Week 12 Chapter 22

Question 1

Common causes of skin breakdown

Answer 1

Dryness
Decreased mobility
General thinning of the skin
Poor nutrition and hydration

Question 2

A Psw should keep skin

Answer 2

Clean, dry, and moistures

Question 3

Skin protects the body

Answer 3

From microbes that cause infection

Question 4

Prevent skin breakdown by

Answer 4

Preventing skin injury and give good skin care

Question 5

A wound

Answer 5

Is a break in the skin or mucous membrane

Question 6

Wound care involves

Answer 6

Preventing infection
Preventing further injury
Preventing blood loss
Preventing pain

Question 7

Intentional wound

Answer 7

Created for treatment

Question 8

Unintentional wound

Answer 8

Results from trauma

Question 9

Open wound

Answer 9

A break in the skin or mucous membrane

Question 10

Closed wound

Answer 10

Injury to tissue without breaking the skin

Question 11

Clean wound

Answer 11

Not infected

Question 12

Clean-contaminated wound

Answer 12

Results from sugical entry

Question 13

Contaminated wound

Answer 13

Unintentional wound, high risk of infection

Question 14

Infected wound

Answer 14

Wound containing a large amount of bacteria, shows signs of infection

Question 15

Chronic wound

Answer 15

One that does not heal easily in a timely manner

Question 16

Abrasion

Answer 16

Scrapping away or rubbing of the skin

Question 17

Contusion

Answer 17

Blow to the body (bruise)

Question 18

Incision

Answer 18

Clean, intentionally cut into the skin

Question 19

Laceration

Answer 19

Torn, jagged edges

Question 20

Penetrating wound

Answer 20

Skin and underlying tissue pierced

Question 21

Puncture wound

Answer 21

Open wound caused by sharp object

Question 22

Partial-thickness wound

Answer 22

The dermis and epidermis of skin is broken

Question 23

Full thickness wound

Answer 23

The dermis, epidermis and subcutaneous tissue are penetrated; muscle and bone may be involved

Question 24

Skin tear

Answer 24

A break or rip in the skin
Painful
Report

Question 25

Preventing skin tears

Answer 25

Use turning sheet Gently transfer or position of client

Question 26

Pressure ulcer

Answer 26

Is an injury caused by unrelieved pressure to the skin and or underlying tissue

Question 27

Causes of pressure ulcers

Answer 27

Pressure, shearing, and friction

Question 28

Signs of pressure ulcers

Answer 28

Pale or grey skin, warmed an reddened area Complaints of pain, burning, itching, or tingling

Question 29

Stage 1 of pressure ulcer

Answer 29

The skin is intact Coloured

Question 30

Stage 2 of pressure ulcer

Answer 30

Partial thickness of skin loss

Question 31

Stage 3 of pressure ulcer

Answer 31

Full thickness of skin loss May be drainage

Question 32

Stage 4 of pressure ulcer

Answer 32

Full thickness of tissue loss Muscle, tendon, bone exposure

Question 33

Stage 5 of pressure ulcer

Answer 33

Pressure ulcer cannot be staged due to necrosis Blackened tissue

Question 34

Protective devices used to prevent and treat pressure ulcers

Answer 34

Special beds Bad cradles Pillows

Question 35

Some diseases that affect blood flow to and from the legs and feet

Answer 35

Edema Gangrene

Question 36

Circulatory ulcers (vascular ulcers)

Answer 36

Are open sores on the lower legs or feet

Question 37

Venous ulcers

Answer 37

Are open sores on lower legs or feet caused by poor blood flow through the veins

Question 38

Arterial ulcers

Answer 38

Are open wounds on the lower legs or feet caused by poor arterial blood flow

Question 39

Appearance of arterial ulcer

Answer 39

May feel cool Appears grey or blue or shiny Painful during rest

Question 40

First phase of wound healing

Answer 40

Inflammatory phase 3 days

Question 41

Second phase of wound healing

Answer 41

Proliferation phase 3 to 21 days

Question 42

Third phase of wound healing

Answer 42

Maturation phase 21 to 1-2 years

Question 43

Hemorrhage

Answer 43

Excessive loss of blood in short period of time

Question 44

Hematoma

Answer 44

Collection of blood under the skin

Question 45

Shock results from

Answer 45

When there is not enough blood supply to organs and tissues

Question 46

Wound drainage- serous

Answer 46

Clear and watery

Question 47

Wound drainage - sanguineous

Answer 47

Bloody drainage

Question 48

Wound drainage- serosanguineous

Answer 48

Thin water drainage that is blood tinged

Question 49

Wound drainage - purulent

Answer 49

Thick drainage that is green, yellow, or brown

Question 50

Clients with infected and draining wounds will require more of which two nutrients

Answer 50

Protein and vitamin C

Question 51

Common causes of skin breakdown and pressure ignuries

Answer 51

Pressure, friction, shearing

Question 52

Risk factors for developing of arterial ulcers

Answer 52

Aging Smoking Diabetes High blood pressure

Question 53

How long should you wait to perform procedures after pain medication are given

Answer 53

30 minutes

Question 54

Gangrene

Answer 54

Is a condition in which tissue dies and then decays

Question 55

Primary intention

Answer 55

Used on closed wounds

Question 56

Secondary intention

Answer 56

Is used in contaminated and infected wounds

Question 57

Tertiary intention

Answer 57

Involves leaving a wound open for a time before closing it

Question 58

Evisceration

Answer 58

Is the separation of the wound

Question 59

Tape cannot

Answer 59

Encircle the entire body part, impair circulation