Fundamentals Wound Care

Question 1

Shallow crater where the skin or mucous membranes is missing

Answer 1

Ulceration

Question 2

Opening in skin or tissue caused by sharp pointed object

Answer 2

Puncture

Question 3

Clean separation of skin, tissue with smooth, even edges

Answer 3

Incision

Question 4

Stripping away of large amounts. Skin, tissue leaving cartilage and bone exposed

Answer 4

Avulsion

Question 5

Wound in which surface layer scraped away

Answer 5

Abrasion

Question 6

Separation of skin tissue were edges or torn and irregular

Answer 6

Laceration

Question 7

Closed, discolored wound caused by blood trauma

Answer 7

Contusion

Question 8

How should you wrap when applying an ace wrap or other dressing on an extremity

Answer 8

Distal to proximal

Question 9

What is the debridement

Answer 9

Remove dead tissue from wound

Question 10

Allows bodies own enzymes to soften, liquefy tissue

Answer 10

Autolytic

Question 11

Involves physical removal of debris of a wound

Answer 11

Mechanical

Question 12

Requires use of sterile scissors, forceps, or similar items

Answer 12

Sharp

Question 13

Topically applied chemical substances are utilized

Answer 13

Enzymatic

Question 14

What should you know about eye irrigation’s

Answer 14

Pull eye lid down and squirt liquid in eye sack

Question 15

What should you know about ear irrigations

Answer 15

Do not use force one putting something in the ear

Question 16

What is a special concern about hot and cold applications

Answer 16

Always keep a layer of fabric between heat and cold on skin

Question 17

What is the best treatment for wounds

Answer 17

Prevention

Question 18

How do wounds heal

Answer 18

From inside to outside

Question 19

What are the types of wound closures for healings

Answer 19

Staples, stitches, and steri-strips

Question 20

Stage 1

Answer 20

Skin is not broken and does not blanche, tingling at site

Question 21

Stage 2

Answer 21

Skin is broken, skin has blisters, allows infection to enter

Question 22

Stage 3

Answer 22

Full thickness loss and wound is deeper

Question 23

Stage 4

Answer 23

Life-threatening, patient could end up with osteomyelitis

Question 24

Unstageable

Answer 24

Tissue loss(dead or slough) slough is attached to wound

Question 25

Deep tissue pressure injury

Answer 25

Intact or non-intact skin, skin does not blanche

Question 26

What is the purpose of drains

Answer 26

To remove drainage so the wound can heal

Question 27

Tissue destruction through the epidermis extending into but not through the dermis is

Answer 27

Partial thickness

Question 28

Tissue destruction extending through the dermis to involve subcutaneous tissue and possibly bone and muscle

Answer 28

Full thickness

Question 29

Course or pathway that can extend in any direction from the wound, results in dead space

Answer 29

Tunneling

Question 30

Tissue destruction underlying intact skin along wound margins

Answer 30

Undermining

Question 31

A drainage pathway from a deep focus of acute infection through tissue and or bone to an opening on the surface

Answer 31

Sinus tract

Question 32

Thin,watery,clear

Answer 32

Serous

Question 33

Thin, bright red

Answer 33

Sanguineous

Question 34

Thin, watery, pale red to pink

Answer 34

Serosanguineous

Question 35

A wound that is not infected

Answer 35

Clean

Question 36

This can be a surgical wound caused by trauma that has been grossly contaminated by breaking asepsis

Answer 36

Contaminated

Question 37

A wound that was surgically made, it’s not infected, but that has direct contact with a normal flora in the respiratory tract

Answer 37

Clean-contaminated

Question 38

An infected wound is one in which the infectious process is already established

Answer 38

Infected

Question 39

Higher in number of micro organisms present but is without sign of infection

Answer 39

Colonized

Question 40

A wound in which the skin remains intact is considered a

Answer 40

Closed wound

Question 41

A wound in which the skin integrity has been breached is a

Answer 41

Open wound

Question 42

How often should skin assessment be done

Answer 42

On a daily basis

Question 43

When the wound is clean with little tissue loss, such as surgical incision, the edges are approximated and the wound is sutured closed

Answer 43

First Intention