Week 6: Wound Care

Question 1

a swollen area within body tissue, containing an accumulation of pus.

Answer 1

Abcess

Question 2

Biofilm

Answer 2

thin, slimy film of bacteria that adheres to a surface.

Question 3

Dehiscence

Answer 3

thesplittingorburstingopen of apodor wound.

Question 4

the removal of moisture from something.

Answer 4

Desiccation

Question 5

superficial reddening of the skin, usually in patches, as a result of injury or irritation causing dilatation of the blood capillaries.

Answer 5

Erythema

Question 6

Eschar

Answer 6

dry, dark scab or falling away of dead skin, typically caused by a burn, or by the bite of a mite, or as a result of anthrax infection.

Question 7

Evisceration

Answer 7

Uncontrolled exteriorization of intraabdominal contents through the dehisced surgical wound outside of the abdominal cavity.

Question 8

Exudate

Answer 8

a mass of cells and fluid that hasseepedout of blood vessels or an organ, especially ininflammation.

Question 9

Fistula

Answer 9

an abnormal or surgically made passage between a hollow or tubular organ and the body surface, or between two hollow or tubular organs

Question 10

Granulation tissue

Answer 10

New connective tissue and microscopic blood vessels that form on the surfaces of a wound during the healing process.

Question 11

solid swelling of clotted blood within the tissues.

Answer 11

Hematoma

Question 12

an inadequate blood supply to an organ or part of the body, especially the heart muscles.

Answer 12

Ischemia

Question 13

Maceration

Answer 13

Process of skin softening and breaking down as a result of prolonged exposure to foreign fluids.

Question 14

optimization of wound healing through the application of sub-atmospheric pressure to help reduce inflammatory exudate and promote granulation tissue

Answer 14

Negative Pressure Wound Therapy
(NPWT)

Question 15

thick, foul smelling white, yellow, or green discharge indicating an unhealthy wound or infection

Answer 15

Purulent drainage (exudate)

Question 16

Serosanguineous

Answer 16

Discharge that contains both blood and a clear yellow liquid known as blood serum

Question 17

serous fluid

Answer 17

Any of various body fluids resembling serum, that are typically pale yellow or transparent and of a benign nature

Question 18

n action or stress resulting from applied forces which causes or tends to cause two contiguous internal parts of the body to deform in the transverse plane

Answer 18

Shear

Question 19

Serous Drainage

Answer 19

Clear & Watery

Question 20

Fistulas are formed from…

Answer 20

Abcesses

Question 21

Liquefied dead tissue

Answer 21

Slough

Question 22

Undermining

Answer 22

Bigger area of tissue damage than can be seen. (Exteneds under the edge)

Question 23

Drain catagories

Open
No collection device
Empties into absorptive dressing.
Passively drains
Moving from area of greater pressure

Answer 23

Penrose drain

Question 24

Drain catagories

Closed
Suction Device
Negative Pressure
Prevents Microorganisms from Entering

Answer 24

Jackson-Pratt / Hemovac Drain

Question 25

Kerflex vs regular gauze

Answer 25

Kerflex is more absorbent

Question 26

Jackson Prat (JP) drain vs hemovac

Answer 26

Both closed systems Hemovac can hold more blood

Question 27

Types of wound dressings

Answer 27

Telfa, Gauze, Retentive Dressings

Question 28

The _________ is designed for the treatment of lightly draining wounds. They are made of a highly absorbent cotton fabric but are coated on both sides with a film that prevents the dressing from sticking to the wound when it is placed over the opening.

Answer 28

Telfa Non Adherent Dressing

Question 29

What are the disadvantages of transparent dressing?

Answer 29

Do not absorb blood or exudate well. If used on deep or infected wounds, healing may take longer, or infection may spread. Not sterile and are only suitable for one-time use.

Question 30

Hydrocolloid dressings Use Non-uses

Answer 30

Use: abrasions, postoperative wounds, pressure and venous ulcers, burn wounds, and donor sites. Non-use: wounds that have limited drainage or in wounds with copious amounts of drainage

Question 31

Hydrogel Dressing Use Non-use

Answer 31

Use: Dry to mildly exudating and can be used to degrade slough on the wound surface Non-use: wounds that are infected or require drainage.

