NF 38 Providing Wound Care and Treating Pressure Injuries
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Questions and Answers

Which one of the following is a sign of wound infection?

  • Erythema (correct)
  • Fibrin
  • Adipose
  • Approximation

    • Which one of the following is the major purpose of a wound drain?

  • To remove excess exudate (correct)
  • To promote wound healing
  • To prevent wound infection
  • To provide pain relief

    • Which one of the following is an advantage of negative pressure wound therapy?

  • Delays wound healing
  • Increases risk of dehiscence
  • Promotes wound healing (correct)
  • Causes wound infection

    • Which one of the following correctly describes the therapeutic effects of heat and cold?

    <p>Heat promotes vasodilation, while cold promotes vasoconstriction</p> Signup and view all the answers

    Which of the following medications may mask the signs of wound infection?

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

    What color may purulent drainage from a wound have?

    <p>Dark green</p> Signup and view all the answers

    Patients with which of the following chronic illnesses may take longer to heal?

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

    What are the local signs of an infected wound?

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

    Which of the following factors can impair wound healing?

    <p>Peripheral vascular disease</p> Signup and view all the answers

    Which of the following nutrients is needed for wound healing?

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

    Which phase of wound healing involves the formation of granulation tissue?

    <p>Proliferation phase</p> Signup and view all the answers

    Which type of wound healing involves leaving the wound open and allowing it to heal from the inside out?

    <p>Healing by second intention</p> Signup and view all the answers

    Which phase of wound healing is characterized by the wound being filled with new connective tissue and new epithelium covering the wound?

    <p>Proliferation phase</p> Signup and view all the answers

    What is the main ingredient of scar tissue?

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

    Which phase of wound healing involves collagen lysis and collagen synthesis by macrophages to produce the strongest scar tissue possible?

    <p>Maturation phase</p> Signup and view all the answers

    Which type of wound healing occurs when there is delayed suturing of a wound?

    <p>Third intention healing</p> Signup and view all the answers

    Which of the following is true about partial-thickness wounds?

    <p>They heal more quickly because new skin cells are produced by the epithelial cells remaining in the dermal layer of the skin.</p> Signup and view all the answers

    What is the characteristic of a closed wound?

    <p>It does not involve a break in the skin.</p> Signup and view all the answers

    What is the characteristic of an abrasion?

    <p>It is a traumatic scraping away of surface layers of skin.</p> Signup and view all the answers

    What is the characteristic of an avulsion?

    <p>It is a tearing away of a structure or a part, accidentally or surgically.</p> Signup and view all the answers

    Which microorganism is most frequently present in wound infections?

    <p>Methicillin-resistant Staphylococcus aureus (MRSA)</p> Signup and view all the answers

    What is the purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To determine the type of microorganism causing the infection</p> Signup and view all the answers

    What is cellulitis?

    <p>An inflammation of the tissue surrounding the initial wound</p> Signup and view all the answers

    What is a fistula?

    <p>An abnormal passage or opening in the skin</p> Signup and view all the answers

    When is wound dehiscence most likely to occur?

    <p>On the fourth or fifth postoperative day</p> Signup and view all the answers

    What is a sign of impending wound dehiscence?

    <p>Increase in the flow of serosanguineous drainage into the wound dressing</p> Signup and view all the answers

    Which phase of wound healing is characterized by constriction of blood vessels, platelet aggregation, and the formation of fibrin?

    <p>Hemostasis phase</p> Signup and view all the answers

    What type of tissue gradually fills in the defect of a wound during the healing process?

    <p>Epithelial tissue</p> Signup and view all the answers

    What is the primary method of healing when cells are not damaged beyond recovery?

    <p>Regeneration of cells</p> Signup and view all the answers

    Which of the following tissues is generally unable to regenerate during the healing process?

    <p>Nervous tissue</p> Signup and view all the answers

    Which phase of wound healing involves the formation of a scab and the migration of epithelial cells?

    <p>Hemostasis phase</p> Signup and view all the answers

    What is the primary method of healing when cells are damaged beyond recovery?

    <p>Replacement of cells</p> Signup and view all the answers

    Which type of tissue can regenerate with tissue that is structurally similar to that which was lost?

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

    What are the clinical signs of the inflammatory process in wound healing?

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

    Which type of wound occurs when the skin and mucous membranes are intact but there is pooling of blood under the unbroken skin?

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

    What is the term for the process by which new skin cells are produced by the remaining epithelial cells in the dermal layer of the skin to heal a partial-thickness wound?

