Test 2- skin integrity/wound care

Question 1

mechanical management for pressure ulcer

Answer 1

wet to dry dressing; doing wound irrigation where they take a syringe and put needle on end of it, instead of inserting into skin → using needle to create pressure and nurse pushes plunger side to side to clean it

Question 2

autolytic management for pressure ulcer

Answer 2

using synthetic dressing over wound and allows pt with escar, that doesn’t have a lot, can put synthetic dressing over and tends to eat escar → soften or self digested enzymes in wound

Question 3

chemical management for pressure ulcer

Answer 3

using topical enzymes → absorbs all exudates and debris/ bacteria to decrease risk of infection

Question 4

surgical

Answer 4

remove escar

Question 5

abrasion

Answer 5

superficial, mild trauma with lil bit of bleeding and considered partial thickness

Question 6

laceration

Answer 6

bleeds more profusely and depends on how deep and where wound is located

Question 7

puncture wounds

Answer 7

size and how much they bleed corresponds with how deep they are and the size

Question 8

hemorrhage

Answer 8

bleeding from wound site

Question 9

hematoma

Answer 9

localized collection of blood under tissue

-most of the time it is self absorbed

Question 10

dehiscence

Answer 10

partial or total separation of wound layers

Question 11

evisceration

Answer 11

emergency; total separation of wound layers and protrusion of organ

Question 12

hydrocolloid

Answer 12

protects wounds from surface contamination

Question 13

hydrogel

Answer 13

maintain moist surface to support healing

Question 14

administer analgesics _____ dressing change

Answer 14

before