Wound Care and Management

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

What is the main function of a dressing in wound care?

  • To remove debris from the wound
  • To cause further irritation to the wound
  • To promote infection
  • To prevent infection and promote wound healing (correct)

What is the primary cause of pressure injury?

  • Moist heat and humidity
  • Tension and stress on the skin
  • Pressure between a bony prominence and an external surface (correct)
  • Friction and shearing forces

What is the characteristic of serosanguineous drainage?

  • Mixture of serum and RBC (correct)
  • Clear and watery
  • Thick and yellow
  • Dark yellow or green

What is the purpose of heat therapy in wound care?

<p>To reduce muscle tension and promote relaxation (A)</p> Signup and view all the answers

What type of wound is characterized by a foreign object entering the skin or mucous membrane?

<p>Puncture wound (A)</p> Signup and view all the answers

What is the primary characteristic of eschar?

<p>Dry, black, and leathery tissue (C)</p> Signup and view all the answers

What is the purpose of irrigating wounds from top to bottom?

<p>To clean the wound and remove debris (D)</p> Signup and view all the answers

What is the main difference between serous and purulent drainage?

<p>Color and consistency (D)</p> Signup and view all the answers

What is the most serious complication of dehiscence?

<p>Evisceration (D)</p> Signup and view all the answers

What does yellow indicate in wound healing?

<p>Drainage (A)</p> Signup and view all the answers

What is the main purpose of repositioning in wound care?

<p>To reduce pressure on the wound (C)</p> Signup and view all the answers

What is the range of hemoglobin levels in a healthy individual?

<p>12-18 (B)</p> Signup and view all the answers

What is the primary intention of wound healing?

<p>Surgical closure of the wound (D)</p> Signup and view all the answers

What is the term for the partial or total separation of a wound?

<p>Dehiscence (A)</p> Signup and view all the answers

Moist heat helps remove debris from a wound.

<p>True (A)</p> Signup and view all the answers

Pressure injury develops in bone tissue.

<p>False (B)</p> Signup and view all the answers

Dehiscence is the most serious complication of evisceration.

<p>False (B)</p> Signup and view all the answers

A wound dressing prevents infection.

<p>True (A)</p> Signup and view all the answers

Fever is not a sign of infection in a wound.

<p>False (B)</p> Signup and view all the answers

Wound healing by secondary intention takes less time to heal.

<p>False (B)</p> Signup and view all the answers

NERDS is an acronym used to describe a certain type of wound.

<p>True (A)</p> Signup and view all the answers

Red dressing is used to protect the wound.

<p>True (A)</p> Signup and view all the answers

Cold therapy is used to reduce muscle tension.

<p>True (A)</p> Signup and view all the answers

Yellow dressing indicates the need for wound healing.

<p>False (B)</p> Signup and view all the answers

Black dressing indicates eschar and requires removal.

<p>True (A)</p> Signup and view all the answers

Serosanguineous drainage is a mixture of serum and white blood cells.

<p>False (B)</p> Signup and view all the answers

The normal range of hemoglobin level is between 10-16.

<p>False (B)</p> Signup and view all the answers

A penetrating wound is caused by a blunt instrument.

<p>False (B)</p> Signup and view all the answers

Moist heat helps soften and remove ______ from a wound.

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

Pressure injury develops in ______ tissue.

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

A function of a dressing is to prevent ______.

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

Signs and symptoms of infection include ______.

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

NERDS is an acronym used to describe a ______ wound.

<p>non-healing</p> Signup and view all the answers

STONEES is an acronym used to describe ______ in wound care.

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

Heat therapy reduces ______ tension.

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

Purulent drainage is characterized by a ______ odor.

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

Evisceration is a complication of _______________

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

Wound healing by _______________ intention takes longer to heal

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

Skin redness is also known as _______________

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

Interventions for skin breakdown include _______________ and reposition

<p>wool barriers</p> Signup and view all the answers

Factors that affect healing include _______________ and nutritional status

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

The normal range of hemoglobin levels is between _______________

<p>12-18</p> Signup and view all the answers

What helps soften and remove crust in wound care?

