Wound examination

Question 1

What lab values may indicate risk for blood clots or dehydration?

Answer 1

High levels of:
RBC
Hematocrit
Hemoglobin
Platelets

Question 2

What lab values may indicate poorly controlled diabetes?

Answer 2

High levels of:
Blood glucose
Urine glucose

Question 3

What lab values may indicate possible infection?

Answer 3

High WBC count

Question 4

What lab values may indicate possible delayed healing?

Answer 4

Low lymphocytes
Low serum albumin
High blood urea nitrogen

Question 6

Partial thickness wound

Answer 6

Goes through epidermis and extends into the dermis

Question 7

Full thickness wound

Answer 7

Goes through epidermis, dermis, and into subcutaneous tissue

Question 8

Red tissue type = ?

Answer 8

Granulation tissue

Question 9

Yellow tissue type = ?

Answer 9

Slough or fibrin

Question 10

Black = ?

Answer 10

Eschar (necrotic)

Question 11

Transudate drainage

Answer 11

Composed of water and electrolytes

Serous - clear
Serosanguineous - pinkish
Sanguineous or bloody - red

Question 12

Exudate drainage

Answer 12

Viscous drainage composed of plasma proteins, neutrophils, and dead cells

Purulent - yellow, tan, greenish, brown
Odorous - ammonia, fishy, foul

Question 13

Periwound

Answer 13

Skin surrounding a wound

Question 14

Edema levels

Answer 14

1+ = barely perceptible depression

2+ = easily identified depression, 1-15 seconds rebound

3+ = depression taking 16-30 seconds rebound

4+ = depression >30 seconds

Question 15

Normal skin temperature in LE and trunk

Answer 15

LE = 75-80 F
Trunk = 92-95 F