WOCN WOUND CARE RN EXAM PREP
Steps to heal by Secondary Intention - Answers- Formation of granulation tissue,
contraction of the wound bed edges, and epithelialization
Partial thickness repair - Answers- Inflammatory response, epithelial proliferation and
migration, epidermal reestablishment and differentiation
What characterizes a chronic wound healing environment - Answers- 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? - Answers- Vitamin C
Normal protein intake - Answers- .8 g/kg/24
Protein intake for injury - Answers- increased 1.25 - 1.5 /kg/24 hours
BMI >25 increases - Answers- dehiscence, infection, delayed wound healing, adipose
tissue poorly perfused and heals at a slower rate
Keloid Scars are formed how? - Answers- Overgrowth of collagen within scar tissue,
seen with pigmented skin. Trauma. May ulcerate. Genetic.
Hypertrophic Scar are formed how? - Answers- 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? - Answers- Protein & mixed
protein malnutrition: marasmus-kwashiorkor
Marjoin ulcer - Answers- chronic wounds in malignant wound
Candidiasis - Answers- Pustules and satellite lesions with red base
Incontinence associated dermatitis - Answers- blisters with red base
Radiation Dermatitis - Answers- Grade 1: Dry desquamation (Peeling)
Grade 2: erythema, moist desquamation (partial thickness), mod edema
Grade 3: Bleeding skin
Wheal skin lesion - Answers- Itching, burning, red, elevated, irregular
Pyoderma Gangrenosum - Answers- Ulcer with irregular shape and violaceous (purple)
raised edges. Sharp debridement is contraindicated.
Steps to heal by Secondary Intention - Answers- Formation of granulation tissue,
contraction of the wound bed edges, and epithelialization
Partial thickness repair - Answers- Inflammatory response, epithelial proliferation and
migration, epidermal reestablishment and differentiation
What characterizes a chronic wound healing environment - Answers- 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? - Answers- Vitamin C
Normal protein intake - Answers- .8 g/kg/24
Protein intake for injury - Answers- increased 1.25 - 1.5 /kg/24 hours
BMI >25 increases - Answers- dehiscence, infection, delayed wound healing, adipose
tissue poorly perfused and heals at a slower rate
Keloid Scars are formed how? - Answers- Overgrowth of collagen within scar tissue,
seen with pigmented skin. Trauma. May ulcerate. Genetic.
Hypertrophic Scar are formed how? - Answers- 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? - Answers- Protein & mixed
protein malnutrition: marasmus-kwashiorkor
Marjoin ulcer - Answers- chronic wounds in malignant wound
Candidiasis - Answers- Pustules and satellite lesions with red base
Incontinence associated dermatitis - Answers- blisters with red base
Radiation Dermatitis - Answers- Grade 1: Dry desquamation (Peeling)
Grade 2: erythema, moist desquamation (partial thickness), mod edema
Grade 3: Bleeding skin
Wheal skin lesion - Answers- Itching, burning, red, elevated, irregular
Pyoderma Gangrenosum - Answers- Ulcer with irregular shape and violaceous (purple)
raised edges. Sharp debridement is contraindicated.
