Wound Care

Question 1

Damage the epidermis only, pink or red appearance, no blistering, minimal edema, tenderness, delayed pain

Answer 1

First-degree burn

Question 2

Spontaneous healing in 3 to 7 days no scarring

Answer 2

First degree burn

Question 3

Epidermis and upper layers of dermis are damaged, bright pink or red appearance, blanching with brisk capillary refill, blisters, moist service, weeping, moderate edema, painful, sensitive to touch, temperature changes

Answer 3

Superficial partial thickness second degree burn

Question 4

Spontaneous healing typically in 7 to 21 days minimal or no scarring discoloration

Answer 4

Superficial partial thickness Second degree burn

Question 5

Severe damage to epidermis and dermis with injury to nerve endings hair follicles and sweat glands, mixed red or white wax the appearance, blanching with slow capillary refill, broken blisters, wet service, marked edema, sensitive to pressure but in sensitive to light touch and soft pinprick

Answer 5

Deep partial thickness second degree burn

Question 6

Healing is slow in a cursory scarf for mission and re-epithelization, excess of scarring without preventative treatment

Answer 6

Deep partial thickness Second degree burn

Question 7

Complete destruction of epidermis, dermis and subcutaneous tissues, may extend in the muscle, white ischemic, charred, tan, or a black appearance, no blanching, poor distal circulation, parchment like, dry leathery service, depressed area, a little pain, nerve endings are destroyed

Answer 7

Full thickness 3rd degree burn

Question 8

Removal of eschar and skin grafting are necessary due to destruction of dermal and epidermal tissue, risk of infection is increased, hypertrophic scarring and wound contracture are likely to develop without preventative measures

Answer 8

Full sickness 3rd degree burn

Question 9

Complete destruction of epidermis, dermis with involvement of subcutaneous tissues and muscle, charred appearance, destruction of vascular system, may lead to additional necrosis, from electrical burns, prolonged contact with flames, Additional complications likely with electrical burns: ventricular fibrillation, acute kidney damage, spinal cord damage

Answer 9

Subdermal burn 4th degree burn

Question 10

Heels with skin grafting and scarring, requires extensive surgery; amputation maybe necessary

Answer 10

Fourth degree burn

Question 11

Type of debridement for a necrotic wound in medically stable patient

Answer 11

Autolytic

Question 12

Type of debridement for moist necrotic wound, eschar after crosshatching, homebound individuals, and people who cannot tolerate surgical debridement

Answer 12

Enzymatic

Question 13

Type of debridement for wounds with moist necrotic tissue or foreign material present

Answer 13

mechanical

Question 14

Type of debridement for leathery eschar or moist necrotic tissue

Answer 14

Sharp

Question 15

Type of debridement for advancing cellulitis with sepsis, immuno compromised individuals, life-threatening infections, granulation and scar tissue

Answer 15

Surgical

Question 16

Dressing for stage one and two pressure ulcers

Answer 16

Transparent film

Question 17

Dressing for autolytic debridement

Answer 17

Transparent film

Question 18

Dressing for skin donor sites

Answer 18

Transparent film

Question 19

Dressing for protection of partial thickness wound

Answer 19

Hydrocolloids

Question 20

Dressing for autolytic debridement of necrosis or slough

Answer 20

Hydrocolloids

Question 21

Dressings for Wounds with mild exudate

Answer 21

Hydrocolloids

Question 22

Dressing for partial and full thickness wound

Answer 22

Hydrogels

Question 23

Dressing for wounds with necrosis and slough

Answer 23

Hydrogels

Question 24

Dressings for burns and tissue damage by radiation

Answer 24

Hydrogels

Question 25

Dressing for partial and full thickness wounds with minimal to moderate exudate

Answer 25

Foams

Question 26

Secondary dressing for wounds with packing to provide additional absorption

Answer 26

Foams

Question 27

Dressing for wounds with moderate to large amounts of exudate

Answer 27

Alginates

Question 28

Dressings for Wounds with combination of exudate and necrosis

Answer 28

Alginates

Question 29

Dressing for wounds that require packing and absorption

Answer 29

Alginate

Question 30

Dressing for infected and no infected exuding wounds

Answer 30

Alginates

Question 31

Dressing for exudative wounds

Answer 31

Gauze

Question 32

Dressing for a wound with dead space, tunneling, or sinus tract

Answer 32

Gauze

Question 33

Dressing for mechanical debridement of necrotic tissue and slough

Answer 33

Gauze -wet to dry

Question 34

Dressing for heavily exudating wounds

Answer 34

Gauze- continuous dry

Question 35

Dressing for protection of clean wounds

Answer 35

Gauze- Continuous moist

Question 36

Dressing for autolytic debridement if sloth and eschar

Answer 36

Gauze- continuous moist

Question 37

Dressing for a delivery of topical needs

Answer 37

Gauze – continuous moist