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

    What is the term for the tearing away of a structure or a part, such as a fingertip, accidentally or surgically?

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

    Which phase of wound healing involves the excavation of skin and/or underlying tissue from injury or necrosis?

    <p>Ulceration phase</p> Signup and view all the answers

    Which of the following is a characteristic of scar tissue during the maturation phase of wound healing?

    <p>It becomes pale in color</p> Signup and view all the answers

    What is the main ingredient of scar tissue?

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

    Which type of wound healing occurs when there is delayed suturing of a wound?

    <p>Third intention healing</p> Signup and view all the answers

    What is the characteristic of a closed wound?

    <p>The edges of the wound approximate</p> Signup and view all the answers

    Which of the following is a sign of wound infection?

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

    What is the characteristic of an avulsion?

    <p>Deep, crater-like wound</p> Signup and view all the answers

    Which phase of wound healing involves the formation of granulation tissue?

    <p>Proliferative phase</p> Signup and view all the answers

    What is cellulitis?

    <p>Inflammation of the skin and subcutaneous tissue</p> Signup and view all the answers

    Which of the following factors can impair wound healing?

    <p>Decreased oxygen and nutrients at the cellular level</p> Signup and view all the answers

    What is the characteristic of an abscess?

    <p>It is a localized infection</p> Signup and view all the answers

    What is the main ingredient of scar tissue?

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

    What is the purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To identify the type of microorganism present</p> Signup and view all the answers

    Which of the following factors can impair wound healing?

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

    Which of the following nutrients is needed for wound healing?

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

    Which of the following lifestyle factors promotes wound healing?

    <p>Regular exercise</p> Signup and view all the answers

    Which phase of wound healing involves the synthesis of collagen by fibroblasts?

    <p>Proliferation phase</p> Signup and view all the answers

    Which of the following microorganisms is commonly responsible for wound infections?

    <p>Staphylococcus aureus</p> Signup and view all the answers

    What is the purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To test for the presence of microorganisms</p> Signup and view all the answers

    What is cellulitis?

    <p>An inflammation of the tissue surrounding the initial wound</p> Signup and view all the answers

    What is a fistula?

    <p>An abnormal passage or opening between two organs or structures</p> Signup and view all the answers

    What is the characteristic of an avulsion?

    <p>The tearing away of a portion of skin or other soft tissue</p> Signup and view all the answers

    Which one of the following is a sign of wound infection?

    <p>Increase in the flow of serosanguineous drainage into the wound dressing</p> Signup and view all the answers

    Which of the following is a characteristic of an abscess?

    <p>It is a closed wound</p> Signup and view all the answers

    Which of the following is a sign of wound infection?

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

    Which of the following is an advantage of negative pressure wound therapy?

    <p>It enhances wound healing</p> Signup and view all the answers

    Which one of the following is the major purpose of a wound drain?

    <p>To prevent wound infection</p> Signup and view all the answers

    Which of the following factors can impair wound healing?

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

    What is the characteristic of an abscess?

    <p>Infected wound</p> Signup and view all the answers

    Which phase of wound healing involves collagen lysis and collagen synthesis by macrophages to produce the strongest scar tissue possible?

    <p>Maturation phase</p> Signup and view all the answers

    What is the purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To determine the presence of microorganisms</p> Signup and view all the answers

    Which phase of wound healing involves the synthesis of collagen by fibroblasts?

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

    What is the main ingredient of scar tissue?

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

    Which phase of wound healing involves the formation of granulation tissue?

    <p>Inflammatory stage</p> Signup and view all the answers

    Which of the following is a sign of wound infection?

    <p>Redness and warmth around the wound</p> Signup and view all the answers

    Which phase of wound healing involves the synthesis of collagen by fibroblasts?

    <p>Proliferation phase</p> Signup and view all the answers

    What is the term for the process by which new skin cells are produced by the remaining epithelial cells in the dermal layer of the skin to heal a partial-thickness wound?

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

    What is the major purpose of a wound drain?

    <p>To prevent the accumulation of fluid in the wound</p> Signup and view all the answers

    Which one of the following is an advantage of negative pressure wound therapy?

    <p>Decreased wound exudate</p> Signup and view all the answers

    Which of the following is true about the healing process of partial-thickness wounds?

    <p>Partial-thickness wounds heal more quickly because new skin cells are produced by the epithelial cells remaining in the dermal layer of the skin.</p> Signup and view all the answers

    Which of the following is a characteristic of a closed wound?

