WOUND ASSESSMENT TRANS

Question 1

5 layers of the epidermis

Answer 1

Corneum
Lucidum
Granulosum
Spinosum
Basale

Question 2

Area that separates the epidermis and dermis

Answer 2

Dermoepidermal Junction/ Basement membrane zone

Question 3

Extent of full-thickness wound

Answer 3

goes past the dermis

Question 3

Extent of partial-thickness wound?

Answer 3

Up to the dermis

Question 4

Type of wound that has no skin loss (can be jagged)

Answer 4

Laceration

Question 5

Type of wound that has scrapping of the skin

Answer 5

Abrasion

Question 6

Type of wound that is complete or partial tear of the skin with pulling or detachment

Answer 6

Avulsion

Question 6

Type of wound that has removal of a part/organ/limb

Answer 6

Amputation

Question 7

Type of wound that is made by a hard and pointy object that penetrates the skin

Answer 7

Puncture

Question 8

Type of wound that is made surgically

Answer 8

Incision

Question 9

Type of wound that develops over a bony prominence in the body

Answer 9

Pressure sores/ Bed sores

Question 10

Dressing that removes both dead and viable cells

Answer 10

Non-selective

Question 11

Dressing that only removes dead cells

Answer 11

Selective

Question 12

Dressing that uses the pt’s enzymes

Answer 12

Autolytic

Question 13

Dressing that allows for some breathing of the wound

Answer 13

Semi-occlusive

Question 14

Dressing that blocks or closes the wound

Answer 14

Occlusive

Question 15

Materials needed for wound dressing

Answer 15

Bandage
Gauze
Scissors
Micropore
Antiseptic
Gloves

Question 16

What to assess in the wound

Answer 16

Location
Wound type
Extent of wound
Type of tissue
Percentage of the tissue
Size (L,W,D)
Exudates
Odor
Periwound
Pain