Ch. 1

Question 0

Clear, watery fluid

Answer 0

Serous

Question 1

Partial or total rupturing of the sutured incision usually occurring 4-5 days after surgery

Answer 1

Dehiscence

Question 2

Yellow, green,tan, brown, fluid; has foul odor

Answer 2

Purulent

Question 3

Bright red

Answer 3

Sanguineous

Question 4

Pale, red, watery; mixture of serous and sanguineous

Answer 4

Serosanguineous

Question 5

• Keep sterile items within site, above waist level.
  * if sterile gloves touch unsterile item, gloves are considered contaminated and must remove before continuing w/ procedure
  * do not talk, cough or sneeze over sterile field

Answer 5

KNOW ^^^

Question 6

Removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissues

Answer 6

Debridement

Question 7

Redness of the integument due to congestion or vasodilation of the capillaries, occurs with infections, allergic responses, or rashes

Answer 7

Erythemia

Question 8

Protrusion of internal viscera through the incision w/ abdominal surgeries

Answer 8

Evisceration

Question 9

Any fluid that filters from the circulatory system into lesions or areas of inflammation

Answer 9

Exudate

Question 10

Hardened place, a lump, as in the skin

Answer 10

Induration

Question 11

Decrease or lack of blood supply to a body part

Answer 11

Ischemia

Question 12

Softening and whitening of skin kept constantly wet, leaving it more vulnerable to infection or damage by tearing

Answer 12

Maceration

Question 13

Something that creates pus, a substance produced during inflammatory responses of the body that can be found in regions of pyogenic bacterial infections

Answer 13

Purulent

Question 14

Body fluids that are typically pale yellow and transparent, and of benign nature

Answer 14

Serous fluid

Question 15

Discharge that is clear w/ some blood tinge; seen w/ surgical incisions

Answer 15

Serosanguineous

Question 16

4 wound healing stages

Answer 16

Homeostasis, inflammatory phase, reconstruction, and maturation

Question 17

During this phase there in an initial increase in the flow of blood elements. It causes signs and symptoms of inflammation: erythema, heat, edema, pain, and tissue dysfunction

Answer 17

Inflammatory phase

Question 18

This phase begins as soon as an injury occurs, as blood platelets adhere to the walls of the injured vessel, a clot begins to form.

Answer 18

Homeostasis

Question 19

Apprx 3 weeks after surgery, fibroblasts begin to exit the wound. Occasionally a keloid, which is an overgrowth of collagenous scar tissue at the site of the wound, will form during this stage

Answer 19

Maturation stage

Question 20

During this phase, wound takes on the appearance of an irregular, raised, purplish, immature scar. Encourage patients to consume Vit A and C, which assist in wound repair. Collegen forms during this phase; begins on the 3rd or 4th day after injury and lasts for 2-3 weeks

Answer 20

Reconstructive phase

Question 21

Process of wound healing occurs by

Answer 21

Primary intention (primary union) secondary intention (granulation) or tertiary (third) intention

Question 22

Healing begins during inflammatory phase; in surgery this is usually during closure of the wound

Answer 22

Primary intention

Question 23

When a wound must granulate during healing, occurs when skin edges are not close together or when pus has formed

Answer 23

Secondary intention

Question 24

Producing or containing pus

Answer 24

Purulent

Question 25

Fluid, cells, or other substances that have been slowly exuded, or discharged, from cells of blood through small pores or breaks in cell membranes

Answer 25

Exudate

Question 26

Practitioner leaves a contaminated would open and closes it later, after the infection is controlled, by suturing two layers of granulation tissue together in the wound

Answer 26

Tertiary tissue

Question 27

Inspect dressings every 2-4 hours the first 24 hours

Question 28

Permit air to reach wound

Answer 28

Gauze

Question 29

Permit oxygen but not air

Answer 29

Semi occlusive

Question 30

Permit neither air nor oxygen

Answer 30

Occlusive

Question 31

Which straps help prevent tape irritation of skin when dressings require frequent changing

Answer 31

Montgomery straps

Question 32

Frequently helps to give an analgesic 30 minutes before exposing a wound

Question 33

Major types of wound exudate are

Answer 33

Serous, Purulent, and sanguineous

Question 34

Main complications of would healing are

Answer 34

Hemorrhage, infection, dehiscence and evisceration

Question 35

Clean wounds or drain sites, from least to most contaminated area, away from wound edges