WOCN Wound Exam |440| questions with complete solution

WOCN Wound Exam |440| questions with complete solution Goals of wound assessment - Correct Answers 1. Determine etiologic factors 2. Assess systemic factors/comorbidities 3. Assess wound to determine phase of healing 4. Determine goals of topical therapy Why does hyperglycemia affect wound healing? - Correct Answers Impairs leukocyte function and negatively impacts collagen syntehesis, development of tensile strength, epithelial resurfacing What BG parameters should be maintained for wound healing? - Correct Answers BG 180 for leukocyte function; 140 for healing A1C 7 for most, 8 if hx of severe hypoglycemia, advanced comorbidities, limited life expectancy Why is nutrition relevant to wound healing? - Correct Answers Muscle or SubQ wasting increases risk of pressure/shear damage malnourished pt unable to synthesize and cross-link collagen normally protein deficiency increases risk of infection What effect do low zinc levels have on wound healing? - Correct Answers compromise collagen synthesis/crosslinking What amino acids are essential for collagen synthesis? What is the effect of stress on these amino acids? - Correct Answers Glutamine and l-arginine Not adequately produced during times of physiologic stress What weight trend suggests nutritional deficiency? - Correct Answers Unplanned weight loss =2.5% of usual weight in 30 days or =10% within 180 days BMI 18.5 What serum albumin level indicates malnutrition? - Correct Answers 3.5 g/dl What serum transferrin level indicates malnutrition? - Correct Answers 100mg/dl