NURS 3160 FINAL EXAM -
COMPLEX WOUND CARE
What are factors that affect wound healing? - CORRECT ANSWER --Nutrition (i.e. poor
glycemic control, unstable weight, low albumin, dehydration, edema, prolonged NPO)
-Oxygenation, vascularity
-Inactivity
-MRSA, VRE colonization
-Advanced age
-Medications (NSAIDs, antineoplastics, anticoagulants, vasopressors, steroids)
-Comorbidities
`What are components of a lower limb assessment? - CORRECT ANSWER --CWMS:
Compare both limps bilaterally
-Peripheral pulses
-If abnormalities are present, Ankle Brachial Index may need to be assessed
What are the characteristics of Varicose veins? - CORRECT ANSWER --Dilated veins found in
the saphenous vein system that are small or bulging
-Caused by weakness of the veins and risk factors include chronic cough, constipation, family
history of venous disease, obesity, pregnancy
-Clinical manifestations include: discomfort, cosmetic disfigurement, burning/cramp-like leg
sensation, swelling, and pressure
-Diagnosed with an ultrasound and objective viewing of leg
-Treatment includes: rest, elevation, compression stockings, exercise, sclerotherapy
COMPLEX WOUND CARE
What are factors that affect wound healing? - CORRECT ANSWER --Nutrition (i.e. poor
glycemic control, unstable weight, low albumin, dehydration, edema, prolonged NPO)
-Oxygenation, vascularity
-Inactivity
-MRSA, VRE colonization
-Advanced age
-Medications (NSAIDs, antineoplastics, anticoagulants, vasopressors, steroids)
-Comorbidities
`What are components of a lower limb assessment? - CORRECT ANSWER --CWMS:
Compare both limps bilaterally
-Peripheral pulses
-If abnormalities are present, Ankle Brachial Index may need to be assessed
What are the characteristics of Varicose veins? - CORRECT ANSWER --Dilated veins found in
the saphenous vein system that are small or bulging
-Caused by weakness of the veins and risk factors include chronic cough, constipation, family
history of venous disease, obesity, pregnancy
-Clinical manifestations include: discomfort, cosmetic disfigurement, burning/cramp-like leg
sensation, swelling, and pressure
-Diagnosed with an ultrasound and objective viewing of leg
-Treatment includes: rest, elevation, compression stockings, exercise, sclerotherapy
