skin and wound care

Question 1

Serous

Answer 1

Clear, watery plasma.

Question 2

Sanguineous

Answer 2

Bright red blood. ** May indicate active bleeding **

Question 3

Serosanguineous

Answer 3

Pale, pink, watery. Mixture of clear and red fluid.

Question 4

Purulent

Answer 4

Thick, yellowish-green. Foul odor. ** May indicate infection**

Question 5

incision

Answer 5

cutting or sharp instrument edges aligned surrounding tissue undamaged bleeds freely least likely to become infected

Question 6

contusion

Answer 6

result of a direct blow or an impact, such as a fall. or blunt instrument, Contusions are common sports injuries. Most people think of a bruise as a black-and-blue spot. This happens when small blood vessels get torn and leak blood under the skin.

Question 7

abrasion

Answer 7

friction; rubbing or scraping epidermis layer can become infected

Question 8

laceration

Answer 8

a wound that is produced by the tearing of soft body tissue. This type of wound is often irregular and jagged. A laceration wound is often contaminated with bacteria and debris from whatever object caused the cut. tissue not aligned

Question 9

penetrating

Answer 9

occurs when a foreign object pierces the skin and enters the body creating a wound. In blunt or non-penetrating trauma the skin is not necessarily broken. In penetrating trauma, the object remains in the tissue or passes through the tissues and exits the body.

Question 10

puncture

Answer 10

a wound made by a pointed object such as a nail, knife, or sharp tooth. Puncture wounds often appear to be on the surface, but may extend into the deeper tissue layers. Stitches are primarily used if the cut is more that a quarter inch deep, is on the face, or reaches bone.

Question 11

avulsion

Answer 11

a forcible tearing off of skin or another part of the body, such as an ear or a finger. Any time layers of skin have been torn off to expose muscles, tendons and tissue, it is called an avulsion.

Question 12

chemical

Answer 12

damage to the body from a caustic chemical, which is a very strong acid or base that can burn or corrode. Contact with these chemicals can damage the skin, eyes, lungs (if breathed), or if swallowed, the inside of the body. drugs, acids, alcohol, and metals

Question 13

thermal

Answer 13

high and low temps cellular necrosis as possible result

Question 14

irradiation

Answer 14

wounds caused by the acute or chronic effects of ionizing radiation. The injury may involve the skin, underlying soft tissue, and even deep structures such as bone. The most common cause of radiation injury is an adverse effect of therapeutic radiation therapy

Question 15

pressure ulcer

Answer 15

compromised circulation secondary to pressure or pressure combined with friction staged 1-4

Question 16

venous ulcers

Answer 16

venous stasis ulcer, is a wound that takes longer than usual to heal. It’s due to vein and blood flow issues and often occurs on your legs near your ankle

Question 17

arterial ulcers

Answer 17

are painful injuries in your skin caused by poor circulation. ‌ Arterial ulcers typically happen when blood is unable to flow into the lower extremities, like the legs and feet.

Question 18

diabetic ulcers

Answer 18

an open sore or wound that occurs in approximately 15 percent of patients with diabetes and is commonly located on the bottom of the foot. Of those who develop a foot ulcer, 6 percent will be hospitalized due to infection or other ulcer-related complication.

Question 19

woven gauze (sponges)

Answer 19

absorbs exudate from the wound example; covering abrasions or lacerations, surgical incisions, second degree burns, and pressure ulcers or chronic wounds with light drainage

Question 20

nonadherent material

Answer 20

does not stick to the wound bed designed to minimize trauma exmaple; protects superficial wounds such as abrasions, burns donor sites, and post-op sites

Question 21

damp to damp 4 by 4

Answer 21

used to mechanically debride a wound until granulation tissue starts to form in the wound bed must be kept moist at all times to prevent pain and promote healing

Question 22

self adhesive/transparent film

Answer 22

a temporary “ second skin “ ideal for small superficial wounds reduces pain and protects from contamination, example; superficial wounds, secure IV sites, skin tears, pressure ulcers, donor and post-op sites

Question 23

hydocolloid

Answer 23

an occlusive dressing that swells in the presence of exude; composed of gelatin and pectin, it forms a seal at the wound surface to prevent evaporation of moisture from the skin/ maintains a granulating wound bed, can stay in place for 3 to 5 days examples; pressure and diabetic ulcers, minor or superficial burns, abrasions, skin tears, and donor sites.

Question 24

hydrogel

Answer 24

composition is mostly water. gel after contact with exudate promoting autolytic debridement and cooling rehydrates and fills dead space might require a secondary occlusive dressing examples; for infected deep wounds with necrotic tissue, partial thickness burn, pressure ulcers, donor sites, radiation dermatitis

Question 25

alginates

Answer 25

nonadherent dressings that conform to the wound shape and absorb exudate provides a moist bed and support debridement example; surgical and traumatic wounds, partical thickness burns, manage sinus tracts

Question 26

collagen

Answer 26

powders, pastes, granules sheets, and gels, help stop bleeding and promote healing example; chronic surgical wounds, deep burn wounds, and acute wounds

Question 27

primary intention

Answer 27

little to no tissue loss, edges approximated as with surgical incision, heals rapidly, low risk of infection, no to minimal scarring

Question 28

secondary intention

Answer 28

lost of tissue, wound edges widely separated unapproximated ( pressure injury, open burn areas) loner healing time, increased risk of infection, and scarring, heals by granulation

Question 29

tertiary intention

Answer 29

widely separated, deep, spontaneous opening of a previously closed wound, closure of wounds occurs when they are free of infection and edema, risk of infection, extensive drainage and tissue debris, closed later, long healing time