Chapter 33 test
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Questions and Answers

What is the first line of defense against microorganisms?

  • Adequately nourished and hydrated body cells
  • Adequate circulation
  • Amount of underlying tissues
  • Intact skin (correct)
  • Which type of wound is similar to a bruise and is closed?

  • Incision
  • Abrasion
  • Laceration
  • Contusion (correct)
  • What is necessary to maintain cell life and resistance to injury?

  • Resistance to injury affected by age
  • Proper nutrition
  • Normal body response to injury
  • Adequate circulation (correct)
  • Which type of ulcers are related to pressure?

    <p>Pressure ulcers</p> Signup and view all the answers

    What is essential for normal body response to injury?

    <p>Adequate blood supply</p> Signup and view all the answers

    Which factor affects resistance to injury?

    <p>Amount of underlying tissues</p> Signup and view all the answers

    What promotes normal healing when the wound is free of foreign material?

    <p>Proper nutrition</p> Signup and view all the answers

    What type of wound is caused by a sharp object?

    <p>Puncture</p> Signup and view all the answers

    Which phase of wound healing involves immediate constriction of blood vessels and the beginning of blood clotting?

    <p>Hemostasis</p> Signup and view all the answers

    Which action should be taken to prevent pressure injuries?

    <p>Assess at risk patients daily</p> Signup and view all the answers

    What is the purpose of maintaining higher humidity and using moisturizers in preventing pressure injuries?

    <p>To maintain skin moisture</p> Signup and view all the answers

    What is the effect of applying heat for pressure injuries?

    <p>Increases tissue metabolism</p> Signup and view all the answers

    Which type of wound dressing adds moisture?

    <p>Those that add moisture</p> Signup and view all the answers

    What should be done when changing a dressing?

    <p>Prepare the patient and ask about pain beforehand</p> Signup and view all the answers

    Which type of drainage system is a closed system?

    <p>Hemovac drain</p> Signup and view all the answers

    What are the effects of applying cold in the first 72 hours after an injury?

    <p>Reduces muscle tension</p> Signup and view all the answers

    What factors affect the response to hot and cold treatments?

    <p>Duration of application and patient's age</p> Signup and view all the answers

    What is the impact of minimizing skin injury from friction or shearing in preventing pressure injuries?

    <p>Reducing blood viscosity and increasing capillary permeability</p> Signup and view all the answers

    Which factor is essential for normal body response to injury?

    <p>Adequate circulation</p> Signup and view all the answers

    What type of ulcers are related to pressure?

    <p>Pressure ulcers</p> Signup and view all the answers

    What is the impact of minimizing skin injury from friction or shearing in preventing pressure injuries?

    <p>Prevention of pressure ulcers</p> Signup and view all the answers

    What is necessary to maintain cell life and resistance to injury?

    <p>Adequate circulation</p> Signup and view all the answers

    What promotes normal healing when the wound is free of foreign material?

    <p>Adequate blood supply</p> Signup and view all the answers

    What is the purpose of cleansing the skin routinely to prevent pressure injuries?

    <p>To prevent prolonged exposure to feces or urine</p> Signup and view all the answers

    What is the effect of applying heat for pressure injuries?

    <p>Dilates peripheral blood vessels</p> Signup and view all the answers

    What is the purpose of maintaining higher humidity and using moisturizers in preventing pressure injuries?

    <p>To minimize skin injury from friction or shearing</p> Signup and view all the answers

    What is necessary to maintain cell life and resistance to injury?

    <p>Proper positioning and turning</p> Signup and view all the answers

    What promotes normal healing when the wound is free of foreign material?

    <p>Improving mobility and activity</p> Signup and view all the answers

    Which type of wound dressing maintains moisture?

    <p>Hydrocolloid dressing</p> Signup and view all the answers

    What promotes comfort when applying cold within the first 72 hours after an injury?

    <p>Reduces muscle tension</p> Signup and view all the answers

    Which factor affects the response to hot and cold treatments?

