Wound Assessment + Neurovascular Assessment

Question 1

Contusion

Answer 1

damage to vessels causing bleeding below skin surface (bruising)

Question 2

Incision

Answer 2

A sharp object, wound edges aligned

Question 3

Laceration

Answer 3

tearing of tissue - edges not aligned

Question 4

Abrasion

Answer 4

rubbing or scraping of layers

Question 5

Penetrating

Answer 5

foreign object entering skin at high velocity (would also leave a puncture wound)

Question 6

Thermal

Answer 6

Burns
high or low temperatures

Question 7

Pressure Ulcers

Answer 7

injuries to skin and underlying tissue resulting from prolonged pressure on the skin

Question 8

Diabetic Ulcer

Answer 8

a wound impacted by poor circulation and sensation due to diabetes

Question 8

Venous/Arterial Ulcers

Answer 8

a wound on the leg or ankle caused by abnormal or damaged veins or arteries and poor circulation

Question 9

Surgical Wound Classification

Answer 9

• Clean wound edges
• Controlled bleeding
• Wound made under sterile conditions

Question 10

Non-Surgical or Traumatic Wound Classification

Answer 10

• Occur in a non-sterile environment
• Contamination likely
• Wound edges jagged
• Bleeding uncontrolled

Question 11

Phases of wound healing

Answer 11

Hemostasis
Inflammatory
Proliferative
Remodeling

Question 12

Haemostasis

Answer 12

0-24 hours

Question 13

Inflammatory

Answer 13

0-4 days

Question 14

Proliferative

Answer 14

3 days to 2/3 weeks

Question 15

Remodelling

Answer 15

2-3 weeks to 6-12mths or longer

Question 16

Acute

Answer 16

Wounds which progress through the phases of wound healing in an orderly and timely manner until skin is restored
Heal within weeks

Question 17

Chronic

Answer 17

Do not progress normally thourgh the reparative wound healing phases and healing time is delayed
Can take months to heal

Question 18

Primary Intention

Answer 18

surgical incision or paper cut

Question 19

Secondary Intention

Answer 19

takes longer, more debris, exudate.
Debris may need to be cleaned away before healing can take place

Question 20

Tertiary Intention

Answer 20

delayed primary intention, contaminated would left open and suture closed liquid has been drained..

Question 21

Dehiscence

Answer 21

Wound opens after previous closure

Question 22

Evisceration

Answer 22

Wound edges seperate to the extent abdominal organs protrude through the wound

Question 23

Hyper-granulation

Answer 23

Excess of granulation tissue

Question 24

Treatment for hyper-granulation

Answer 24

flatten with pressure if needed and use producers to decrease moisture level if needed

Question 25

Slough

Answer 25

Dead cells and debris accumulate in exudate

Question 26

Maceration

Answer 26

Occurs when skin is in contact with moisture for too long

Question 27

Necrosis

Answer 27

Necrotic tissue
Thick, Dry, Black

Question 28

Arteries and Veins in Arm

Answer 28

Brachial
Radial
Ulnar

Question 29

Arteries and Veins in Leg

Answer 29

Femoral
Popliteal
Dorsalis
Posterior Tibialis
Pedis

Question 30

5 P’s of Neurovascular Assessment

Answer 30

Pain
Pulse
Pallor
Paresthesia
Paralysis

Question 31

Pink

Answer 31

Arterial pressure is normal

Question 32

Whitish

Answer 32

decreased arterial supply

Question 33

Bluish

Answer 33

venous stasis
your veins can’t send the blood from your legs back to your heart.

Question 34

Paraesthesia

Answer 34

abnormal condition in which you feel sensation of numbness, tingling or prickling