<p>Moist heat (A)</p> Signup and view all the answers

What type of wound develops in soft tissue?

<p>Pressure injury (D)</p> Signup and view all the answers

What is a function of a dressing in wound care?

<p>Protecting the wound (A)</p> Signup and view all the answers

What are signs and symptoms of infection in a wound?

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

What does NERDS stand for in wound care?

<p>Non-healing, Exudative, Red, Debris, Smell (C)</p> Signup and view all the answers

What is the purpose of heat therapy in wound care?

<p>Reducing muscle tension (D)</p> Signup and view all the answers

What is the characteristic of purulent drainage?

<p>Thick and foul-smelling (C)</p> Signup and view all the answers

What is eschar?

<p>Dead, necrotic tissue (C)</p> Signup and view all the answers

What is the result of dehiscence?

<p>Wound completely separates (C)</p> Signup and view all the answers

What is the purpose of yellow dressings in wound healing?

<p>To indicate drainage (A)</p> Signup and view all the answers

What is a factor that affects wound healing?

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

What is the term for wound healing that occurs naturally, without surgical intervention?

<p>Secondary intention (C)</p> Signup and view all the answers

What is the term for skin redness?

<p>Erythema (A)</p> Signup and view all the answers

What is an intervention for skin breakdown?

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

Flashcards are hidden until you start studying

Study Notes

Wound Care and Healing

  • Moist heat helps soften and remove crust from wounds.
  • Pressure injuries develop in soft tissue, compressed between a bony prominence and external surface.

Functions of a Dressing

  • Infection prevention
  • Wound healing promotion
  • Protection of the wound

Signs and Symptoms of Infection

  • Fever
  • Redness
  • Swelling
  • Odor
  • Malaise
  • Increased pain
  • Elevated pulse
  • Elevated blood pressure

Wound Classification

NERDS

  • N: Non-healing wound
  • E: Exudative wound (leaking)
  • R: Red and bleeding wound
  • D: Debris from wound
  • S: Smell from wound

STONEES

  • S: Size is bigger
  • T: Temp increased
  • O: Exposed Bone
  • N: New areas of breakdown
  • E: Exudate (fluid that leaks)
  • E: Erythema, edema
  • S: Smell

Wound Irrigation and Heat Therapy

  • Irrigate wounds from top to bottom
  • Heat therapy:
    • Reduces muscle tension
    • Treats infections
    • Used for surgical wounds
    • Inflamed tissue
    • Arthritis
    • Joint pain

Cold Therapy

  • Reduces inflammation
  • Reduces muscle spasm
  • Produces numbness

Wound Drainage

  • Serous drainage: clear, watery
  • Sanguineous drainage: large number of RBC, looks like blood
  • Serosanguineous drainage: mixture of serum and RBC, light pink in color
  • Purulent drainage: WBC liquified, dead tissue debris, dead and alive bacteria, thick, musty, foul odor, dark yellow or green

Types of Wounds

  • Penetrating wound: foreign object entering skin or mucous membrane, lodging in underlying tissue
  • Contusion: blunt instrument, overlying skin intact with injury to underlying soft tissue, hematoma
  • Laceration: tearing of skin and tissue with blunt or irregular instrument, tissue not aligned, loose flaps
  • Abrasion: friction, rubbing or scraping epidermis, dirt and germs possible
  • Eschar: necrotic, red tissue, delays wound healing, looks dry, black and leathery
  • Puncture wound: blunt or sharp instrument punctures skin
  • Evisceration: most serious complication of dehiscence, primary with ABD surgeries, wound completely separates

