WEB WOC Ostomy Care 2023 TEST BANK WITH 400+ QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+
.3 principles of wound care - ANSWER-1. identify and control cause
2. support the host
3. optimize a physiologic wound environment
.ABI results - ANSWER->1.3: abnormally high, suspect calcification and
check TBI
1.0-1.3: normal
<0.9: LEAD
0.6-0.8: borderline perfusion
<0.5: severe ischemia
<0.4: critical ischemia, limb threatening
.acellular and cellular skin substitutes - ANSWER-tissue-engineered
prodcuts that stimulate cellular repair and tissue regeneration
must be applied by APN, PA, or MD
,.acetic acid - ANSWER-action: bactericidal
effective against pseudomonas aeruginosa, used as irrigant or soak
.acute wound exudate - ANSWER-comprised of pro-repair elements
such as growth factors
.arterial ulcer characteristics - ANSWER-tips of the toes, pressure
points
usually small, may have tunneling, punched out appearance
dry, pale tissue, may have necrosis
well defined, smooth edges
minimal exudate
.atypical wound red flags - ANSWER-✓Pain that seems out of
proportion to the wound presentation (hyperalgesia, allodynia)
✓Palpable purpura (raised bruises)
✓Sudden appearance of Large Bullae (large blisters) ✓Violaceous
(purplish) wound borders
✓Pathergy (minor trauma leads to ulcers)
✓Wounds that progress rapidly
✓Indolent wounds (no progress despite good wound care, adequate
blood flow, no signs of infection)
,.autolytic debridement - ANSWER-a type of non-instrumental
debridement that uses the body's own WBCs, enzymes, and moisture
to re-hydrate, soften, and liquify hard eschar and slough
.benefits of autolytic debridement - ANSWER-painless, easily done
with moisture retentive dressings, aides in combination debridement
methods
.benefits of chemical debridement by silver nitrate - ANSWER-
removes excess granulation tissue, removes necrotic tissue, can open
up epibole, reduces bioburden
.benefits of chemical debridement by sodium hypochlorite - ANSWER-
reduces wound odor, cheap, non-cytotoxic
.benefits of enzymatic debridement - ANSWER-faster than autolysis,
good option for those at high risk for bleeding, safe in infected
wounds
.benefits of mechanical debridement by irrigation/pulsatile lavage -
ANSWER-wound cleansing
, .benefits of mechanical debridement by ultrasonic mist - ANSWER-
painless, wound cleansing, biofilm reduction, stimulates cells to
accelerate the healing process
.benefits of mechanical debridement by wet-to-dry dressing -
ANSWER-cheap, dressing change is easy to perform, use in heavily
necrotic or infected wounds without granulation tissue
.benefits of surfactant debridement - ANSWER-cleanses wound
without the use of cytogenic agents, reduces inflammation, reduces
biofilm, allows for daily visualization of wound
.biofilm - ANSWER-polysaccharide type matrix with bacteria firmly
attached to the wound bed, only removed vis debridement
.biosurgical debridement - ANSWER-a type of non-instrumental
debridement using medical grade maggots to liquify necrotic tissue
through proteolytic enzymes
.braden scale risk assessment - ANSWER-sensory perception,
moisture, activity, mobility, nutrition, friction and shear
less than 9: very high risk
10-12: high risk
13-14: moderate risk
CORRECT ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+
.3 principles of wound care - ANSWER-1. identify and control cause
2. support the host
3. optimize a physiologic wound environment
.ABI results - ANSWER->1.3: abnormally high, suspect calcification and
check TBI
1.0-1.3: normal
<0.9: LEAD
0.6-0.8: borderline perfusion
<0.5: severe ischemia
<0.4: critical ischemia, limb threatening
.acellular and cellular skin substitutes - ANSWER-tissue-engineered
prodcuts that stimulate cellular repair and tissue regeneration
must be applied by APN, PA, or MD
,.acetic acid - ANSWER-action: bactericidal
effective against pseudomonas aeruginosa, used as irrigant or soak
.acute wound exudate - ANSWER-comprised of pro-repair elements
such as growth factors
.arterial ulcer characteristics - ANSWER-tips of the toes, pressure
points
usually small, may have tunneling, punched out appearance
dry, pale tissue, may have necrosis
well defined, smooth edges
minimal exudate
.atypical wound red flags - ANSWER-✓Pain that seems out of
proportion to the wound presentation (hyperalgesia, allodynia)
✓Palpable purpura (raised bruises)
✓Sudden appearance of Large Bullae (large blisters) ✓Violaceous
(purplish) wound borders
✓Pathergy (minor trauma leads to ulcers)
✓Wounds that progress rapidly
✓Indolent wounds (no progress despite good wound care, adequate
blood flow, no signs of infection)
,.autolytic debridement - ANSWER-a type of non-instrumental
debridement that uses the body's own WBCs, enzymes, and moisture
to re-hydrate, soften, and liquify hard eschar and slough
.benefits of autolytic debridement - ANSWER-painless, easily done
with moisture retentive dressings, aides in combination debridement
methods
.benefits of chemical debridement by silver nitrate - ANSWER-
removes excess granulation tissue, removes necrotic tissue, can open
up epibole, reduces bioburden
.benefits of chemical debridement by sodium hypochlorite - ANSWER-
reduces wound odor, cheap, non-cytotoxic
.benefits of enzymatic debridement - ANSWER-faster than autolysis,
good option for those at high risk for bleeding, safe in infected
wounds
.benefits of mechanical debridement by irrigation/pulsatile lavage -
ANSWER-wound cleansing
, .benefits of mechanical debridement by ultrasonic mist - ANSWER-
painless, wound cleansing, biofilm reduction, stimulates cells to
accelerate the healing process
.benefits of mechanical debridement by wet-to-dry dressing -
ANSWER-cheap, dressing change is easy to perform, use in heavily
necrotic or infected wounds without granulation tissue
.benefits of surfactant debridement - ANSWER-cleanses wound
without the use of cytogenic agents, reduces inflammation, reduces
biofilm, allows for daily visualization of wound
.biofilm - ANSWER-polysaccharide type matrix with bacteria firmly
attached to the wound bed, only removed vis debridement
.biosurgical debridement - ANSWER-a type of non-instrumental
debridement using medical grade maggots to liquify necrotic tissue
through proteolytic enzymes
.braden scale risk assessment - ANSWER-sensory perception,
moisture, activity, mobility, nutrition, friction and shear
less than 9: very high risk
10-12: high risk
13-14: moderate risk
