WOCN Wound Care RN Exam Prep Questions & Answers Already Graded A+

Steps to heal by Secondary Intention - Answer-Formation of granulation tissue, contraction of the wound bed edges, and epithelialization Partial thickness repair - Answer-Inflammatory response, epithelial proliferation and migration, epidermal reestablishment and differentiation What characterizes a chronic wound healing environment - Answer-Low levels of growth factors and receptor sites. They are needed to move cells out of the inflammatory phase and into the proliferative/Rebuilding Phase What Vitamin assists in collagen/fibroplasia formation? - Answer-Vitamin C Normal protein intake - Answer-.8 g/kg/24 Protein intake for injury - Answer-increased 1.25 - 1.5 /kg/24 hours BMI 25 increases - Answer-dehiscence, infection, delayed wound healing, adipose tissue poorly perfused and heals at a slower rate Keloid Scars are formed how? - Answer-Overgrowth of collagen within scar tissue, seen with pigmented skin. Trauma. May ulcerate. Genetic. Hypertrophic Scar are formed how? - Answer-scar with thickened epidermal layer contained within the original incision area. Formed from prolonged inflammatory phase. Fast/rapid weight loss produces what type of malnutrition? - Answer-Protein & mixed protein malnutrition: marasmus-kwashiorkor Marjoin ulcer - Answer-chronic wounds in malignant woundCandidiasis - Answer-Pustules and satellite lesions with red base Incontinence associated dermatitis - Answer-blisters with red base Radiation Dermatitis - Answer-Grade 1: Dry desquamation (Peeling) Grade 2: erythema, moist desquamation (partial thickness), mod edema Grade 3: Bleeding skin Wheal skin lesion - Answer-Itching, burning, red, elevated, irregular Pyoderma Gangrenosum - Answer-Ulcer with irregular shape and violaceous (purple) raised edges. Sharp debridement is contraindicated. Calciphylaxix - Answer-Calcific uremic arteriolopathy elevated calcium/phosphate. Dialysis. may present similar to Pyoderma. Aggressive sharp debridement for necrotic tissue. Partial thickness wound - Answer-shallow ,.2 cm, moist, pink/red wound base, exposure of basement membrane and of nerve endings. Epidermal/Dermal Loss - Heal by reepithelialization - No scar or loss of function Epibole - Answer-rolled skin edge that indicates slow healing. Prevents epithelialization and closure. Cauterization (silver nitrate) or surgical debridement Shearing force - Answer-produces extension of tissue damage under intact skin (undermining) Wound infx signs - Answer-erythemia, odor, edema, pain, change in exudate Allergic Reaction Phase - Sensitization - Answer-No manifested responseAllergic Reaction Phase - Elicitation Phase - Answer-Acute inflammatory reaction (within72 hrs of exposure) How does a partial thickness wound heal? i.e., skin tear - Answer-Epithelialization Payne-Martin Classification Scale - Answer-Category I II III.Allergic Reaction Phase -Partial thickness w/o flap Prednisone - Answer-immunocompromised. Delays healing. Signs of delayed healing to stapled incision - Answer-Increased drainage, gaps in incision, pain, erythema (7days post op) Intertrigo - Answer-Inflammation caused by maceration of skin folds by heat, friction & or moisture Medicare Part A - Answer-Hospital expenses Medicare Part B - Answer-Out pt expenses (Wound Care) Serum albumin - Answer-Poor indicator of protein status Elma (topical prilocaine/lidocaine) - Answer-best 30-60 min under nonadherent transparent wrap for analgesia PreAlbumin - Answer-Maybe normal under states of malnutrition Metronidazole (Flagyl) - Answer-Crushed and used to control odor in fungating wounds (breast CA)Cover partial thickness skin tears with - Answer-Contact layer (nonadherent dressing) Candidiasis Intervention - Answer-prevent moisture buildup miconazole nitrate powder 2% Calcium Alginate Dressing - Answer-Shallow to tunnels with moderate to heavy drainage Surgical Sharp Debridement - Answer-Non selective. Indicated for advancing cellulitis and wound related sepsis Always culture - Answer-Clean viable tissue not exudate or eschar A wound that fails to progress as anticipated Levine technique uses a normal saline moistened swab Dankin's (sodium hypochlorite 0.5%) - Answer-Removes slough and controls odor Kenalog cream - Answer-reduces hyperplasia Regranex - Answer-Platelet growth factor for foot ulcers