Wound Healing

  • Erythema: skin redness
  • Dehiscence: partial or total separation of wound, result of stress
  • Wound healing by secondary intention:
    • Takes longer to heal
    • Left open
    • Heals by itself
    • Fills in and closes naturally
  • Red: protect, in the proliferative stage of healing, needs gentle cleaning, moist dressings, only change when necessary
  • Yellow: cleanse, indicates drainage, requires wound healing, oozing from tissue, cleaning and irrigating
  • Black: debride, indicates eschar, black, brown, grey, requires removal, after debridement moves to yellow

Interventions for Skin Breakdown

  • Reposition
  • Wool barriers
  • Antiseptic sprays
  • Lotions
  • Emollient
  • Fluid status
  • Nutritional status
  • Assessments
  • Pressure mattress
  • Mobilization
  • Maintain HOB

Factors that Affect Healing

  • Age
  • Medication
  • Comorbidities
  • Nutritional status
  • Circulation
  • Wound care
  • Immunosuppression

Wound Closure

  • Primary intention: superficial, surgical, burns
  • Secondary intention: wounds that are infected
  • Tertiary intension: delayed primary closure

Hemoglobin Range

  • 12-18

Wound Care and Healing

  • Moist heat helps soften and remove crust from wounds.
  • Pressure injuries develop in soft tissue, compressed between a bony prominence and external surface.

Functions of a Dressing

  • Infection prevention
  • Wound healing promotion
  • Protection of the wound

Signs and Symptoms of Infection

  • Fever
  • Redness
  • Swelling
  • Odor
  • Malaise
  • Increased pain
  • Elevated pulse
  • Elevated blood pressure

Wound Classification

NERDS

  • N: Non-healing wound
  • E: Exudative wound (leaking)
  • R: Red and bleeding wound
  • D: Debris from wound
  • S: Smell from wound

STONEES

  • S: Size is bigger
  • T: Temp increased
  • O: Exposed Bone
  • N: New areas of breakdown
  • E: Exudate (fluid that leaks)
  • E: Erythema, edema
  • S: Smell

Wound Irrigation and Heat Therapy

  • Irrigate wounds from top to bottom
  • Heat therapy:
    • Reduces muscle tension
    • Treats infections
    • Used for surgical wounds
    • Inflamed tissue
    • Arthritis
    • Joint pain

Cold Therapy

  • Reduces inflammation
  • Reduces muscle spasm
  • Produces numbness

Wound Drainage

  • Serous drainage: clear, watery
  • Sanguineous drainage: large number of RBC, looks like blood
  • Serosanguineous drainage: mixture of serum and RBC, light pink in color
  • Purulent drainage: WBC liquified, dead tissue debris, dead and alive bacteria, thick, musty, foul odor, dark yellow or green

Types of Wounds

  • Penetrating wound: foreign object entering skin or mucous membrane, lodging in underlying tissue
  • Contusion: blunt instrument, overlying skin intact with injury to underlying soft tissue, hematoma
  • Laceration: tearing of skin and tissue with blunt or irregular instrument, tissue not aligned, loose flaps
  • Abrasion: friction, rubbing or scraping epidermis, dirt and germs possible
  • Eschar: necrotic, red tissue, delays wound healing, looks dry, black and leathery
  • Puncture wound: blunt or sharp instrument punctures skin
  • Evisceration: most serious complication of dehiscence, primary with ABD surgeries, wound completely separates

Wound Healing

  • Erythema: skin redness
  • Dehiscence: partial or total separation of wound, result of stress
  • Wound healing by secondary intention:
    • Takes longer to heal
    • Left open
    • Heals by itself
    • Fills in and closes naturally
  • Red: protect, in the proliferative stage of healing, needs gentle cleaning, moist dressings, only change when necessary
  • Yellow: cleanse, indicates drainage, requires wound healing, oozing from tissue, cleaning and irrigating
  • Black: debride, indicates eschar, black, brown, grey, requires removal, after debridement moves to yellow

Interventions for Skin Breakdown

  • Reposition
  • Wool barriers
  • Antiseptic sprays
  • Lotions
  • Emollient
  • Fluid status
  • Nutritional status
  • Assessments
  • Pressure mattress
  • Mobilization
  • Maintain HOB

Factors that Affect Healing

  • Age
  • Medication
  • Comorbidities
  • Nutritional status
  • Circulation
  • Wound care
  • Immunosuppression

Wound Closure

  • Primary intention: superficial, surgical, burns
  • Secondary intention: wounds that are infected
  • Tertiary intension: delayed primary closure

Hemoglobin Range

  • 12-18

Wound Care and Healing

  • Moist heat helps soften and remove crust from wounds.
  • Pressure injuries develop in soft tissue, compressed between a bony prominence and external surface.

