

Hip bath. Soak perineal or rectal area

Question 25

Clean wounds

Answer 25

Uninfected wounds. Minimal inflammation. GI, respiratory, urinary and genital tracts not entered
CLOSED WOUND