NSE 211 Final Exam – Study Guide &
Practice Questions|| LATEST UPDATE
wound -CORRECTANSWER break in the continuity of body structure, caused by
violence, trauma, or surgery to tissue bodies
ex; of acute wounds -CORRECTANSWER surgical incisions, traumatic wounds,
lacerations, burns
ex; of chronic wounds -CORRECTANSWER PI, diabetic ulcers, malignant
acute wound -CORRECTANSWER wound that proceeds through an orderly & timely
reparative process --> sustained restoration of anatomical & functional integrity
phases of wound healing -CORRECTANSWER 1) inflammatory phase
2) proliferative phase
3) remodelling phase
what's a part of the proliferative phase? -CORRECTANSWER proliferation, granulation
& contraction
what happens during inflammatory phase? -CORRECTANSWER 1) hemostasis.
(vasoconstriction)
,2) platelets + fibrin forms, clot formation
3) histamina, vasodilation, increased capillary permeability, erythema, swelling &
warmth
what happens day 1-3 inflammatory phase? -CORRECTANSWER neutrophils released
to injury site, phagocytosis of debris beings.
what happens during day 3-24 of proliferative phase? -CORRECTANSWER 1)
granulation tissue appears in wound
2) contraction of wound edges
3) resurfacing by epithelialization --> dermal regen.
4) vascular bed reestablished
what happens during day 24-2 yrs of remodelling phase? -CORRECTANSWER 1)
collagen fibers reorganize & remodel
2) permanent scar
3) attains 80% of original strength
Primary intention healing -CORRECTANSWER wound that is closed by suture or
wound closers & healing occurs by collagen synthesis; lower risk of infection, and heals
quickly w/ minimal scarring.
,secondary intention healing -CORRECTANSWER wound edges are not approximated.
heals by granulation tissue formation, wound contraction & epithelialization.
has a prolonged phase of inflammation due to increased time needed for phagocytosis
of necrotic tissue.
tertiary intention healing -CORRECTANSWER wound is left open for several days as it
could be contaminated. has an increased risk of infection, so closure of wound is done
later until risk of infection is resolved.
why is the wound kept open for tertiary healing? -CORRECTANSWER to allow exudate
to drain, prevent the spread of deep infection & aiding granulation.
medical asepsis -CORRECTANSWER aka, *clean technique*.
includes procedures used to reduce & prevent the spread of microorganisms
ex; of medical asepsis -CORRECTANSWER hand washing, clean gloves, cleaning
environment routinely.
ex; of surgical asepsis -CORRECTANSWER aka *surgical technique*.
requires more stringent techniques, *eliminating all microorganisms*.
, when do you use surgical asepsis? -CORRECTANSWER when a patient's kin is
broken, or if the nurse performs an invasive procedure in a body cavity that is normally
free of microorganisms.
ex; of surgical asepsis procedures -CORRECTANSWER - protective clothing
- opening sterile packages
- sterile field
- pouring sterile solns
- surgical hand scrub
- gowning & gloving
Principles of Surgical Asepsis -CORRECTANSWER - *a sterile object remains sterile
only when touched by another sterile object*
- a sterile object or field out of range of vision or an object held below a person's waist is
contaminated
- a sterile objective or field becomes contaminated by prolonged exposure to air.
complications of wound healing -CORRECTANSWER hemorrhage, infection,
dehiscence, evisceration, fistula formation
hemorrhage nsg dx d/t -CORRECTANSWER slipped suture, dislodged clot, infection, or
eroded blood vessel
Practice Questions|| LATEST UPDATE
wound -CORRECTANSWER break in the continuity of body structure, caused by
violence, trauma, or surgery to tissue bodies
ex; of acute wounds -CORRECTANSWER surgical incisions, traumatic wounds,
lacerations, burns
ex; of chronic wounds -CORRECTANSWER PI, diabetic ulcers, malignant
acute wound -CORRECTANSWER wound that proceeds through an orderly & timely
reparative process --> sustained restoration of anatomical & functional integrity
phases of wound healing -CORRECTANSWER 1) inflammatory phase
2) proliferative phase
3) remodelling phase
what's a part of the proliferative phase? -CORRECTANSWER proliferation, granulation
& contraction
what happens during inflammatory phase? -CORRECTANSWER 1) hemostasis.
(vasoconstriction)
,2) platelets + fibrin forms, clot formation
3) histamina, vasodilation, increased capillary permeability, erythema, swelling &
warmth
what happens day 1-3 inflammatory phase? -CORRECTANSWER neutrophils released
to injury site, phagocytosis of debris beings.
what happens during day 3-24 of proliferative phase? -CORRECTANSWER 1)
granulation tissue appears in wound
2) contraction of wound edges
3) resurfacing by epithelialization --> dermal regen.
4) vascular bed reestablished
what happens during day 24-2 yrs of remodelling phase? -CORRECTANSWER 1)
collagen fibers reorganize & remodel
2) permanent scar
3) attains 80% of original strength
Primary intention healing -CORRECTANSWER wound that is closed by suture or
wound closers & healing occurs by collagen synthesis; lower risk of infection, and heals
quickly w/ minimal scarring.
,secondary intention healing -CORRECTANSWER wound edges are not approximated.
heals by granulation tissue formation, wound contraction & epithelialization.
has a prolonged phase of inflammation due to increased time needed for phagocytosis
of necrotic tissue.
tertiary intention healing -CORRECTANSWER wound is left open for several days as it
could be contaminated. has an increased risk of infection, so closure of wound is done
later until risk of infection is resolved.
why is the wound kept open for tertiary healing? -CORRECTANSWER to allow exudate
to drain, prevent the spread of deep infection & aiding granulation.
medical asepsis -CORRECTANSWER aka, *clean technique*.
includes procedures used to reduce & prevent the spread of microorganisms
ex; of medical asepsis -CORRECTANSWER hand washing, clean gloves, cleaning
environment routinely.
ex; of surgical asepsis -CORRECTANSWER aka *surgical technique*.
requires more stringent techniques, *eliminating all microorganisms*.
, when do you use surgical asepsis? -CORRECTANSWER when a patient's kin is
broken, or if the nurse performs an invasive procedure in a body cavity that is normally
free of microorganisms.
ex; of surgical asepsis procedures -CORRECTANSWER - protective clothing
- opening sterile packages
- sterile field
- pouring sterile solns
- surgical hand scrub
- gowning & gloving
Principles of Surgical Asepsis -CORRECTANSWER - *a sterile object remains sterile
only when touched by another sterile object*
- a sterile object or field out of range of vision or an object held below a person's waist is
contaminated
- a sterile objective or field becomes contaminated by prolonged exposure to air.
complications of wound healing -CORRECTANSWER hemorrhage, infection,
dehiscence, evisceration, fistula formation
hemorrhage nsg dx d/t -CORRECTANSWER slipped suture, dislodged clot, infection, or
eroded blood vessel
