WOC Nursing Specialty Flashcards

Questions and Answers

Which of the following statements accurately reflects the history of the WOC Nursing Specialty?

Only nurses initiated the specialty

It started in the 1800s

Patient consumers began the specialty (correct)

The specialty has no historical background

An essential component of WOC Nursing Practice is to implement, coordinate, and evaluate what?

Specialty care

Certification in WOC Nursing is accomplished once the learner has passed exams given by which organization?

WOCNCB®

What is the correct abbreviation for a specialist who graduates from a WOCN® accredited nursing education program?

CWOCN Signup and view all the answers

Trends in WOC Nursing Care include which of the following?

All of the above Signup and view all the answers

The highest level of evidence in medical research comes from which sources?

Randomized clinical trials Signup and view all the answers

Clinical practice guidelines are derived from the current literature and summarize state of the art care for specific healthcare issues?

True Signup and view all the answers

What are the major layers of the skin?

Epidermis & dermis Signup and view all the answers

What is the primary function of intact skin?

Protective barrier Signup and view all the answers

What is the benefit of the skin maintaining an acid mantle (pH 4.5-6.5)?

Retards growth of skin pathogens Signup and view all the answers

How does age alter the skin's epidermal turnover or process of differentiation?

Prolongs the rate of cell turnover (>28 days) Signup and view all the answers

Which cells located in the dermis produce collagen and elastin?

Fibroblasts Signup and view all the answers

Structures of the dermis include?

Collagen, elastin proteins, hair follicles, sweat glands Signup and view all the answers

What are the functions of the hypodermis?

Cushions, insulates, and adds to the mobility of the skin Signup and view all the answers

Which layer of soft tissue is most vulnerable to pressure over a bony prominence?

Muscle Signup and view all the answers

Diabetes increases the risk for skin?

Bacterial and fungal infections Signup and view all the answers

What is the definition of MASD?

Skin damage caused by prolonged exposure to various sources of moisture Signup and view all the answers

MASD affects what part of the skin or cell function?

Epidermis and/or dermis Signup and view all the answers

How does MASD alter the acid mantle of the skin?

Increases TEWL (transepidermal water loss) Signup and view all the answers

What is the primary risk factor associated with ITD (intertriginous dermatitis)?

Obesity Signup and view all the answers

What is the primary risk factor associated with Peristomal MASD?

Pouching system leakage Signup and view all the answers

What is the primary risk factor associated with Periwound MASD (PWMASD)?

Large amount of wound exudate Signup and view all the answers

Understanding the physiology of skin injured by MASD is important. What altered skin barrier effect occurs when skin is occluded by an absorptive type product?

Increase in TEWL & skin pH Signup and view all the answers

Which type of wound exudate characteristic is most likely to cause periwound MASD?

Thick purulent Signup and view all the answers

What type of MASD is more prone to fungal or bacterial infections?

Incontinence Associated Dermatitis (IAD) Signup and view all the answers

What factors most likely play the greatest risk in the development of peristomal MASD?

High pH, liquid stool & eroded pouch barrier Signup and view all the answers

What is the primary etiology for Moisture Associated Skin Damage (MASD)?

Moisture and mechanical forces Signup and view all the answers

Intertriginous Dermatitis (ITD) is defined as inflammation and erosion that occurs because of?

Friction & moisture between skin folds Signup and view all the answers

Severity of skin damage in IAD is based on what three things?

Type of irritant, duration of the exposed irritant & frequency of the exposure Signup and view all the answers

How is MASD from intertriginous dermatitis (ITD) differentiated from incontinence associated skin damage (IAD)?

The source of moisture and location are different Signup and view all the answers

Greatest risk factors for Intertriginous (ITD) MASD include?

Obesity, poor hygiene, and friction Signup and view all the answers

Which interventions are effective in the management of MASD caused by Intertriginous Dermatitis (ITD)?

Use of a breathable barrier skin protectant Signup and view all the answers

Select the statement that is most true regarding IAD management.

Petroleum based products may reduce the absorbency of disposable undergarments Signup and view all the answers

Exposure to a mixture of urine and feces is more irritating than feces alone?

