Wound Classification and Healing Quiz

<p>They do not progress through the normal healing process. (D)</p> Signup and view all the answers

<p>Hematomas involve more blood pooling under the skin than bruises. (A)</p> Signup and view all the answers

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

<p>Partial loss extending through the epidermis and superficial dermis. (D)</p> Signup and view all the answers

<p>A portion of skin and underlying tissue is pulled or torn away. (A)</p> Signup and view all the answers

<p>Cleaning the wound with saline and using a sterile swab or needle. (A)</p> Signup and view all the answers

<p>Presence of fluid-filled blisters. (D)</p> Signup and view all the answers

<p>Moisture-retentive dressings and pressure relief. (D)</p> Signup and view all the answers

<p>Every 2 hours. (A)</p> Signup and view all the answers

<p>Lower scores indicate a higher risk for pressure ulcers. (C)</p> Signup and view all the answers

<p>Fourth-degree burn. (A)</p> Signup and view all the answers

<p>Appearance of punched-out lesions and pale wound bed. (A)</p> Signup and view all the answers

<p>Stage 4. (C)</p> Signup and view all the answers

<p>To provide structural support (D)</p> Signup and view all the answers

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

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

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

<p>Presence of granulation tissue (C)</p> Signup and view all the answers

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

<p>Bright red and primarily consists of blood (D)</p> Signup and view all the answers

<p>Increased urine output (B)</p> Signup and view all the answers

<p>Foul odor and purulent drainage (B)</p> Signup and view all the answers

<p>Partial separation of the wound (A)</p> Signup and view all the answers

<p>Provide a balanced, nutrient-rich diet (B)</p> Signup and view all the answers

<p>Infection is likely (D)</p> Signup and view all the answers

<p>In a contaminated abdominal wound (A)</p> Signup and view all the answers

<p>Serosanguineous drainage (C)</p> Signup and view all the answers

<p>Red, bumpy tissue (C)</p> Signup and view all the answers

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

<p>A wound has opened or separated (D)</p> Signup and view all the answers

<p>Stage 1 (C)</p> Signup and view all the answers

<p>Jackson Pratt drain (C)</p> Signup and view all the answers

A wound involving a break or opening in the skin, exposing underlying tissues.

A wound where the skin remains intact, but underlying tissues are damaged.

A wound involving only partial loss of skin layers, like the epidermis and superficial dermis.

A wound involving complete loss of the skin layers, extending into subcutaneous tissue.

A surgical incision with minimal tissue damage and low infection risk.

A wound contaminated with debris, foreign material, or bacteria, increasing the risk of infection.

A wound that heals within the expected timeframe.

A wound that does not heal in an expected or timely manner.

A wound culture involves collecting a sample of fluid or tissue from a wound to identify any bacteria present.

These occur when pressure on the skin impedes blood flow, leading to tissue damage.

Stage 1: Non-blanchable redness of intact skin. Stage 2: Partial thickness skin loss involving epidermis/dermis. Stage 3: Full thickness tissue loss through dermis. Stage 4: Full thickness tissue loss with exposed bone/muscle/tendon.

The Braden Scale evaluates sensory perception, moisture, activity, mobility, nutrition, and friction/shear to assess a patient's risk for pressure ulcers.

Arterial ulcers are caused by poor blood flow and appear pale, while venous ulcers result from venous insufficiency and have heavy drainage.

Relieving pressure and protecting the area. Using moisture-retentive dressings and pressure relief. Debridement, moisture dressings like hydrogels, and pressure redistribution devices. Surgical debridement, negative pressure wound therapy, and aggressive pressure relief measures.

Frequent repositioning and pressure relief by regularly changing the patient's position.

Superficial burns involve only the outer layer of skin. Partial-thickness burns affect the epidermis and dermis, causing blisters. Full-thickness burns destroy all skin layers. Fourth-degree burns extend into muscle and bone.

Replacement tissue, typically fibrous connective tissue, does not have the same functional characteristics as the original tissue that was lost or damaged. It serves more of a structural role rather than fully replicating the specialized functions of the replaced tissue.

Diabetes, poor circulation, and immobility can all contribute to chronic wound development.

The body's initial response to injury, involving inflammation and removal of debris.

New tissue formation with collagen production and blood vessel growth.

The final stage of wound healing, where the wound fully closes and the scar matures.

Wound edges are brought together, like in a surgical incision, leading to rapid healing and minimal scarring.

Healing occurs from the bottom up when a wound cannot be surgically closed due to tissue loss. Examples include large open wounds from trauma.

A wound is left open initially to allow for drainage and granulation tissue formation, then closed surgically later. This is often used to prevent infection.

Red color indicates the presence of healthy granulation tissue, a sign of healing. Yellow or tan suggests non-viable tissue that requires debridement. Black or brown indicates necrotic tissue. Green indicates bacterial infection, often Pseudomonas. Red/angry may indicate cellulitis or spreading infection.

Adequate nutrition is crucial for wound healing. Provide a balanced diet rich in protein, vitamins, and minerals. Consult a dietitian for personalized advice.

Chronic illnesses, like diabetes, interfere with wound healing. Manage these conditions to optimize healing.

Older adults often have slower healing times. Handle skin gently and protect it from further injury.

Smoking impairs oxygen delivery and immune function, hindering healing. Encourage smoking cessation.

Immobility leads to pressure sores, hindering healing. Reposition the patient frequently and provide supportive surfaces.

Sanguineous drainage is bright red and occurs immediately after injury. Serosanguineous is pinkish and occurs in the days following injury. Serous is clear and indicates the inflammatory phase is resolving. Purulent drainage is thick, opaque, yellowish, and suggests infection.

Red, bumpy tissue that forms during the second stage of wound healing.

Thick, leathery, dead tissue that can form over a wound.

Soft, moist, dead tissue that can form over a wound.

A closed suction drain used to remove fluid from a wound.

Wound edges are neatly aligned, appearing closed and well-fitting.