Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

FUNDA FINALS > WOUND CARE ASSESSMENT > Flashcards

WOUND CARE ASSESSMENT Flashcards

1
Q

What should be inspected?

A

Color, Turgor, Edema, Lesion, Associated injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What will be assessed in wounds?

A

Location, Width/Length/Depth, Last Tetanus Shot, Appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Wound appearance are?

A

Size, Draining, swelling, pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Types of tissues?

A

Necrotic, Eschar, Slough, Granulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Necrotic tissue is?

A

Inviable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Eschar tissue is?

A

Color black or brown with leathery texture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Slough tissue is?

A

Stringy, cheesy, loose, yellow, tan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Granulation tissue is?

A

Viable pink pale to beefy red

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is epithelialization?

A

Occurs along wound edges with pale pink appearance of the wound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Periwound areas checked?

A

Erythema, Maceration, Rash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is Erythema?

A

Infection redness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is Rash?

A

Papular or macular shaped caused by fungal infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Undermining/Tunneling materials inspection: Descriptor and for measurement

A

Hand of clock and cotton tipped applicator

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Acute care implementation support?

A

Fluid intake 2,500mL a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Acute care implementation prevention?

A

Transmission and contamination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Acute care implementation positioning?

A

Offload pressure

17
Q

How to prevent MASD and pressure injuries?

A

Wrinkle free, semi fowler position, change pos feq, don’t use baby powder/cornstarch

18
Q

How to treat wounds? 5 steps

A

Surgical asepsis
Never use alcohol or hydrogen perox
Obtain c and s
Teach pt
Teach pt of ROM

19
Q

How to treat pressure injuries using the RYB CODE?

A

Red: protect, Yellow: Cleanse, Black: Debride

20
Q

Transparent film dressing

A

Ulcerated, Burned area

21
Q

Hydrocolloid dressing

A

Pressure injuries

22
Q

Dressing wounds? 2

A

Secure and suture/staples

23
Q

Cleaning wounds? 4 steps

A

Remove debris, Saline solu, not all need to be changed, penrose drain (surgical)

24
Q

Pressure should be between psi?

A

4-15 psi

25
Q

Pack using what technique?

A

Damp to damp

26
Q

What is Bandage?

A

Strip of cloth

27
Q

What is Gauze?

A

Retain dressing

28
Q

What is elasticized?

A

Puts pressure to improve venous circulation

29
Q

What is binders?

A

Bandages for specific body parts (armsling)

30
Q

Basic turns for bandaging? 5

A

Circular, spiral, spiral reverse, figure 8, recurrent

31
Q

Loc effects of heat?

A

High capillary permeability, high cellular metabolism, vasodilation, sedative effect, inflammation

32
Q

Materials for applying heat/cold?

A

Ice packs, Aquathermia pads, hot water bag, cold packs, hot packs

33
Q

How to apply heat and cold?

A

Compress, soak, sitz bath, sponge

FUNDA FINALS (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions