WOC Nursing Specialty Flashcards
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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?

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

    Trends in WOC Nursing Care include which of the following?

    <p>All of the above</p> Signup and view all the answers

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

    <p>Randomized clinical trials</p> 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?

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

    What are the major layers of the skin?

    <p>Epidermis &amp; dermis</p> Signup and view all the answers

    What is the primary function of intact skin?

    <p>Protective barrier</p> Signup and view all the answers

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

    <p>Retards growth of skin pathogens</p> Signup and view all the answers

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

    <p>Prolongs the rate of cell turnover (&gt;28 days)</p> Signup and view all the answers

    Which cells located in the dermis produce collagen and elastin?

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

    Structures of the dermis include?

    <p>Collagen, elastin proteins, hair follicles, sweat glands</p> Signup and view all the answers

    What are the functions of the hypodermis?

    <p>Cushions, insulates, and adds to the mobility of the skin</p> Signup and view all the answers

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

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

    Diabetes increases the risk for skin?

    <p>Bacterial and fungal infections</p> Signup and view all the answers

    What is the definition of MASD?

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

    MASD affects what part of the skin or cell function?

    <p>Epidermis and/or dermis</p> Signup and view all the answers

    How does MASD alter the acid mantle of the skin?

    <p>Increases TEWL (transepidermal water loss)</p> Signup and view all the answers

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

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

    What is the primary risk factor associated with Peristomal MASD?

    <p>Pouching system leakage</p> Signup and view all the answers

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

    <p>Large amount of wound exudate</p> 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?

    <p>Increase in TEWL &amp; skin pH</p> Signup and view all the answers

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

    <p>Thick purulent</p> Signup and view all the answers

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

    <p>Incontinence Associated Dermatitis (IAD)</p> Signup and view all the answers

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

    <p>High pH, liquid stool &amp; eroded pouch barrier</p> Signup and view all the answers

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

    <p>Moisture and mechanical forces</p> Signup and view all the answers

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

    <p>Friction &amp; moisture between skin folds</p> Signup and view all the answers

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

    <p>Type of irritant, duration of the exposed irritant &amp; frequency of the exposure</p> Signup and view all the answers

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

    <p>The source of moisture and location are different</p> Signup and view all the answers

    Greatest risk factors for Intertriginous (ITD) MASD include?

    <p>Obesity, poor hygiene, and friction</p> Signup and view all the answers

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

    <p>Use of a breathable barrier skin protectant</p> Signup and view all the answers

    Select the statement that is most true regarding IAD management.

    <p>Petroleum based products may reduce the absorbency of disposable undergarments</p> Signup and view all the answers

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

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

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

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

    Marketing in WOC Nursing Practice is described as?

    <p>The process of planning and executing the conception, pricing, promotion, and distribution</p> 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?

    <p>Focus on prevention and early detection of potential complications</p> Signup and view all the answers

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

    <p>Decision-makers - administrators</p> Signup and view all the answers

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

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

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

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

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

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

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

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

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

    <p>Reduced incidence of catheter associated urinary tract infections after implementing bladder health program</p> 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?

    <p>Skin tear, Type 1</p> Signup and view all the answers

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

    <p>Collagen synthesis will be delayed</p> Signup and view all the answers

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

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

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

    <p>10% in 6 months</p> Signup and view all the answers

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

    <p>All of the above</p> Signup and view all the answers

    Which of the following foods causes odorous urine?

    <p>All of the above</p> Signup and view all the answers

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

    <p>All of the above</p> Signup and view all the answers

    What nutritional assessment data is most reflective of nutritional compromise?

    <p>Unintentional weight loss &gt;5% in last month</p> Signup and view all the answers

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

    <p>Whole grains and foods fortified with B vitamins</p> Signup and view all the answers

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

    <p>80-100 grams of protein</p> Signup and view all the answers

    Common skin and tissue injury care goals include?

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

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

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

    Skin tear management includes which of the following topical therapy?

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

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

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

    How can MARSI be prevented during adhesive removal?

    <p>Removing the adhesive in the direction the hair grows</p> Signup and view all the answers

    Nutritional interventions for wound repair include?

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

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

    <p>Oxygen transport</p> Signup and view all the answers

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

    <p>Reduces steroid negative effects</p> Signup and view all the answers

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

    <p>True</p> 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?

    <p>Push and pull method with removal</p> Signup and view all the answers

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

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

    Treatment measures for a Type 3 skin tear include?

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

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

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

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

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

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

    <p>Tubular elastic dressing</p> Signup and view all the answers

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

    <p>Well-defined vesicles (small blisters) found upon removal of adhesive product</p> 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?

    <p>Re-approximate edges and apply a non-adherent dressing</p> Signup and view all the answers

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

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

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

    <p>Macerated</p> 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?

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

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

    <p>Flat and palpable skin discolorations</p> 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).
    • 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.

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