Functions of a Dressing

  • Infection prevention
  • Wound healing promotion
  • Protection of the wound

Signs and Symptoms of Infection

  • Fever
  • Redness
  • Swelling
  • Odor
  • Malaise
  • Increased pain
  • Elevated pulse
  • Elevated blood pressure

Wound Classification

NERDS

  • N: Non-healing wound
  • E: Exudative wound (leaking)
  • R: Red and bleeding wound
  • D: Debris from wound
  • S: Smell from wound

STONEES

  • S: Size is bigger
  • T: Temp increased
  • O: Exposed Bone
  • N: New areas of breakdown
  • E: Exudate (fluid that leaks)
  • E: Erythema, edema
  • S: Smell

Wound Irrigation and Heat Therapy

  • Irrigate wounds from top to bottom
  • Heat therapy:
    • Reduces muscle tension
    • Treats infections
    • Used for surgical wounds
    • Inflamed tissue
    • Arthritis
    • Joint pain

Cold Therapy

  • Reduces inflammation
  • Reduces muscle spasm
  • Produces numbness

Wound Drainage

  • Serous drainage: clear, watery
  • Sanguineous drainage: large number of RBC, looks like blood
  • Serosanguineous drainage: mixture of serum and RBC, light pink in color
  • Purulent drainage: WBC liquified, dead tissue debris, dead and alive bacteria, thick, musty, foul odor, dark yellow or green

Types of Wounds

  • Penetrating wound: foreign object entering skin or mucous membrane, lodging in underlying tissue
  • Contusion: blunt instrument, overlying skin intact with injury to underlying soft tissue, hematoma
  • Laceration: tearing of skin and tissue with blunt or irregular instrument, tissue not aligned, loose flaps
  • Abrasion: friction, rubbing or scraping epidermis, dirt and germs possible
  • Eschar: necrotic, red tissue, delays wound healing, looks dry, black and leathery
  • Puncture wound: blunt or sharp instrument punctures skin
  • Evisceration: most serious complication of dehiscence, primary with ABD surgeries, wound completely separates

Wound Healing

  • Erythema: skin redness
  • Dehiscence: partial or total separation of wound, result of stress
  • Wound healing by secondary intention:
    • Takes longer to heal
    • Left open
    • Heals by itself
    • Fills in and closes naturally
  • Red: protect, in the proliferative stage of healing, needs gentle cleaning, moist dressings, only change when necessary
  • Yellow: cleanse, indicates drainage, requires wound healing, oozing from tissue, cleaning and irrigating
  • Black: debride, indicates eschar, black, brown, grey, requires removal, after debridement moves to yellow

Interventions for Skin Breakdown

  • Reposition
  • Wool barriers
  • Antiseptic sprays
  • Lotions
  • Emollient
  • Fluid status
  • Nutritional status
  • Assessments
  • Pressure mattress
  • Mobilization
  • Maintain HOB

Factors that Affect Healing

  • Age
  • Medication
  • Comorbidities
  • Nutritional status
  • Circulation
  • Wound care
  • Immunosuppression

Wound Closure

  • Primary intention: superficial, surgical, burns
  • Secondary intention: wounds that are infected
  • Tertiary intension: delayed primary closure

Hemoglobin Range

  • 12-18

Wound Care and Healing

  • Moist heat helps soften and remove crust from wounds.
  • Pressure injuries develop in soft tissue, compressed between a bony prominence and external surface.

