WTA Module 7- Wound Assessment
and Documentation WELL SOLVED
What is the importance of serial assessments - correct answer ✔✔ To evaluate healing, make
decisions about whether we need to change treatments
Comprehensive assessment and documentation of wound status should be done at least this
often - correct answer ✔✔ Weekly
How do we measure depth - correct answer ✔✔ Use cotton tipped applicator, straight into the
deepest part of the wound.
Tunneling/undermining - correct answer ✔✔ Areas of tissue loss under intact skin
Staging should only be used for these wounds - correct answer ✔✔ Pressure injuries
Do not stage these types of pressure injuries - correct answer ✔✔ Medical device related/
mucosal pressure ulcers
Intact skin with non-blanchable erythema over a bony prominence - correct answer ✔✔ Stage 1
Pressure injury
Stage 1 pressure injuries are difficult to identify on this type of skin - correct answer ✔✔ dark
Purple or maroon discoloration of intact skin or blood filled blister - correct answer ✔✔
suspected Deep tissue injury
and Documentation WELL SOLVED
What is the importance of serial assessments - correct answer ✔✔ To evaluate healing, make
decisions about whether we need to change treatments
Comprehensive assessment and documentation of wound status should be done at least this
often - correct answer ✔✔ Weekly
How do we measure depth - correct answer ✔✔ Use cotton tipped applicator, straight into the
deepest part of the wound.
Tunneling/undermining - correct answer ✔✔ Areas of tissue loss under intact skin
Staging should only be used for these wounds - correct answer ✔✔ Pressure injuries
Do not stage these types of pressure injuries - correct answer ✔✔ Medical device related/
mucosal pressure ulcers
Intact skin with non-blanchable erythema over a bony prominence - correct answer ✔✔ Stage 1
Pressure injury
Stage 1 pressure injuries are difficult to identify on this type of skin - correct answer ✔✔ dark
Purple or maroon discoloration of intact skin or blood filled blister - correct answer ✔✔
suspected Deep tissue injury
