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MAPIII > Vascular Assessment > Flashcards

Vascular Assessment Flashcards

1
Q

What is the purpose of a wound classification system?

A

To describe wound characteristics

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2
Q

T/F: The purpose of a wound classification system is to measure wound healing.

A

FALSE!

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3
Q

T/F: Do NOT reverse a wound classification system to show progress.

A

True: Once it reaches a specific stage, it can not downgrade even if it is close.

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4
Q

T/F: The National Pressure Ulcer Advisory Panel (NPUAP) Staging System is widely known, and was developed for pressure ulcers but can be used for arterial and neuropathic wounds as well.

A

True: Also used for wounds from tape damage and skin tears.

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5
Q

What are the two main purposes for the NPUAP?

A

Describe anatomic tissue loss and Diagnosis of severity before healing starts

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6
Q

NPUAP - Once it closes it is no longer a pressure ulcer:

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

a. Stage I

b. Stage II

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7
Q

NPUAP - will ALWAYS be a the same stage ulcer b/c of permanent damage and skin will only be 70% as strong as after “healing”

A

c. Stage III

d. Stage IV

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8
Q

Partial thickness

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

b. Stage II

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9
Q

Involves epidermis and/or dermis

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

b. Stage II

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10
Q

Full thickness

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

c. Stage III

d. Stage IV

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11
Q

Eventually may be stageable

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

e. Unstageable

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12
Q

Deep crater w/ or w/o undermining

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

c. Stage III

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13
Q

Defined area of persistent redness (light skin) - nonblanchable
Persistent red, blue or purple area (dark skin) - nonblanchable
a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

a. Stage I

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14
Q

May include changes in: Skin temp, Tissue consistency, Sensation

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

a. Stage I

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15
Q

Superficial

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

b. Stage II

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16
Q

Involves damage or necrosis of subcutaneous tissue

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

c. Stage III

17
Q

Depth is indeterminable

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

e. Unstageable

18
Q

May extend down to, but not through fascia

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

c. Stage III

19
Q

Observable alteration compared to surrounding skin

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

a. Stage I

20
Q

Contains no eschar or slough

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

b. Stage II

21
Q

Damage to muscle, bone, or supporting structures

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

d. Stage IV

22
Q

Shallow crater

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

b. Stage II

23
Q

Skin is intact

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

a. Stage I

24
Q

Blister

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

b. Stage II

25
Q

Depth is indeterminable

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

e. Unstageable

26
Q

Unable to be observed (under a cast, etc.)

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

e. Unstageable

27
Q

Extensive destruction and tissue necrosis

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

d. Stage IV

28
Q

Abrasion

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

b. Stage II

29
Q

Covered with eschar and necrotic tissue

a. Stage I
b. Stage II
c. Stage III
d. Stage IV
e. Unstageable

A

e. Unstageable

MAPIII (4 decks)

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