Wounds

Question 1

intact skin
area of persisent redness on light skin
are of persistent red, blue or purple hue on darker skin
does not blanch

Answer 1

Stage 1 Pressure Ulcer

Question 2

partial-thickness skin loss of epidermis/dermis

superficial; abrasion, blister, shallow center

Answer 2

Stage 2 Pressure Ulcer

Question 3

full thickness skin loss
damage or necrosis of subq tissue
deep crate with or without undermining

Answer 3

Stage 3 Pressure Ulcer

Question 4

the result of a planned invasive therapy/treatment

• wound edges clean
• bleeding controlled
• wound made in sterile environment=decreased risk of infection

Answer 4

Intentional Wound

Question 5

full thickness skin loss
extensive destruction, tissue necrosis
damage to bone muscle, tendons, joints, sinus tracts is possible

Answer 5

Stage 4 Pressure Ulcer

Question 6

Can’t see wound base

Answer 6

Unstageable Pressure Ulcer

Question 7

cutting by sharp instrument; wound edges in close approximation and aligned

Answer 7

Incision

Question 8

blunt instrument, overlying skin remains intact but tissue underneath has been damaged

Answer 8

Contusion

Question 9

friction; rubbing or scraping epidermal layers of skin; top layer of skin abraded

Answer 9

Abrasion

Question 10

tearing of skin and tissue with blunt or irregular instrument; tissue not aligned, often with loose flaps of skin and tissue

Answer 10

Laceration

Question 11

blunt or sharp instrument puncturing the skin; intentional or accidental

Answer 11

Puncture

Question 12

foreign object entering the skin or mucous membrane and lodging in underlying tissue; fragments possibly scattering throughout tissues.

Answer 12

Penetration

Question 13

tearing a structure from normal anatomic position; possible damage to blood vessels, nerves and other structures

Answer 13

Avulsion

Question 14

toxic agents such as drugs, acids, alcohols, metals, and substances released from cellular necrosis

Answer 14

Chemical

Question 15

high or low temperatures; cellular necrosis as a possible result

Answer 15

Thermal

Question 16

Ultraviolet light or radiation exposure

Answer 16

Irradiation

Question 17

compromised circulation secondary to pressure or pressure combined with friction

Answer 17

Pressure Ulcer

Question 18

injury and poor venous return, resulting from underlying conditions, such as incompetent valves or obstruction

Answer 18

Venous Ulcer

Question 19

injury and underlying ischemia, resulting from underlying conditions, such as atherosclerosis or thrombosis

Answer 19

Arterial Ulcer

Question 20

injury and underlying diabetic neuropathy, peripheral arterial disease, diabetic foot structure.

Answer 20

Diabetic Ulcer

Question 21

well approximated wounds whose skin edges are tightly together.

Answer 21

Primary Intention

Question 22

wounds healing with edges that are not well approximated. Take longer to heal and form more scar tissue

Answer 22

Secondary Intention

Question 23

occur from unexpected trauma (accidental) ex. stabbing/gunshot

• occur in UNSTERILE environment, contamination likely
• increased risk for infection
• increased healing time

Answer 23

Unintentional Wound

Question 24

wounds that are left open for several days to allow edema or infection to resolve or fluid to drain and then are closed.

Answer 24

Tertiary Intention

Question 25

occurs from intentional/un-intentional wounds
skin surface broken=portal of entry for microorganisms
bleeding, tissue damage, increased risk for infection, delayed healing

Answer 25

Open Wound

Question 26

If a wound that is healing by primary intention becomes infected how will it heal?

Answer 26

Secondary Intention