WOUND CARE

Question 1

contusions

Answer 1

bruise. broken vessels in the epidermis leak into the interstitial spaces.

Question 2

puncture

Answer 2

when a foreign object is inserted into the flesh

Question 3

penetrating wound

Answer 3

when a foreign object remains in the body

Question 4

laceration

Answer 4

cutting or tearing of tissue. (not a clean wound)

Question 5

clean

Answer 5

not infected

Question 6

contaminated

Answer 6

surgical or trauma. grossly contaminated by breaking asepsis

Question 7

infected

Answer 7

infectious process is already established.

Question 8

signs of infection

Answer 8

purulent drainage, necrotic tissue, erythema, increased warmth, edema, swelling, and drainage.

Question 9

purulent

Answer 9

containing pus

Question 10

colonized contamination

Answer 10

has a high number of microorganisms but no signs of infection

Question 11

ischemia

Answer 11

reduced blood flow in certain areas. compressed tissue and capillaries result in this

Question 12

emaciation

Answer 12

the state of being very lean or having little muscle

Question 13

pressure injury stage 1

Answer 13

erythema of intact skin, will not blanch,

Question 14

pressure injury stage 2

Answer 14

partial thickness loss and exposed dermis. includes blisters

Question 15

pressure injury stage 3

Answer 15

full thickness loss, damage to epidermis, dermis, and SQ tissue

Question 16

pressure injury stage 4

Answer 16

full thickness loss, deep tissue necrosis if muscle, tendon, fascia, joint capsule, and sometimes bone

Question 17

unstageable

Answer 17

wound bed is obscured by eschar

Question 18

eschar

Answer 18

hard, dry, dead tissue w/ leathery look (black brown or tan) DO NOT REMOVE

Question 19

osteomyelitis

Answer 19

inflammation of bone caused by infection.

Question 20

deep tissue pressure injury (DTPI)

Answer 20

deep red, maroon, or purple. does not blanch. may create blisters.

Question 21

stasis ulcer

Answer 21

develop when venous blood flow is sluggish allowing unoxygenated blood to pool in the veins.

Question 22

sinus tracts

Answer 22

a tunnrl that develops between 2 cavities or between and infected cavity and the skins surface (fistula)

Question 23

fistula

Answer 23

abnormal connection between organs

Question 24

inflammatory phase

Answer 24

occurs when the wound is fresh. includes hemostasis and phagocytosis,

Question 25

hemostasis

Answer 25

the body stops bleeding in fresh wound. the vessels constrict and retract to decrease blood flow. a clot forms as fibrin is put into wound

Question 26

phagocytosis

Answer 26

macrophages engulf and digest invading microorganisms and the remaining fragments of the damaged cells

Question 27

signs of immflamation

Answer 27

warmth, redness, pain, and edema

Question 28

reconstruction phase (proliferation phase)

Answer 28

when the wound begins to heal and last for 21 days. begins with fibroblasts. they produce collogen. the capillaries produce new networks to supply the wound with nutrients.

Question 29

granulation tissue

Answer 29

new tissue that fills the wound . looks red and semitransparent. this is a sign of healing

Question 30

maturation phase (remodeling phase)

Answer 30

when the wound contracts and the scar strengthens.

Question 31

keloid

Answer 31

overproduction of collagen

Question 32

first intentioin

Answer 32

when the wound is clean, and the edges are approximate with little tissue loss

Question 33

second intention

Answer 33

when there is greater tissue loss, and the issues are irregular and cant be brough together.