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Questions and Answers
Which layer of the skin is primarily responsible for resurfacing a wound and restoring the barrier against invading organisms?
Which phase of wound healing involves clot formation to stop bleeding?
What is the primary characteristic of a stage II pressure injury?
What factor contributes most to the development of a pressure injury?
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Which dressing type promotes moist wound healing and protects the wound?
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Which of the following is NOT a risk factor for pressure injury development?
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In which wound healing phase do new blood vessels and granulation tissue develop?
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Which of the following is an early sign of wound infection?
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What is the first intervention for evisceration?
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Which tool is commonly used to assess a patient's risk for pressure injury?
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A 78-year-old bedridden patient develops a pressure injury on their sacral area. What nursing intervention is most appropriate to prevent further injury?
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Your patient has a surgical wound with serosanguineous drainage. What is the nurse’s priority action?
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Study Notes
Skin Layers & Wound Healing
- Epidermis: Resurfaces wounds and acts as a barrier against harmful organisms.
- Hemostasis: Vasoconstriction and clot formation begin wound healing.
- Proliferative Phase: New blood vessels form, and granulation tissue fills the wound.
- Maturation Phase: The final stage of wound healing, where scar tissue forms and the wound strengthens.
Pressure Injuries
- Stage II Pressure Injury: Partial-thickness skin loss.
- Risk Factors: Malnutrition, shear, friction, and incontinence.
- Preventing Pressure Injuries: Frequent repositioning, proper nutrition, and good skin hygiene.
Wound Care & Dressings
- Hydrocolloid Dressings: Promote moist wound healing and protect the wound.
- Serosanguineous Drainage: Normal in healing wounds. Monitor for any changes.
- Signs of Wound Infection: Erythema, warmth, increased drainage, and pain.
Emergency Situations
- Evisceration: Cover the wound with sterile saline gauze. Call the surgeon immediately.
Assessing Pressure Injury Risk
- Braden Scale: Evaluates a patient's susceptibility to developing pressure injuries based on factors such as mobility and nutrition.
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Description
Test your knowledge on skin layers, wound healing processes, and effective wound care strategies. This quiz covers essential concepts including stages of wound healing, types of pressure injuries, and best practices for wound management. Perfect for students in nursing or skin health courses!
