Integumentary

Question 1

Describe a macerated wound

Answer 1

White, friable, overhydrated, sometimes wrinkled

Question 2

Type of dressing for very mild exudate

Answer 2

Transparent film

Question 3

Type of dressing for minimal exudate

Answer 3

Hydrogel dressing or hydrocolloid

Question 4

Type of dressing for moderate exudate

Answer 4

Foams

Question 5

Type of dressing for heavy exudate

Answer 5

Calcium alginates, hydrofiber

Question 6

Where is venous insufficiency usually seen in the LE

Answer 6

Proximal to the medial malleolus

Question 7

Signs of venous insufficiency

Answer 7

Irregular, shallow appearance. Flaking, brownish discoloration (Hemosiderin staining). Mild-moderate pan. Elevation decreases pain

Question 8

Signs of arterial insufficiency

Answer 8

Smooth edges, well defined. Thin and shiny, hair loss, yellow nails. Severe pain. Elevation increases pain

Question 9

Where is arterial insufficiency usually seen in the LE

Answer 9

Lower 1/3 of leg, toe, lateral malleolus

Question 10

Define stage 1 pressure ulcer

Answer 10

Reddened area that does not go away

Question 11

Define stage 2 pressure ulcer

Answer 11

First 2 layers of skin, superficial

Question 12

Define stage 3 pressure ulcer

Answer 12

Subcutaneous fat may be visible

Question 13

Define stage 4 pressure ulcer

Answer 13

Down to the bone and including the bone

Question 14

Define an unstageable pressure ulcer

Answer 14

Unable to visualize the wound base 2/2 necrotic tissue

Question 15

T/F: herpes zoster has initial symptoms of pain and paresthesia localized to the affected dermatome

Answer 15

True

Question 16

What is selective debridement

Answer 16

Removal of only non viable tissues from a wound

Question 17

Options for selective debridement

Answer 17

Sharp, enzymatic, autolytic debridements

Question 18

What is nonselective debridement

Answer 18

Removal of both nonviable and viable tissues from a wound

Question 19

Options for nonselective debridement

Answer 19

Wet to dry dressings, wound irrigation and hydrotherapy

Question 20

Clinical presentation for superficial burn

Answer 20

Dry, red skin, without open areas

Question 21

Clinical presentation for superficial partial thickness burn

Answer 21

Intact, weeping blisters. Blanches to pressure w/ quick refill. Extremely painful

Question 22

clinical presentation for deep partial thickness burn

Answer 22

Mottled red and white areas. Slow capillary refill. Decreased pinprick sensation

Question 23

Clinical presentation of Full thickness burn

Answer 23

Dry, rigid, leathery. Lack of pain, pressure, temperature sensation

Question 24

Percentage of arm for rule of 9s

Answer 24

4.5% per side per arm

Question 25

Rule of 9s % for head

Answer 25

4.5% side

Question 26

Rule of 9s for trunk

Answer 26

18% per side

Question 27

Rule of 9s for legs

Answer 27

9% per side per leg

Question 28

Rule of 9s for children: arm

Answer 28

4.5% per side per arm

Question 29

Rule of 9s for children: head

Answer 29

8.5% per side

Question 30

Rule of 9s for children: trunk

Answer 30

18% per side

Question 31

Rule of 9s for children: legs

Answer 31

6.5% per side per leg