Wound Healing Phases Quiz
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Questions and Answers

During which phase of wound healing does tissue development and collagen secretion occur?

  • Proliferative phase (correct)
  • Remodeling phase
  • Epithelialization phase
  • Inflammatory phase

    • What do platelets primarily do in the wound healing process?

  • Control bleeding and clot formation (correct)
  • Secrete collagen
  • Remove bacteria
  • Develop new capillaries

    • Which cells reach the wound area to remove bacteria and debris during the inflammatory phase of wound healing?

  • Macrophages and neutrophils (correct)
  • Red blood cells
  • T lymphocytes
  • Plasma cells

    • What is a key indication of the inflammatory phase of wound healing?

    <p>Redness and swelling</p> Signup and view all the answers

    When does the granulation tissue develop in the wound healing process?

    <p>During the proliferative phase</p> Signup and view all the answers

    What is the color of granulation tissue during the proliferative phase of wound healing?

    <p>Pink/red</p> Signup and view all the answers

    When does wound contraction occur in the wound healing process?

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

    How does scar tissue strength compare to the strength of original tissue?

    <p>Scar tissue is only 80% as strong</p> Signup and view all the answers

    What is the correct angle for administering a subcutaneous injection?

    <p>45 degrees</p> Signup and view all the answers

    When administering eye instillation, which type of medication application should be used?

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

    What is the primary intention in wound healing characterized by?

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

    Which stage of pressure ulcers involves skin loss with extensive tissue destruction?

    <p>Stage 4</p> Signup and view all the answers

    What is the purpose of debridement in wound management?

    <p>Help wounds heal faster</p> Signup and view all the answers

    Which term refers to the extrusion of viscera outside the body through a surgical incision?

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

    In wound management, what does 'REEDAP' stand for?

    <p>Redness, Edema, Ecchymosis, Depth, Approximation, Pain</p> Signup and view all the answers

    What does paresthesia refer to in wound management?

    <p>Sensation of tingling or pricking</p> Signup and view all the answers

    What type of wound dressing is recommended for a wound with large (copious) uncontrolled exudate?

    <p>Absorptive dressings</p> Signup and view all the answers

    Which dressing is usually the first choice for treating Diabetic feet?

    <p>Iodosorp dressing</p> Signup and view all the answers

    Which type of ulcer results from complete or partial blockage of the arteries?

    <p>Arterial Ulcers</p> Signup and view all the answers

    Which type of wound dressing is effective for wounds with a high slough and odour?

    <p>Iodosorp dressing</p> Signup and view all the answers

    What should be done if Acticoat burn dressing is larger than the size of the wound?

    <p>Cut it slightly smaller</p> Signup and view all the answers

    Which topical antimicrobial dressing is effective against bacteria, fungi, and MRSA?

    <p>Anticoat dressing</p> Signup and view all the answers

    What is the main drawback of Proviodine-iodine (Betadine) in wound healing?

    <p>Toxic to granulation tissue</p> Signup and view all the answers

    What characteristic makes Duoderm gel suitable for use in extremely dry wounds?

    <p>Provides moisture for moist interactive wound healing</p> Signup and view all the answers

    Where is the most common location of arterial ulcers?

    <p>Between the toes</p> Signup and view all the answers

    What is a risk factor for developing a diabetic foot ulcer?

    <p>Structural foot deformity</p> Signup and view all the answers

    How are venous leg ulcers described in terms of appearance?

    <p>Shallow and irregular shaped</p> Signup and view all the answers

    What does the Braden wound scale measure?

    <p>Severity of ulcers</p> Signup and view all the answers

    Where are venous leg ulcers typically located?

    <p>Below the knee</p> Signup and view all the answers

    What is affected by diabetes that contributes to the development of foot ulcers?

    <p>Circulation and nerve endings</p> Signup and view all the answers

    What is a common feature of arterial ulcers?

    <p>Located below the ankle</p> Signup and view all the answers

    Which factor does not contribute to the development of diabetic foot ulcers?

    <p>Visual impairment</p> Signup and view all the answers

    What is the correct sequence for administration of medications according to the 10 rights of medication administration?

    <p>The right medication, the right route, the right reason, the right evaluation</p> Signup and view all the answers

    What should be done for clients having trouble swallowing oral medications?

    <p>Crush into liquid to aid with swallowing</p> Signup and view all the answers

    Which professional should be contacted for a client experiencing issues with swallowing?

    <p>Language speech doctor</p> Signup and view all the answers

    What is recommended for administering topical cream to the perineum for itching and skin breakdown?

    <p>Follow the healthcare provider's instructions</p> Signup and view all the answers

    What should be done before administering any dosage of medication?

    <p>3 checks</p> Signup and view all the answers

    Which of the following is one of the 10 rights of medication administration?

    <p>The right documentation</p> Signup and view all the answers

    What is NOT recommended when administering oral medications to clients who have trouble swallowing?

    <p>Chewing the tablets prior to swallowing</p> Signup and view all the answers

    What should be done if a client refuses to take their prescribed medication?

    <p>Respect their decision and document the refusal</p> Signup and view all the answers

    Study Notes

    Medication Administration

    • The 10 rights of medication administration: right medication, right dose, right patient, right route, right time and frequency, right documentation, right reason, right to refuse, right patient education, and right evaluation.
    • Always make 3 checks before administering dosage.
    • Oral medications for clients with trouble swallowing: crush medication, crush into liquid, contact a language speech doctor, contact a dietitian, and perform a swallowing examination.