    <p>Caused by blunt trauma, twisting, pulling, straining, or deceleration force against the body.</p> Signup and view all the answers

    Which phase of wound healing involves the formation of granulation tissue?

    <p>Proliferative phase</p> Signup and view all the answers

    Which type of wound occurs when the skin and mucous membranes are intact but there is pooling of blood under the unbroken skin?

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

    Which of the following medications may mask the signs of wound infection?

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

    What is the term for a localized infection that is an accumulation of purulent exudate made up of debris from phagocytosis when microorganisms have been present?

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

    Which of the following chronic illnesses may cause slowed wound healing due to decreased oxygen and nutrients at the cellular level?

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

    What is the characteristic of an avulsion?

    <p>Tearing away of a structure or a part</p> Signup and view all the answers

    Which microorganism is most frequently present in wound infections?

    <p>Staphylococcus aureus</p> Signup and view all the answers

    What is the purpose of a sensitivity test in wound infection?

    <p>To determine the effectiveness of antimicrobial agents</p> Signup and view all the answers

    What is the characteristic of cellulitis?

    <p>Redness and induration of the skin</p> Signup and view all the answers

    When does wound dehiscence most likely occur?

    <p>On the fourth or fifth postoperative day</p> Signup and view all the answers

    What is the characteristic of a fistula?

    <p>An abnormal passage or opening</p> Signup and view all the answers

    What is the characteristic of impending wound dehiscence?

    <p>Increase in serosanguineous drainage</p> Signup and view all the answers

    Which of the following factors can impair wound healing?

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

    Which of the following chronic illnesses may cause slowed wound healing due to decreased oxygen and nutrients at the cellular level?

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

    Which phase of wound healing involves the synthesis of collagen by fibroblasts?

    <p>Proliferation phase</p> Signup and view all the answers

    Which one of the following is an advantage of negative pressure wound therapy?

    <p>Promotes wound healing</p> Signup and view all the answers

    Which of the following is a sign of wound infection?

    <p>Increased pain and redness</p> Signup and view all the answers

    What is the major purpose of a wound drain?

    <p>To remove excess fluid from the wound</p> Signup and view all the answers

    Which phase of wound healing involves the formation of granulation tissue?

    <p>Proliferative phase</p> Signup and view all the answers

    What is the main ingredient of scar tissue?

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

    Which of the following is a characteristic of a closed wound?

    <p>It is caused by blunt trauma</p> Signup and view all the answers

    Which of the following is a characteristic of a full-thickness wound?

    <p>The dermal layer is no longer present except at the wound margins</p> Signup and view all the answers

    Which of the following is a characteristic of an abrasion?

    <p>It involves scraping away of surface layers of skin</p> Signup and view all the answers

    Which of the following is a characteristic of an avulsion?

    <p>It involves tearing away of a structure or a part</p> Signup and view all the answers

    Which of the following is a characteristic of the inflammatory phase of wound healing?

    <p>Constriction of blood vessels</p> Signup and view all the answers

    What type of tissue can regenerate with tissue that is structurally similar to that which was lost?

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

    What is the purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To determine the presence of microorganisms</p> Signup and view all the answers

    What is the main ingredient of scar tissue?

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

    Which stage of wound healing is characterized by the formation of new connective tissue and collagen synthesis?

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

    What is the main ingredient of scar tissue?

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

    Which type of wound healing occurs when the edges of the wound do not approximate and the wound is left open to fill with scar tissue?

    <p>Second intention healing</p> Signup and view all the answers

    Which phase of wound healing involves collagen lysis and collagen synthesis by macrophages to produce the strongest scar tissue possible?

    <p>Maturation stage</p> Signup and view all the answers

    Which of the following is a sign of wound infection?

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

    What is the purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To determine the presence of bacteria</p> Signup and view all the answers

    Which phase of wound healing involves the synthesis of collagen by fibroblasts?

    <p>Proliferation phase</p> Signup and view all the answers

    Which one of the following correctly describes the therapeutic effects of heat and cold?

    <p>Heat promotes vasodilation and increases blood flow, while cold promotes vasoconstriction and reduces inflammation.</p> Signup and view all the answers

    Which microorganism is most frequently present in wound infections?

    <p>methicillin-resistant Staphylococcus aureus (MRSA)</p> Signup and view all the answers

    What is cellulitis?

    <p>An inflammation of the tissue surrounding the initial wound, with redness and induration</p> Signup and view all the answers

    What is the purpose of a sensitivity test in wound infection?