    <p>Patient's age and physical condition</p> Signup and view all the answers

    What type of drainage system is a Jackson-Pratt drain?

    <p>Closed system</p> Signup and view all the answers

    What is the first phase of wound healing?

    <p>Hemostasis Phase</p> Signup and view all the answers

    Which phase of wound healing involves the formation of a foundation for scar tissue development?

    <p>Proliferation Phase</p> Signup and view all the answers

    What are the risks for pressure injury development?

    <p>Protein–calorie malnutrition and immobility</p> Signup and view all the answers

    Which stage of pressure injuries involves full-thickness skin and tissue loss but not involving underlying fascia?

    <p>Stage 3</p> Signup and view all the answers

    What components should be focused on in health history for wounds?

    <p>Recent changes in skin and activity/mobility</p> Signup and view all the answers

    When should skin assessment be done in acute care settings?

    <p>Every shift</p> Signup and view all the answers

    What should be considered in wound assessment related to drainage?

    <p>Odor of the wound</p> Signup and view all the answers

    What is the effect of applying heat for pressure injuries?

    <p>Reduces inflammation and decreases pain</p> Signup and view all the answers

    Study Notes

    First Lines of Defense and Wound Types

    • Skin serves as the primary line of defense against microorganisms.
    • Closed wounds similar to bruises are known as contusions.
    • Adequate oxygen and nutrients are necessary to maintain cell life and resist injury.

    Ulcers and Pressure Injuries

    • Pressure ulcers, also known as bedsores, develop due to prolonged skin pressure.
    • Essential components for a normal body response to injury include proper blood flow and immune function.
    • Resistance to injury can be influenced by factors like nutrition and hydration.

    Healing Processes and Wound Management

    • Normal healing is promoted when wounds are free from foreign material, allowing the body's natural processes to proceed unimpeded.
    • Sharp object injuries are classified as lacerations or incisions.
    • The inflammatory phase is the initial stage of wound healing, involving blood vessel constriction and clot formation.

    Prevention and Treatment of Pressure Injuries

    • To prevent pressure injuries, it is crucial to reposition patients regularly and relieve pressure from vulnerable areas.
    • Maintaining higher humidity and using moisturizers helps keep skin hydrated, reducing friction and the risk of injury.
    • Applying heat can enhance blood flow and alleviate pain in pressure injuries.

    Dressings and Drainage Systems

    • Hydrocolloid dressings are effective for maintaining moisture and promoting healing.
    • When changing dressings, always follow aseptic techniques and assess the wound for any changes.
    • Jackson-Pratt drains represent a closed drainage system often used following surgery.

    Immediate Treatment Post-Injury

    • Applying cold in the first 72 hours helps reduce swelling and numb pain.
    • Factors affecting responses to hot and cold treatments include individual sensitivity and skin condition.
    • Minimizing skin injury from friction or shearing is essential in preventing pressure injuries.

    Assessment and Health History

    • The first phase of wound healing focuses on hemostasis, ceasing blood loss.
    • The proliferative phase involves forming new tissue and is fundamental for scar tissue development.
    • Risks for pressure injury development include immobility, poor nutrition, and moisture.
    • Stage 3 pressure injuries feature full-thickness skin loss affecting subcutaneous tissue but not underlying fascia.

    Wound Assessment Considerations

    • Health history should prioritize factors such as existing comorbidities, nutrition status, and medication effects on healing.
    • Skin assessments should be conducted regularly in acute care settings to monitor any changes or signs of injury.
    • Drainage assessment should consider color, consistency, and quantity to evaluate healing progress.

    Additional Considerations

    • Cold applications enhance comfort and reduce pain in the early stages of injury treatment.
    • Cleansing skin routinely helps prevent infections and maintains skin integrity, particularly in at-risk patients.

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    Description

    Test your knowledge on factors affecting the health of the skin and mucous membranes. Explore the impact of age, underlying tissues, illness, nourishment, hydration, circulation, and types of injuries such as intentional, unintentional, neuropathic, vascular, pressure-related, open or closed wounds, and acute or chronic conditions.

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