Wound care

Question 1

Wound associated w/ chronic venous insufficiency

Answer 1

venous ulcer

Question 2

wound associated w/ chronic arterial insufficiency

Answer 2

arterial ulcer

Question 3

wound associated w/ arterial disease and peripheral neuropathy

Answer 3

diabetic ulcer

Question 4

lesions caused by unrelieved pressure resulting in ischemic hypoxia and damage to underlying tissue.

Answer 4

pressure ulcer

Question 5

venous ulcers are common over area of…

Answer 5

medial malleolus

Question 6

Pain associated w/ venous ulcer…

Answer 6

none

Question 7

color of venous wound…

Answer 7

normal or cyanotic

Question 8

arterial ulcers can occur where?

Answer 8

anywhere in lower leg (small toes, feet, bony areas

Question 9

Pain associated w/ arterial ulcers…

Answer 9

often severe

Question 10

skin changes associated w/ arterial ulcer (3)

Answer 10

1. pale
2. shiny
3. loss of hair

Question 11

pain associated w/ diabetic ulcers

Answer 11

typically none

Question 12

pulse w/ diabetic ulcers may be…

Answer 12

present or diminished

Question 13

color of pressure ulcers (3)

Answer 13

1. red
2. brown/black
3. yellow

Question 14

pain associated w/ pressure ulcers

Answer 14

can be painful

Question 15

Wound that is often full thickness, “punched-out”, pale w/ no granulation, decreased pulse and painful

Answer 15

arterial

Question 16

Wound that is typically partial thickness, shaggy, yellow w/ granulation and no pain

Answer 16

venous

Question 17

Nonblanchable erythema of intact skin. May include changes in skin temp, tissue consistency and/or sensation

Answer 17

stage 1 pressure ulcer

Question 18

partial thickness skin loss: involves epidermis, dermis or both. Ulcer is superficial. Presents clinically as an abrasion, blister or shallow crater

Answer 18

stage 2 pressure ulcer

Question 19

full-thickness skin loss: damage tot subcutaneous tissue. May extend to but not through underlying fascia. Deep crater

Answer 19

stage 3 pressure ulcer

Question 20

Full-thickness skin loss: damage to mm, bone, or supporting structures

Answer 20

stage 4 pressure ulcer

Question 21

healthy granulating wounds. absence of necrotic tissue

Answer 21

clean, red wounds

Question 22

include slough (necrotic tissue), fibrous tissue

Answer 22

yellow wounds

Question 23

covered w/ eschar (dried necrotic tissue)

Answer 23

black wounds

Question 24

ulcer that is slow to heal. Not painful

Answer 24

indolent ulcer

Question 25

cyanosis may indicate…

Answer 25

arterial insufficiency

Question 26

silver nitrate, silver sulfadiazine, erythromycin, gentamicin, triple antibiotic

Answer 26

topical antimicrobial agents

Question 27

corticosteroids, hydrocortisone, ibuprofen

Answer 27

anti-inflammatory agents

Question 28

lidocaine, lignocaine

Answer 28

topical anesthetics and analgesics

Question 29

Using syringe, squeezable bottle w/ tipe or battery-powered irrigation device (pulselavage). Lossens wound debris and removes it by suction

Answer 29

irrigation

Question 30

protects wound from contamination and trauma; permit application of medication; absorb drainage; debridement and enhance healing

Answer 30

topical dressing

Question 31

maintain moist environment; wound tissue fluid maintained in contact w/ tissues and cells

Answer 31

moisture-retentive

Question 32

provides protection to wound and underlying dressings

Answer 32

gauze dressings

Question 33

unna boot; nonstretchable dressing impregnated w/ ointments

Answer 33

semirigid dressings