True Signup and view all the answers

Moist, denuded perineal skin resulting from exposure to urine and stool is BEST treated with the use of?

Skin barrier powder and ointments (i.e. zinc oxide based) Signup and view all the answers

Marketing in WOC Nursing Practice is described as?

The process of planning and executing the conception, pricing, promotion, and distribution Signup and view all the answers

An important aspect of the WOC Nurse's Role is knowledge and implementation of risk reduction strategies. What are the best examples of risk reduction?

Focus on prevention and early detection of potential complications Signup and view all the answers

What type of customer will be targeted in the business plan for an Ostomy Outpatient Clinic?

Decision-makers - administrators Signup and view all the answers

As a WOC Nurse, what role do you play in the marketing approach of manufacturer representatives?

Influencer Signup and view all the answers

Why is it important to clearly delineate your products and services to the health care team and administration?

Administrators, nurses, and providers can utilize a full range of your services Signup and view all the answers

What products and services does the Wound Care Nurse Specialist provide?

Risk management activities that document admission skin issues, early prevention, and reduced recidivism approaches Signup and view all the answers

Which of the following statements is accurate and characteristic of an outcome?

Outcomes reflect the end result of a process, treatment or intervention Signup and view all the answers

What evidence supports the benefit of improved quality of patient care?

Reduced incidence of catheter associated urinary tract infections after implementing bladder health program Signup and view all the answers

What type of skin damage is present in a 90-year-old female with a partial thickness wound and a fully approximated epidermal flap?

Skin tear, Type 1 Signup and view all the answers

How does a low zinc level affect wound healing in an elderly patient?

Collagen synthesis will be delayed Signup and view all the answers

Which product would be considered safe to use on the skin of neonates?

Silicone Signup and view all the answers

An unintended weight loss of what percentage indicates that a patient with a wound needs further nutritional assessment?

10% in 6 months Signup and view all the answers

Which of the following foods tend to help thicken loose stool?

All of the above Signup and view all the answers

Which of the following foods causes odorous urine?

All of the above Signup and view all the answers

Which of the following foods contain the highest levels of fiber?

All of the above Signup and view all the answers

What nutritional assessment data is most reflective of nutritional compromise?

Unintentional weight loss >5% in last month Signup and view all the answers

For a patient with an ileostomy, what food groups should be promoted for daily intake?

Whole grains and foods fortified with B vitamins Signup and view all the answers

How much protein would most likely be recommended to support healing in a patient with a pressure injury?

80-100 grams of protein Signup and view all the answers

Common skin and tissue injury care goals include?

Identify risk, prevent, assess, document, and develop an optimal topical therapy plan Signup and view all the answers

Neonates are at risk for skin tears because their skin has?

Decreased epidermal/dermal cohesion as rete ridges are not developed Signup and view all the answers

Skin tear management includes which of the following topical therapy?

Realign the flap if viable and secure with non-adherent dressing Signup and view all the answers

What did your research find regarding the difference between skin tears and medical adhesive-related skin injury (MARSI)?

A skin tear can be one type of MARSI along with tension blisters, folliculitis, etc. Signup and view all the answers

How can MARSI be prevented during adhesive removal?

Removing the adhesive in the direction the hair grows Signup and view all the answers

Nutritional interventions for wound repair include?

Protein needs of 1.25-1.5 g/kg/day Signup and view all the answers

What function does IRON primarily play in skin or wound repair?

Oxygen transport Signup and view all the answers

What function does vitamin A play in maintaining skin and wound repair?

Reduces steroid negative effects Signup and view all the answers

Partial thickness skin injury due to friction or moisture is a characteristic of MARSI?

True Signup and view all the answers

Which of the following statements is MOST appropriate in the application or removal of an adhesive type of product?

Push and pull method with removal Signup and view all the answers

International Skin Tear Advisory Panel (ISTAP) Type 2 skin tear is described as?

Viable epidermal flap with some degree of skin loss that cannot be repositioned to cover the wound Signup and view all the answers

Treatment measures for a Type 3 skin tear include?

Absorbent dressing with low adhesive and high MVTR i.e. silicone foam Signup and view all the answers

Adhesive products should be removed quickly at a 90-degree angle to generate a high peel force?

