Wound Assesment

Question 1

Healing by primary intention means what?

Answer 1

Edges of a surgical incision-clean. Fully approximated and stay approximated. Heals quickly

Question 2

Healing by secondary intention means?

Answer 2

Wounds that are left open - not fully approximated- and are allowed to heal through scar formation.

Question 3

What does healing by tertiary intention mean?

Answer 3

Mixture of primary and secondary.
A surgical wound is left open for 3 to 5 days to allow edema and/or infection to diminish and then closed with sutures or staples.

Question 4

Name for a wound that is black/brown and what that indicates?

Answer 4

Eschar
Means there is full-thickness disuse destruction.
Black typically represents necrotic tissue.

Question 5

Name for a wound that is yellow and what that indicates?

Answer 5

Slough
Indicates no viable tissue and/or the presence of infection.

Slough tissue may appear yellow, cream, or gray (in cases of drainage)

Question 6

Name for a wound that is red and what that indicates?

Answer 6

Granulation.

indicates that granulations occurring and the color is from the increasing amount of new blood vessels.

Question 7

What to use high pressure wound cleaning techniques?

Answer 7

Necrotic
Fibrin slough
Significant arterial burden
Mod/large amount of exudate

Question 8

What is exudate?

Answer 8

a mass of cells and fluid that has seeped out of blood vessels or an organ, especially in inflammation.

Normal helpful part of wound healing

Also known as pus

Question 9

When to use low pressure wound cleaning techniques?

Answer 9

Granulation

Mod/low exudate

Question 10

Drainage which appears…
Clear
Watery plasma

Answer 10

Serous

Question 11

Drainage which appears…
Pale red
More watery than fresh blood

Answer 11

Serosanguineous

Question 12

Drainage which appears…

Thick yellow/green/tan/or brown

Answer 12

Purulent

Question 13

Drainage which appears…
Bright red
Fresh blood

Answer 13

Sanguineous

Question 14

How to document a wounds size?

Answer 14

LxWxH

Head-to-toe x Side-to-side x Depth

Question 15

What things to include in a wound assessment?

Answer 15

Size
Appearance
Odor
Palpating

Question 16

Palpating the feeling of a hard/firm tissue is known as what?

Answer 16

Ihvlhdzfdbviygcycy

Question 17

Palpating the feeling of rice crispy/creaking is known as?

Answer 17

Crepitas

Question 18

Palpating the feeling of soft tissue, almost like a water bed is known as?

Answer 18

Boggy