NDSU NURS 251- Exam 2- Skin/wound care Questions With Complete Solutions

NDSU NURS 251- Exam 2- Skin/wound care Questions With
Complete Solutions

Acute Wound Examples Correct Answer -Incisions
-Laceration
-Burns
-Abrasions
-Punctures
-Blisters
-Paper cut

Administer pain medication Correct Answer 30-60 minutes
before changing dressing

Arterial Ulcers Correct Answer -thin, shiny, dry skin
-little or no hair growth
-well defined, round edges
-painful due to lack of O2
-pale or necrotic base (dead tissue)
-temperature variations (cold, no blood flow)

Arterial Ulcers- Goals of Care Correct Answer -Improve
circulation (ROM, Consult provider, surgery)
-New non-invasive procedure available
-May be a combination of arterial/venous

Associated Incontinence dermatitis (AID) Correct Answer -
keep area dry
-check and change every 2 hours
-position on side
-urine and stool erodes skin

, Avoid compression when... Correct Answer it is an arterial
ulcer. Blood flow is already restricted. Dangle legs

Bed higher than 30 degrees increases risk for pressure ulcers due
to... Correct Answer shear force

Braden Scale Correct Answer Used to determine is someone
is at RISK for a pressure ulcer

Cause of Arterial Ulcers Correct Answer lack of blood flow to
the lower extremities

Cause of Pressure Ulcers Correct Answer Pressure on skin
impairing capillary exchange

Causes of Diabetic/Neuropathic Ulcers Correct Answer -
Decrease in sensation and capillary flow can result in foot ulcers
(ex: rock in shoe)
-Exchange of O2 and CO2 occurs in capillaries

Causes of Venous Stasis Ulcers Correct Answer -Lack of
venous return to the heart
-pooling of blood in lower veins

Chronic Wound Examples Correct Answer -venous stasis
ulcers
-arterial ulcers
-diabetic ulcers
-autoimmune ulcers
-pressure ulcers