Chapter 31 Skin Integrity & Wound Care Training Exam Questions And Correct Answers.

Define Dehiscence? - Answer Separation of the layers of a surgical wound What are the types of dehiscence? - Answer Partial, superficial or complete disruption of surgical wounds A student nurse is treating a patient with a midline incision and the incision ruptures exposing fat and muscle, would you document this wound as dehiscence or evisceration? - Answer Dehiscence Define Evisceration? - Answer Protrusion of viscera through an incision A post op patient has a lateral incision on the abdomen that needs to be redressed after removing previous dressings. The nursing student notes the presence of viscera protruding through the surgical wound, how would you document this finding? - Answer Evisceration Define Eschar? - Answer Thick, leathery scab or dry crust that is necrotic and must be removed for adequate healing to occur Define fistula? - Answer Abnormal passage from an internal organ to skin or from one internal organ to another Define ischemia? - Answer Deficiency of blood in a particular area Define Wound? - Answer Break or disruption in normal integrity of skin and tissues How can you acquire wounds? - Answer Mechanical forces ( surgery) or Physical ( burn)