False Signup and view all the answers

Excessive hair should be shaved from the area prior to applying an adhesive product?

False Signup and view all the answers

What is an ideal adhesive alternative for dressing securement on a lower extremity?

Tubular elastic dressing Signup and view all the answers

Medical adhesive products can produce allergic or contact dermatitis. How is this skin reaction best demonstrated?

Well-defined vesicles (small blisters) found upon removal of adhesive product Signup and view all the answers

Which of the following treatments would be most appropriate for the management of a partial thickness wound with a fully approximated epidermal flap?

Re-approximate edges and apply a non-adherent dressing Signup and view all the answers

Patients at risk for skin breakdown should have at least a daily skin inspection?

True Signup and view all the answers

When the skin around a wound develops a whitish appearance, it can be described as?

Macerated Signup and view all the answers

A patient has several linear, hollowed-out, crusted lesions with the loss of epidermis. How would these lesions be documented?

Excoriation Signup and view all the answers

A patient has a macular-papular reddened rash to their lower leg. Which dermatologic term describes this assessment?

Flat and palpable skin discolorations Signup and view all the answers

Study Notes

WOC Nursing Specialty

Originated to address the needs of patient consumers.
Key component involves the implementation, coordination, and evaluation of specialty care.

Certification and Credentials

Certification is achieved through the WOCNCB® after passing specific exams.
Graduates of accredited WOC nursing programs are recognized as CWOCN (Certified Wound Ostomy Continence Nurse).

Trends and Evidence in WOC Nursing

Current trends emphasize safety, access to care, and research on outcomes.
The highest level of evidence for practice comes from randomized clinical trials.
Clinical practice guidelines summarize contemporary care derived from the latest literature.

Skin Structure and Functions

The skin consists of two major layers: the epidermis and dermis.
Intact skin serves as a protective barrier and maintains an acid mantle to inhibit pathogens.
Age-related changes slow down epidermal turnover and increase cell turnover duration.

Dermal Structures and Functions

The dermis contains fibroblasts producing collagen and elastin, hair follicles, and sweat (sebaceous) glands.
The hypodermis cushions, insulates, and enhances skin mobility.

Skin Injury and Infection Risks

Diabetes elevates the risk for bacterial and fungal skin infections.
Moisture Associated Skin Damage (MASD) occurs from prolonged moisture exposure affecting the epidermis and dermis.

Intertriginous Dermatitis and Associated Risks

Intertriginous Dermatitis (ITD) results from friction and moisture in skin folds, commonly seen in obese individuals.
Peristomal and periwound MASD risks are linked to pouch leakage and excessive wound exudate, respectively.

Nutrition and Wound Healing

Unintentional weight loss over 5% in a month signals nutritional compromise.
Important food sources for thickening stool include rice, toast, and bananas.
Adequate protein intake (1.25-1.5 g/kg/day) is crucial for effective wound healing.

Skin Care Approaches

Treatment for incontinence-associated dermatitis focuses on protecting the denuded perineal skin with barrier products.
Skin tear management involves realigning viable flaps and using non-adherent dressings.
Strategies to minimize medical adhesive-related skin injuries (MARSI) include using hair-following removal techniques.

Marketing and Business in WOC Nursing

Marketing in WOC nursing involves effective planning and executing business strategies within healthcare settings.
Understanding marketing dynamics helps WOC nurses to articulate their roles and services to healthcare teams and administrators.

Skin Assessment and Care Protocols

Continuous assessment of skin integrity is essential for at-risk patients, with recommendations for daily inspections.
Identifying maceration indicates potential skin breakdown, often resulting from excessive moisture exposure.

Common Skin Injuries and Treatment

Skin lesions can be categorized based on characteristics like crusting and loss of the epidermis.
A macular-papular rash is defined by its flat but palpable skin discolorations, indicating possible allergic reactions or infections.

Conclusion

Effective skin care practices, risk assessments, and nutritional support are vital in preventing and managing skin damage within WOC nursing.

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Description

Test your knowledge about the Wound, Ostomy, and Continence (WOC) Nursing Specialty with these flashcards. Covering important aspects such as the history and essential components of the practice, this quiz is perfect for students and professionals alike.