    <p>To determine the most effective antimicrobial agent against the offending organism</p> Signup and view all the answers

    When does wound dehiscence most likely occur?

    <p>On the fourth or fifth postoperative day</p> Signup and view all the answers

    What is the characteristic of an avulsion?

    <p>The tearing away of a structure or a part, accidentally or surgically</p> Signup and view all the answers

    What is the major purpose of a wound drain?

    <p>To remove excess wound exudate</p> Signup and view all the answers

    Which of the following factors can impair wound healing?

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

    What is the purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To identify the type of bacteria present</p> Signup and view all the answers

    Which of the following chronic illnesses may cause slowed wound healing due to decreased oxygen and nutrients at the cellular level?

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

    What is the main ingredient of scar tissue?

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

    Which phase of wound healing involves the synthesis of collagen by fibroblasts?

    <p>Proliferation phase</p> Signup and view all the answers

    What is the purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To determine the type of microorganism causing the infection</p> Signup and view all the answers

    What is cellulitis?

    <p>An infection of the skin and subcutaneous tissue</p> Signup and view all the answers

    Which of the following is a characteristic of an abscess?

    <p>Localized accumulation of purulent exudate</p> Signup and view all the answers

    Which of the following is true about the maturation stage of wound healing?

    <p>The scar tissue becomes pale and inelastic.</p> Signup and view all the answers

    What is the main purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To determine the type of microorganism present in the wound.</p> Signup and view all the answers

    Which type of wound healing occurs when there is delayed suturing of a wound?

    <p>Third intention healing</p> Signup and view all the answers

    What is the main ingredient of scar tissue?

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

    Which of the following is a characteristic of cellulitis?

    <p>It is a bacterial infection of the skin and underlying tissues.</p> Signup and view all the answers

    What is the term for the process by which new skin cells are produced by the remaining epithelial cells in the dermal layer of the skin to heal a partial-thickness wound?

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

    Which phase of wound healing involves collagen lysis and collagen synthesis by macrophages to produce the strongest scar tissue possible?

    <p>Maturation phase</p> Signup and view all the answers

    What is the characteristic of an avulsion?

    <p>It is the tearing away of a structure or a part, such as a fingertip, accidentally or surgically.</p> Signup and view all the answers

    Which type of wound healing occurs when there is delayed suturing of a wound?

    <p>Tertiary intention healing</p> Signup and view all the answers

    What is the purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To determine the type of microorganism causing the infection</p> Signup and view all the answers

    Which of the following factors can impair wound healing?

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

    What is the characteristic of an avulsion?

    <p>Tissue damage resulting in tearing away of a body part</p> Signup and view all the answers

    Which of the following microorganisms is commonly responsible for wound infections?

    <p>Methicillin-resistant Staphylococcus aureus (MRSA)</p> Signup and view all the answers

    What is the purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To identify the microorganism responsible for the infection</p> Signup and view all the answers

    What is a sign of impending wound dehiscence?

    <p>Increase in serosanguineous drainage</p> Signup and view all the answers

    Which phase of wound healing involves collagen lysis and collagen synthesis by macrophages to produce the strongest scar tissue possible?

    <p>Maturation phase</p> Signup and view all the answers

    What is the characteristic of a closed wound?

    <p>Absence of an open pathway</p> Signup and view all the answers

    Which of the following chronic illnesses may cause slowed wound healing due to decreased oxygen and nutrients at the cellular level?

    <p>Diabetes mellitus</p> Signup and view all the answers

    Which type of wound healing occurs when the dermal layer is no longer present except at the wound margins?

    <p>Third intention</p> Signup and view all the answers

    What is the term for the process by which new skin cells are produced by the remaining epithelial cells in the dermal layer of the skin to heal a partial-thickness wound?

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

    What is the purpose of obtaining a specimen of wound exudate when wound infection is suspected?

    <p>To determine the presence of bacteria</p> Signup and view all the answers

    Which phase of wound healing involves the wound being filled with new connective tissue and new epithelium covering the wound?

    <p>Proliferative phase</p> Signup and view all the answers

    Which type of wound is typically caused by blunt trauma, twisting, pulling, or deceleration force against the body?

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

    What is the term for the process by which new skin cells are produced by the remaining epithelial cells in the dermal layer of the skin to heal a partial-thickness wound?

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

    Which phase of wound healing involves the formation of granulation tissue?

    <p>Proliferative phase</p> Signup and view all the answers

    What is the characteristic of an ulceration?

    <p>Excavation of skin and/or underlying tissue from injury or necrosis</p> Signup and view all the answers

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