wound care

Question 1

type one

Answer 1

-skin isn’t intact
-non-blanchable redness
-swollen tissue
-darkin skin –> can appear blue

Question 2

type two

Answer 2

skin not intact
partial thickness loss
no fatty tissue visible
shallow pink or red ulceration that’s moist
superficial ulcer

Question 3

type three

Answer 3

-full thickness Skin loss
-produce drainage
-damage to necrosis of subq tissue
- no bone muscle or tendon exposed
-rolled round edges

Question 4

type four

Answer 4

skin isn’t intact
-full thickness tissue loss
-deep pockets of infection and tunneling
-bone muscle or tendon exposed

Question 4

type four

Answer 4

skin isn’t intact
-full thickness tissue loss
-deep pockets of infection and tunneling
-bone muscle or tendon exposed

Question 5

deep tissue injury

Answer 5

-skin intact
-tissue under the surface is damaged
-purple to dark red

Question 6

unstageable

Answer 6

stage cannot be determined due to eschar ( hard ,dry , dead tissue leathery appeal ,black brown or tan .or slough cover the visibility go the wound ( like chicken fat skin)