Functions of a Dressing

  • Infection prevention
  • Wound healing promotion
  • Protection of the wound

Signs and Symptoms of Infection

  • Fever
  • Redness
  • Swelling
  • Odor
  • Malaise
  • Increased pain
  • Elevated pulse
  • Elevated blood pressure

Wound Classification

NERDS

  • N: Non-healing wound
  • E: Exudative wound (leaking)
  • R: Red and bleeding wound
  • D: Debris from wound
  • S: Smell from wound

STONEES

  • S: Size is bigger
  • T: Temp increased
  • O: Exposed Bone
  • N: New areas of breakdown
  • E: Exudate (fluid that leaks)
  • E: Erythema, edema
  • S: Smell

Wound Irrigation and Heat Therapy

  • Irrigate wounds from top to bottom
  • Heat therapy:
    • Reduces muscle tension
    • Treats infections
    • Used for surgical wounds
    • Inflamed tissue
    • Arthritis
    • Joint pain

Cold Therapy

  • Reduces inflammation
  • Reduces muscle spasm
  • Produces numbness

Wound Drainage

  • Serous drainage: clear, watery
  • Sanguineous drainage: large number of RBC, looks like blood
  • Serosanguineous drainage: mixture of serum and RBC, light pink in color
  • Purulent drainage: WBC liquified, dead tissue debris, dead and alive bacteria, thick, musty, foul odor, dark yellow or green

Types of Wounds

  • Penetrating wound: foreign object entering skin or mucous membrane, lodging in underlying tissue
  • Contusion: blunt instrument, overlying skin intact with injury to underlying soft tissue, hematoma
  • Laceration: tearing of skin and tissue with blunt or irregular instrument, tissue not aligned, loose flaps
  • Abrasion: friction, rubbing or scraping epidermis, dirt and germs possible
  • Eschar: necrotic, red tissue, delays wound healing, looks dry, black and leathery
  • Puncture wound: blunt or sharp instrument punctures skin
  • Evisceration: most serious complication of dehiscence, primary with ABD surgeries, wound completely separates

Wound Healing

  • Erythema: skin redness
  • Dehiscence: partial or total separation of wound, result of stress
  • Wound healing by secondary intention:
    • Takes longer to heal
    • Left open
    • Heals by itself
    • Fills in and closes naturally
  • Red: protect, in the proliferative stage of healing, needs gentle cleaning, moist dressings, only change when necessary
  • Yellow: cleanse, indicates drainage, requires wound healing, oozing from tissue, cleaning and irrigating
  • Black: debride, indicates eschar, black, brown, grey, requires removal, after debridement moves to yellow

Interventions for Skin Breakdown

  • Reposition
  • Wool barriers
  • Antiseptic sprays
  • Lotions
  • Emollient
  • Fluid status
  • Nutritional status
  • Assessments
  • Pressure mattress
  • Mobilization
  • Maintain HOB

Factors that Affect Healing

  • Age
  • Medication
  • Comorbidities
  • Nutritional status
  • Circulation
  • Wound care
  • Immunosuppression

Wound Closure

  • Primary intention: superficial, surgical, burns
  • Secondary intention: wounds that are infected
  • Tertiary intension: delayed primary closure

Hemoglobin Range

  • 12-18

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

More Like This

Rabies - Wound Management Quiz
10 questions

Rabies - Wound Management Quiz

RichGardenia avatar
RichGardenia
Yara İyileşmesi ve Enfeksiyon Risk Faktörleri
25 questions

Yara İyileşmesi ve Enfeksiyon Risk Faktörleri

IngenuousTheremin avatar
IngenuousTheremin
SOP Penanganan Luka
10 questions

SOP Penanganan Luka

LawfulYew6254 avatar
LawfulYew6254
Wound Healing and Infection Prevention
10 questions

Wound Healing and Infection Prevention

LawAbidingStream6159 avatar
LawAbidingStream6159
Use Quizgecko on...
Browser
Open
Browser
Browser