integ exam 1

Question 1

dermis has two layers, which is superior with loosely packed collagen?

Answer 1

papillary (reticular is deeper)

Question 2

during the maturation phase of burn wound healing ____ increases

Answer 2

-tensile strength

Question 3

vascularity and fibroplasia increase early/late in healing?

Answer 3

early, decrease during maturation

Question 4

epidermal appendages (nails, hair cells) do not regenerate after destruction (T/F)

Answer 4

true

Question 5

____ burns are the first burn depth to not have pain

Answer 5

full thickness

Question 6

zones of burns from inside to outside, which is most critical?

Answer 6

coagulation > stasis > hyperemia

stasis is most critical

Question 7

is tPA appropriate for frostbite?

Answer 7

yes

Question 8

stevens-johnson syndrome

Answer 8

flu-like symptoms followed by painful red/purplish rash after medication or infection

Question 9

are epidermal burns included in TBSA?

Answer 9

yes

Question 10

are donor sites included in TBSA?

Answer 10

yes

Question 11

is TBSA calculated different in kids?

Answer 11

yes

Question 12

are amputation areas subtracted from TBSA?

Answer 12

yes

Question 13

burn shock peaks when?

Answer 13

1 day post burn

Question 14

which product is used for pseudomonas?

Answer 14

sulfamylon

Question 15

allograft

Answer 15

thicker, temporary solution for full thickness burns

Question 16

autograft

Answer 16

harvested from same person, standard for full thickness burns

Question 17

zenograft

Answer 17

harvested from another species

Question 18

which has a HIGHER risk of contracture, split thickness skin grafting or full thickness skin grafting?

Answer 18

split thickness skin grafting

Question 19

what positioning is important for healing of a free-flap reconstruction?

Answer 19

dangling the leg off the bed multiple times per day

dangled in dependent position (more blood flow)

Question 20

what is a cutaneous functional unit?

Answer 20

field of skin that functionally contributes to ROM at an associated joint

Question 21

if patient has burns over three joints, which one is most likely to contract?

Answer 21

middle joint

Question 22

chronic wounds are stalled in the ____ phase

Answer 22

inflammation stage

Question 23

this pressure ulcer stage may present as a painful blister/ulcer involving the epidermis and dermis

Answer 23

stage 2

Question 24

this pressure ulcer stage does NOT involve tendon, bone or joint capsule, but may have undermining/tunneling

Answer 24

stage 3

Question 25

stage 1 vs. deep tissue injury

Answer 25

stage 1: redness | deep tissue: purple/maroon

Question 26

presence of slough/eschar indicates that the ulcer is at least stage ____

Answer 26

stage 3

Question 27

arterial ulcer is what color?

Answer 27

usually paler in the wound bed, punched-out appearance

Question 28

what ABI indicted peripheral arterial disease?

Answer 28

less than 0.9 greater than 1.3 means calcification

Question 29

precaution/consideration for chemical debridemtent

Answer 29

repetitive use will make the wound larger and delay healing

Question 30

can you use wet to dry for infection?

Answer 30

no

Question 31

more than 70% NT

Answer 31

wet to dry or maggot I think this is wrong it said less than 70% for wet to dry, over 70% for maggot over 90% for whirlpool

Question 32

alginates and foams are both good for _____ debridement

Answer 32

autolytic, better for moist wounds

Question 33

can collagen be used with infected wound?

Answer 33

yes

Question 34

can collagen be used with full thickness burns?

Answer 34

no

Question 35

what is a dirty wound?

Answer 35

an infected wound

Question 36

what is a contaminated wound?

Answer 36

a wound with bacteria??

Question 37

which type of compression bandage is designed ONLY for ambulatory pts?

Answer 37

unna's boot

Question 38

how much pressure does a tubigrip provide?

Answer 38

8 mmHg

Question 39

how much pressure does an unna's boot provide?

Answer 39

30 mmHg

Question 40

hyperbaric oxygen therapy has been found to be helpful in _____ ulcers

Answer 40

diabetic ulcers and arterial

Question 41

indications for amputation

Answer 41

uncontrolled infection unconrolled pain local tissue regrowth unfeasible

Question 42

risks for diabetic ulcers

Answer 42

male smoking history diabetes long time

Question 43

an ulcer on the ____ of the food is most likely to lead to amputation

Answer 43

heel

Question 44

is silver dressings appropriate for infected wounds?

Answer 44

yes

Question 45

occlusive and semi-occlusive dressings are indicated for wounds that...

Answer 45

are clean and uninfected

Question 46

topical agents can be used for both clean and infected wounds (T/F)

Answer 46

false... | not for clean because you dont want to disrupt the wound bed

Question 47

health belief model

Answer 47

perceived susceptibility, perceived seriousness, percieved barriers, perceived benefits, cues to action, self-efficacy

Question 48

theory of planned behavior

Answer 48

intention to behave is a function of their attitude toward the behavior, their belief of what others think they should do, perceived level of difficulty or ease

Question 49

trans theoretical model

Answer 49

aka stages of change... precontemplation, contemplation, preparation, action, maintenance

Question 50

social cognitive theory

Answer 50

learning is reciprocal among a person's environment, cognitive processes, and behavior

Question 51

community readiness model

Answer 51

9 stages... no awareness, denial, vague awareness, preplanning, preparation, initiation, stabilization, confirmation/expansion, professionalisms,

Question 52

diffusion theory

Answer 52

bell shaped curve of adopting a new thing in a population | innovators, early adopters, early majority, late majority, laggards