Question 32

Alginate Dressing Use Non-use

Answer 32

Use: treatment of exuding wounds. In addition to antibacterial activity, alginate takes up wound exudates, through creation of a gel surface that absorbs moisture and maintains a moist environment Non-use: dry or mildly exuding wounds

Question 33

Transparent Hydrocolloid Hydrogen Alginate Are this type of dressing

Answer 33

Moisture-Retentive

Question 34

Bathe client everyday for good skin care True or False

Answer 34

False Bathing everyday can Breakdown skin

Question 35

How often to turn a client to prevent pressure ulcers

Answer 35

2 hrs

Question 36

Type of dressing "turn" used on ankle and around joints

Answer 36

Figure of eight

Question 37

A circular turn is primarily used to

Answer 37

Anchor a bandage

Question 38

A recurrent bandage is used for..

Answer 38

Fingers, head, and residual Limb after amputation

Question 39

Pressure ulcer Intact skin with a localized nonblanchable redness, usually over Bony prominence

Answer 39

Stage 1

Question 40

Pressure Ulcer Partial thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed.

Answer 40

Stage 2

Question 41

Pressure ulcer Full-thickness loss without bone, tendon, muscle exposure

Answer 41

Stage 3

Question 42

Pressure ulcer Full thickness loss with exposed bone, tendon, and muscle

Answer 42

Stage 4

Question 43

Separation of skin and tissue in which the edges are torn and irregular

Answer 43

Laceration

Question 44

Clean separation of skin and tissue with a smooth, even edge

Answer 44

Incision

Question 45

Wound in which the surface layers of skin are scrapped away

Answer 45

Abrasion

Question 46

Shallow crater in which skin or mucous membrane is missing

Answer 46

Ulceration

Question 47

Which type of dressing is used over a IV catheter site

Answer 47

Transparent film Allows for visualizar

Question 48

Best used for partial - full thickness wounds, burns, dry wounds, min exudate, necrotic wounds, infected wounds

Answer 48

Hydrogel sheets

Question 49

Best used in wounds with light to moderate drainage

Answer 49

Hydrocolloid

Question 50

Being pulled up in bed rather than lifted puts clients at risk for Decubitus Ulcer. What factor is responsible for this risk

Answer 50

Shearing force

Question 51

Onset, peak, & duration of insulin Short Aspart (Novolog) Glulisine (Apidra) Lispro (Humalog)

Answer 51

Onset 5 - 15 min Peak 1 - 2 to 3 hrs Duration 3 - 5 hrs ish

Question 52

Regular insulin (fast-acting) Humulin R Novolin R Onset, Peak, Duration

Answer 52

Onset: 0.5 - 1 hr Peak 2 - 4 hrs Duration: 6 - 8 hrs

Question 53

Intermediate-Acting Insulin NHP Insulin Humulin N Novolin N Onset, peak, & duration of insulin

Answer 53

Onset: 1 - 2 hrs Peak: 6 -12 hrs Duration: 12 - 18 hrs

Question 54

Long-Acting Insulin determir (Levemir) glargine (Lantus) Onset, peak, & duration of insulin

Answer 54

Onset: 1 - 2 hr Peak: 6 - 8 (possibly no peak) Duration: 14 - 24

Question 55

Insulin syringes are orange capped They are measured in Units What is the mL equivalent to the following needle sizes 30 units 50 units 100 units

Answer 55

30 units = 0.3 mL 50 units = 0.5 mL 100 units = 1 mL

Question 56

How is insulin administrated

Answer 56

Subcutaneous 45 ° thin person 90° obese person

Question 57

Neutral Protamine Hagedorn insulin, also known as isophane insulin, is an _______ acting insulin

Answer 57

Immediate

Question 58

Insulin that controls blood glucose between meals is known as

Answer 58

Basal insulin

Question 59

Insulin that controls blood glucose when someone eats is referred to as...

Answer 59

Bolus or mealtime insulin

Question 60

Immediate/ long acting insulins are (basal / bolus)

Answer 60

Basal

Question 61

Rapid / fast acting insulins are ( basal / bolus)

Answer 61

Bolus

Question 62

Which types of insulin can be given IV & SubQ

Answer 62

Rapid / Fast acting

Question 63

What type of insulin should never be mixed

Answer 63

Long acting Levemir / Lantus

Question 64

Ranger for hyperglycemia Fasting / post meal Give (Insulin or Glucogon) for hyperglycemia

Answer 64

Fasting >99 Post meal >140 Insulin

Question 65

Hypoglycemia value Give (Insulin or Glucogon)

Answer 65

<60 Glucogon

Question 66

Continous subcutaneous insulin pump uses which kind of insulin

Answer 66

Rapid, fast acting