Skin Integrity and Wound Care (Vocabulary)

Question 1

injury to skin and/or underlying tissue, usually over bony prominence.
CAUSED by force alone or combination of movement

Answer 1

pressure ulcer

a.k.a: decubitus ulcers, pressure sores, bedsores

Question 2

deficiency in blood supply to tissue

Answer 2

ischemia

Question 3

bright red flush color skin takes on when pressure ulcer is relieved

Answer 3

reactive hyperemia

Question 4

extra blood floods into area to compensate for preceding period of impeded blood flow

Answer 4

vasodilation

Question 5

combination of friction and pressure

Answer 5

shearing force

Question 6

reduction in amount and control of movement a person has

Answer 6

immobility

Question 7

tissue softened by prolonged wetting or soaking

CAUSED by incontinence

Answer 7

maceration

Question 8

area of loss of superficial layers of the skin

Answer 8

excoriation

Question 9

renewal or healing of tissue

Answer 9

regeneration

Question 10

tissue that is “closed” is said to be:

Answer 10

approximated

Question 11

Tissue surfaces have approximated and there is minimal or no tissue loss. Formation of minimal granulation tissue and scarring

Answer 11

Primary intention healing

Question 12

Extensive wound that involves considerable tissue loss. Edges cannot or should not be approximated

Answer 12

Secondary intention healing

Question 13

Wounds left open for 3-5 days to allow edema or infection to resolve or exudate to drain and then closed with sutures, staples or adhesive closures

Answer 13

Tertiary intention

Question 14

Cessation of bleeding when vasoconstriction of larger blood vessels occurs, injured blood vessels retract, deposition of fibrin and blood clots form

Answer 14

Hemostasis

Question 15

Connective tissue

Answer 15

Fibrin

Question 16

Cellular debris and microorganisms are engulfed

Answer 16

Phagocytosis

Question 17

White protein adding tensile strength to wound

Answer 17

Collagen

Question 18

Young fragile connective tissue with new capillaries formed in wound healing

Answer 18

Granulation tissue

Question 19

Wound becomes covered with dried plasma proteins and dead cells (necrosis) called

Answer 19

Eschar

Question 20

Abnormal amount of collagen is laid down creating a hypertrophic scar called

Answer 20

Keloid

Question 21

Fluids and cells that have escaped from blood vessels during the inflammatory phase and deposited on tissue or cell surfaces

Answer 21

Exudate

Question 22

Clear portion of blood exiting wound

Answer 22

Serous exudate

Question 23

Thicker discharge, because it contains pus, exiting wound Varying in color.

Answer 23

Purulent exudate

Question 24

Pooled exudate containing liquified dead tissue debris, & dead and living bacteria

Answer 24

Pus

Question 25

Process of pus formation

Answer 25

Suppuration

Question 26

large amounts of RBCs exiting wound, b/c damage to capillaries is severe enough to allow escape of RBCs from plasma

Answer 26

Sanguineous exudate

Question 27

Commonly seen in surgical incisions. Consisting of clear and blood–tinged drainage exiting wound

Answer 27

Serosanguineous exudate

Question 28

Consisting of pus and blood often seen in new wounds that are infected

Answer 28

Purosanguineous discharge

Question 29

Abnormal massive bleeding

Answer 29

Hemorrhage

Question 30

Localized collection of blood underneath the skin that may appear as a bruise

Answer 30

Hematoma

Question 31

Partial or total rupturing of a sutured wound

Answer 31

Dehiscence

Question 32

Protrusion of internal viscera through in incision

Answer 32

Evisceration

Question 33

Yellow or white tissue that adheres to ulcer bed in strings or thick clumps or is mucinous

Answer 33

Slough

Question 34

Removal of necrotic material

Answer 34

Debridement

Question 35

Strip of cloth used to wrap some part of the body

Answer 35

Bandage

Question 36

Type of bandaged designed for a specific body part

Answer 36

Binder

Question 37

Bloodflow that is reduced to in affected area reducing oxygen supply, metabolites, decreased removal of waste and cool and pale skin

Answer 37

Vasoconstriction

Question 38

Moist gauze dressing applied to a wound

Answer 38

Compress

Question 39

Hip bath used to soak a patient’s perineal or rectal area

Answer 39

Spitz bath