    Routes of Medication Administration

    • Topical route: skin applications, use of gloves or applicators, preparation of skin, and thickness of application.
    • Transdermal patch: use on skin for slow release of medication.
    • Nasal route: nasal instillation, nasal spray, drop, or tampon, assessment of nares, patient instruction, and self-administration.
    • Eye route: eye instillation, drops, ointments, intraocular disc, assessment of eyes, asepsis, and positioning.
    • Ear route: ear instillation, assessment of ear canal, warming of solution, and straightening of canal for children and adults.
    • Suppositories: vaginal instillation, suppositories, foams, jellies, creams, use of gloves and applicator, self-administration, patient positioning, comfort, and hygiene.
    • Rectal instillation: suppositories, use of gloves, patient positioning, comfort, and hygiene.
    • Inhalation: metered-dose inhalers (MDIs), dry powder inhalers (DPIs), and slow-stream inhaler devices, patient assessment and instruction, use of spacer, and determination of doses in canister.
    • Irrigation: medications used to wash out a body cavity, delivered with a stream of solution (sterile water, saline, or antiseptic), asepsis or clean technique, depending on location.

    IM and SC Injections

    • IM injections: 90-degree angle, faster medication absorption than SC route.
    • SC injections: 45-degree angle, best site for a child: Vastus lateralis.
    • Math for medication: Desired / Have x quantity.
    • Gauge sizes: smaller number = bigger gauge, bigger number = smaller gauge.

    Wound Management

    • Approximation: connection, edges being brought together.
    • Contusion: bruise from direct blow or impact.
    • Debridement: removal of dead or infected skin tissue to help a wound heal.
    • Dehiscence: splitting open of a wound or an organ to discharge its contents.
    • Ecchymotic: bruise, blood leaks out of blood vessels into the top layer of skin.
    • Eschar: dead tissue that sheds or falls off from the skin.
    • Evisceration: extrusion of viscera outside the body, especially through a surgical incision.
    • Exudate: fluid that oozes out from blood vessels, odour can be strong (infection).
    • Hemostasis: process to prevent and stop bleeding.
    • Laceration: tearing or rupturing of soft tissue.
    • Paresthesia: sensation of tingling, burning, pricking, or prickling of skin.
    • Suppuration: formation of, conversion into, or process of discharging pus.
    • Hematoma: area of blood that collects outside of the larger blood vessels.
    • Serous: pertaining to serum, thin and watery.
    • Serosanguineous: containing or consisting of both blood and serous fluid.
    • Sanguineous: related to or containing blood.
    • Purulent: containing, discharging, or causing the production of pus.
    • Primary intention: wound healing, wound edges are approximated, healing is faster.
    • Secondary intention: wound healing, sides of the wound are not opposed, healing occurs from the bottom of the wound upwards.
    • Blanching: pale or whitening of the skin, capillaries are broken if stays white.
    • Reedap: abbreviation for checking wounds (redness, edema, ecchymosis, depth, approximation, pain).

    Pressure Ulcers

    • Classification: Stage 1 - non-blanchable erythema of intact skin, Stage 2 - presents as an abrasion, blister, or shallow crater, Stage 3 - deep crater with or without undermining or adjacent tissues, Stage 4 - full thickness, skin loss with extensive tissue destruction.
    • Wound classifications: Acute (surgical) - follows normal healing processes, clean and intact edges, easy to clean; Chronic (ulcer) - does not heal easily, skin does not return to its normal appearance and function.

    Phases of Wound Healing

    • Inflammatory phase: lasts up to 3 days, platelets begin the process of controlling bleeding and clot formation, WBCs reach the area to remove bacteria and other debris.
    • Proliferative phase: lasts 3-24 days, granulation, tissue development, various reparative cells secrete collagen and build new capillaries, soft pink/red in color, wound contraction occurs.
    • Remodeling phase: occurs for more than a year, wound tissue gains greater strength as new collagen continues to form, scar tissue is only 80% as strong as original tissue.

    Complications of Wound Healing

    • Hemorrhage: internal/external, drains, hematoma formation.
    • Infection: develops 4th-5th day post-op, drainage - purulent.
    • Dehiscence: most likely 3-11 days after injury, "something gave way".
    • Evisceration: serious, requires surgery, visceral organs protruding.
    • Fistula formation: abnormal passage between 2 organs or between an organ and the outside body, related to poor healing or disease complication.

    Wound Care

    • Exudate: quality, quantity, wound dressing products, different ulcer types.
    • Exudate - Quantity: small, moderate, large (copious).
    • Wound dressing products: Iodosorp dressing, Anticoat dressing, Mesalt dressing, Providine-iodine (Betadine), Gels (Intrasite gel, Duoderm gel).

    Ulcer Types

    • Arterial ulcers: result from complete or partial blockage of the arteries, known as arterial insufficiency.
    • Diabetic ulcer: diabetes affects circulation as well as the nerve endings in the feet.
    • Venous leg ulcers: shallow, irregular shaped ulcers that often appear beefy and red, typically located below the knee.
    • Braden wound scale: describes severity of ulcers, 1 being low, 4 being high, 6 categories: sensory perception, moisture, activity, mobility, nutrition, friction and shear.

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    Lab exam - #1.docx

    Description

    Test your knowledge on the phases of wound healing, including the inflammatory phase and proliferative phase. Learn about how platelets control bleeding, white blood cells remove bacteria, and tissue development during the healing process.

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