Healing Horizons: Skin Integrity And Wound care Quiz

Which type of intention is characterized by intentional wounds with minimal tissue loss, in which the edges are closely approximated?

Increased supply of oxygen and nutrients to the area is due to vasodilation which is due to the application of _______.

True or False:Oxygenation of tissues is decreased in people with anemia.

• True

• False

Which type of intention is defined as having edges that are not well approximated.

_____ is a thick, leathery scab or dry crust that is necrotic and must be removed before the stage can be determined accurately.

A ____ is an abnormal passage from an internal organ to the outside of the body or from one internal organ to another. It may be purosefully created; however it is often the result of infection that has developed into an abscess.

Herbert is 82 years old, dehydrated, and malnurished. He also suffers from diabetes and urinary incontinence. Moreover, mayor Adam West has stolen his walker, so he spends a lot of time sitting on his porch chair, lusting after Chris Griffin. These are high risk factors for _______ development.

______, or wound drainage, is described as serous, sanguineous, serosanguineous, or purulent.

Stewie Griffin is experiencing exudate from a wound that appears clear and watery; what type of drainage is this?

• Serous drainage

• Sanguineous drainage

• Serosanguineous drainage

• Purulent drainage

• None of the above

The skin has ___ layers, in addition to the subcutaneous tissue layer

There are ____ types of wound healing.

Pathologic changes at a pressure ulcer site result from blood vessels collapse, caused by ______, usually from body weight. Necrosis eventually occurs.

Meg Griffin is experiencing thick, foul smelling, green exudate from a wound. What kind of drainage is this?

• Serous drainage

• Sanguineous drainage

• Serosanguineous drainage

• Purulent drainage

• None of the above

Wound _______ is the directional flow of solution over tissues that is used to clean opon wounds of cellular debris and drainage.

Which of the following influence resistance of skin integrity?

• Age

• Amount of underlying tissue

• Illness

• All of the above

• None of the above

Acute inflammation occurs in which of the phases of wound healing

An appropriate nursing diagnosis for a stage ___ pressure ulcer is Impaired skin integrity.

A ____ is a break or disruption in the normal integrity of the skin and tissues.

A collection of infected fluid that has not drained is a

• Dehiscence

• Abscess

• Evisceration

• Fistula

• Hemorrhage

Which is a pressure-relieving measures for a stage I pressure ulcer

• Frequent turning

• Pressure-relieving devices

• Positioning

• All of the above

• None of the above

True or False:Montgomery straps use ties attached to an adhesive backing to hold dressings in place. They prevent skin irritation and damage due to constant retaping with dressing changes.

• True

• False

True or False:Friction injury (of a pressure ulcer) resembles an abrasion

• True

• False

A wound infection can lead to other complications, including ______, which is the presence of pathogenic organisms in the blood or tissues

________ increases tissue metabolism, reduces blood viscosity, increasees capillary permeability, reduces muscle tension, helps releave pain.

Drains may be inserted in or near a wound to ____ drainage, thereby reducing the risk of _____ formation and promoting wound healing.

• Discourage; abscess

• Cease; abscess

• Promote; abscess

• None of the above

Which structure of the hair profects beyond the surface of the skin

Lois Griffin has just had a heart transplant. The doctor made an incision into the chest, performed the surgery, and sutured the incision. This is:

• Primary intention

• Delayed primary intention

• Secondary intention

• Tertiary intention

• A and B

Lois Griffin is experiencing red drainage from a wound. What kind of exudate is this?

• Serous drainage

• Sanguineous drainage

• Serosanguineous drainage

• Purulent drainage

• None of the above

Osteomyelitis is

• The presence of pathogenic organisms in the blood or tissue

• Bone infection

• Infection of the intestine

• A and B

• None of the above

Hemorrhage may occur from a:

• Slipped suture

• Dislodged clot from sturess at the suture line or operatuve site

• Infection

• Erosion of a blood vessel

• All of the above

True or False:If a dehiscence and evisceration of an abdominal incision occurs, one should leave the patient, rush to the nurses' station, and immediately contact the doctor.

• True

• False

Who of the following is the most at risk for a pressure ulcer:

• Peter Griffin, because of his obesity

• Mayor Adam West, because of minor brain impairment

• Joe Swanson, because he is a paraplegic

• Stewie Griffin, because he is an infant

• The evil monkey, because he is an evil monkey

Granulation tissue, which forms the foundation for scar tissue development, is made in which phase of wound healing? (make sure to include the word "phase" in the answer)

What local factor (that affects wound healing) requires large amounts of energy be spent by the immune system to fight the invaders, leaving little or no reserves to attend to the attend to the job of repair and healing.

• Infection

• Edema

• Desiccation

• Maceration

• None of the above

Which of the following is not true about a stage I pressure ulcer

• Intact skin

• Increased or decreased skin temperature

• Persistent red, blue, or purple hues in darker skin

• Shallow crater

• Persistent redness in lightly pigmented skin

Which phase of wound healing occurs first?

An open or closed drainage system constists of a drainage tube that is often connected to a electrical suction device?

Which of the following does not encourage friction and shearing related pressure ulcers?

• Lying on wrinkled sheets

• Patients that are pulled, rather than lifted, when being moved up in bed

• Patients who are sitting up in bed but slide down

• Patients who sit in a chair but slide down

• None of the above

Peter Griffin is experiencing light pink and blood tinged exudate from a wound. This is what kind of drainage?

• Serous drainage

• Sanguineous drainage

• Serosanguineous drainage

• Purulent drainage

• None of the above

What type of tissue forms the foundation for scar tissue development

Which of the following is synonymous for "pressure ulcer"

• Decubitus ulcer

• Bedsore

• All of the above

• None of the above

How many mechanisms contribute to pressure ulcer development?

____ is local anemia and blanching resulting from poor circulation

The skin is also known as the ______

True or false:Desiccation is the process of drying up. Cells dehydrate and die in a dry environment. This promotes healing.

• True

• False

This classification of wounds remains in the inflammatory phase of healing.

B in RYB stands for ____ or debride. It maybe be indicative of ______, which is usually black but can be brown, gray, or tan. It requires debridement and then the wound is treated as a yellow wound. (separate answers with a space)

Which of the following does not create a higher risk for infection?

• Contamination

• Nosocomial infections

• Surgery of intestines

• All of the above

• None of the above