Skin Integrity & Wound Care Flashcards
A wound where the entire dermis, sweat glands, and hair follicles are severed is classified as which of the following?
Deep pressure wound
Partial thickness wound
Full thickness wound
Unstageable
Full thickness wound
One of the most serious postoperative wound complications occurs when the wound layers are partially or totally separated as a result of excessive stress on a wound which has not healed. This is referred to as:
dehiscence
evisceration
maceration
fistula
dehiscence
Wounds that heal by tertiary intention are wounds left open for several days to allow edema or infection to resolve or fluid to drain.
TRUE
FALSE
TRUE
Nerves, hair follicles, glands, and blood vessels are located on which layer of the skin?
Dermis
Epidermis
Subcutaneous
Sebaceous
Dermis
The first indication that a pressure injury may be developing is a blanching of the skin over the area under pressure.
TRUE
FALSE
TRUE
Serosanguineous drainage, which is clear and watery, is composed primarily of the clear, serous portion of the blood and from serous membranes.
TRUE
FALSE
FALSE
The phase of wound healing where exudate is typically formed is called:
proliferation phase
remodeling phase
hemostasis phase
inflammatory phase
inflammatory phase
Granulation tissue forms the foundation for scar tissue development during the proliferation phase of wound healing.
TRUE
FALSE
TRUE
Patients who are pulled, rather than lifted, when being moved up in bed or from the bed to the chair are at risk for which of the following types of injury?
Abrasion
Shearing
Avulsion
Penetrating
Shearing
Penrose and Jackson-Pratt drains are examples of closed drainage systems used to drain blood and fluid from wounds.
TRUE
FALSE
FALSE
