Tissue Integrity

Question 1

Scraping or rubbing away of epidermis; may result in localized bleeding and later weeping of serous fluid

Answer 1

Abrasion

Question 2

To come close together, as in edges of a wound

Answer 2

Approximate

Question 3

Redness of the skin caused by dilation of the superficial capillaries. When pressure is applied to the skin, the area blanches, or turns a lighter color

Answer 3

Blanchable hyperemia

Question 4

When pressure is applied to the skin, the area turns a lighter color

Answer 4

Blanching

Question 5

Removal of dead tissue from a wound

Answer 5

Debridement

Question 6

Separation of the edges of a wound, revealing underlying tissues

Answer 6

Dehiscence

Question 7

Thick layer of dead, dry tissue that covers a pressure injury or thermal burn. It may be allowed to be sloughed off naturally, or it may need to be surgically removed

Answer 7

Eschar

Question 8

Protrusion of visceral layers through a surgical wound

Answer 8

Evisceration

Question 9

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

Answer 9

Exudate

Question 10

Soft, boggy feeling when tissue is palpated; usually a sign of tissue infection

Answer 10

Fluctuance

Question 11

Effects of rubbing or the resistance that a moving body meets from the surface on which it moves; a force that occurs in a direction to oppose movement

Answer 11

Friction

Question 12

Soft, pink, fleshy projections of tissue that form during the healing process in a wound not healing by primary intention

Answer 12

Granulation tissue

Question 13

Termination of bleeding by mechanical or chemical means or the coagulation process of the body

Answer 13

Hemostasis

Question 14

Hardening of a tissue, particularly the skin, because of edema or inflammation

Answer 14

Induration

Question 15

Torn, jagged wound

Answer 15

Laceration

Question 16

The presence of erythema and/or other manifestation of cutaneous abnormality that persists 30 minutes or longer after removal of a device or adhesive securing the device

Answer 16

Medical adhesive-related skin injury (MARSI)

Question 17

Occurs when the skin or underlying tissues are subjected to sustained pressure or shear from medical devices or equipment

Answer 17

Medical device-related pressure injury (MDRPI)

Question 18

Redness of the skin caused by dilation of the superficial capillaries. The redness persists when pressure is applied to the area, indicating tissue damage

Answer 18

Nonblanchable hyperemia

Question 19

Inflammation, sore, or ulcer in the skin over a bony prominence

Answer 19

Pressure Injury

Question 20

Primary union of the edges of a wound, progressing to complete scar formation without granulation

Answer 20

Primary intention

Question 21

Wound closure in which the edges are separated; granulation tissue develops to fill the gap; and finally epithelium grows in over the granulation, producing a larger scar than results with primary intention

Answer 21

Secondary intention

Question 22

Point of which tissues receive insufficient oxygen and perfusion

Answer 22

Tissue ischemia

Question 23

Convenient portable units that connect to tubular drains lying within a wound bed and exert a safe, constant, low-pressure vacuum to remove and collect drainage

Answer 23

Wound drainage evacuations

Question 24

Filling of a wound with granulation tissue, wound contraction, and wound resurfacing

Answer 24

Epithelialization

Question 25

Vacuum-assisted closure; application of subatmospheric (negative) pressure to a wound through suction to facilitate healing and collect wound fluid

Answer 25

Negative-pressure wound therapy (NPWT)

Question 26

Small, circular wound with the edges coming together toward the center

Answer 26

Puncture wound

Question 27

Thick, yellow, green, tan, or brown drainage from a wound

Answer 27

Purulent

Question 28

Bright red drainage from wound; indicates active bleeding

Answer 28

Sanguineous

Question 29

Clear, watery plasma drainage from wound

Answer 29

Serous

Question 30

Pale, pink, watery drainage from wound; mixture of clear and red fluid

Answer 30

Serosanguineous

Question 31

Stringy substance attached to wound bed; pale yellow to tan coverage, usually covering the entire wound bed

Answer 31

Slough

Question 32

Device that helps in wound closure by applying localized negative pressure to draw the edges of a wound together

Answer 32

Vacuum-assisted closure (V.A.C.)

Question 33

Disruption of the integrity and function of tissues in the body

Answer 33

Wound

Question 34

Mechanical forces contributing to pressure ulcer formation

Answer 34

Shear force

Question 35

High blood flow after something limited the blood flow such as ischemia

Answer 35

Reactive hyperemia