WOCN Wound Final Exam (Emory) – Questions
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Practice questions for this set
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1. total contact casting
2. removable cast walker
3. healing sandal or Darco half shoe
4. adhesive felt
Choose an answer
1 Initial Assessment Goals 2 best way to offload neuropathic ulcer
3 ISTAP skin tear classification Type 2 4 Medications for arterial insufficiency
Don't know?
Terms in this set (185)
Initial Assessment Goals 1. etiologic factors 2. systemic factors and
comorbidities 3. recommendations for management
4. determine phase of healing 5.determine goals of
topical therapy
,Hyperglycemia impairs... leukocyte function when >180; collagen synthesis;
development of tensile strength; epithelial
resurfacing
Random BG goals <140
A1C goal for wound healing <7
Nutrients essential for collagen Zinc, glutamine, 1-arginine
synthesis
Unplanned weight loss parameters greater than or equal to 2.5% within 30 days; greater
indicative of malnutrition than or equal to 10% in 180 days; 5% in longterm care
settings
Lab values indicative of malnutrition Albumin <3.5; transferrin <100; pre-albumin <19.5; total
lymphocyte count >1500
Recommended caloric intake for 30-35 cal/kg/day
wound healing
Recommended protein intake for 1.25 - 1.5 g/kg/day
wound healing
Recommended fluid intake 30ml/kg/day
Factors that interfere with healing 1.hyperglycemia 2. malnutrition 3. poor
perfusion/oxygenation 4. immunosuppression 5.
comorbidities such as renal failure, liver failure,
multisystem trauma, smoking, advanced age
ISTAP skin tear classification Type 1 No skin loss; flap can be repositioned to cover
wound bed
ISTAP skin tear classification Type 2 Partial flap loss
ISTAP skin tear classification Type 3 Total flap loss
, Indications for transfer to burn center 1. > 10% TBSA full-thickness burns 2. >10-20% TBSA
partial-thickness burns 3. High risk area (face, hands,
feet) 4. Perineal burn (high risk infection) 5. age <10
or >50
Etiologic factors for wounds 1.Surgical 2.Traumatic 3.Thermal 4.Autoimmune
5.Neoplastic 6.Allergic 7.Chemical 8.Microbial
Hidradenitis suppurativa definition lesions involving the sweat glands typically due to
inflammation or infection.
Hidradenitis suppurativa typically found in the axilla or perineal area; painful;
characteristics indurated lesions; foul smelling drainage
Hidradenitis suppurativa treatment tissue dissection to remove involved sweat glands
and hair follicles
Necrotizing Fasciitis characteristics petechial rash, edema, erythema, blisters, crepitus,
leukocytosis, low serum sodium, severe pain, rapid
progression (up to 2.5 cm/hr)
Staphylococcal Scalded Skin severe denudation of large skin surfaces
Syndrome Characteristics
Who is affected by SSSS Usually neonates
SSSS treatment Antibiotic therapy
Community acquired MRSA Skin and soft tissue lesions; look like a spider bite
Characteristics (pustular lesion with purplish hue surrounded by
erythema and induration)
Viral lesions characteristics small vesicles that rupture to reveal yellow-red and
painful base
Common location of herpes simplex mouth and perineal area
virus lesions
With Appropriate Solutions
Save Groups
Practice questions for this set
Learn 1 /7 Study using Learn
1. total contact casting
2. removable cast walker
3. healing sandal or Darco half shoe
4. adhesive felt
Choose an answer
1 Initial Assessment Goals 2 best way to offload neuropathic ulcer
3 ISTAP skin tear classification Type 2 4 Medications for arterial insufficiency
Don't know?
Terms in this set (185)
Initial Assessment Goals 1. etiologic factors 2. systemic factors and
comorbidities 3. recommendations for management
4. determine phase of healing 5.determine goals of
topical therapy
,Hyperglycemia impairs... leukocyte function when >180; collagen synthesis;
development of tensile strength; epithelial
resurfacing
Random BG goals <140
A1C goal for wound healing <7
Nutrients essential for collagen Zinc, glutamine, 1-arginine
synthesis
Unplanned weight loss parameters greater than or equal to 2.5% within 30 days; greater
indicative of malnutrition than or equal to 10% in 180 days; 5% in longterm care
settings
Lab values indicative of malnutrition Albumin <3.5; transferrin <100; pre-albumin <19.5; total
lymphocyte count >1500
Recommended caloric intake for 30-35 cal/kg/day
wound healing
Recommended protein intake for 1.25 - 1.5 g/kg/day
wound healing
Recommended fluid intake 30ml/kg/day
Factors that interfere with healing 1.hyperglycemia 2. malnutrition 3. poor
perfusion/oxygenation 4. immunosuppression 5.
comorbidities such as renal failure, liver failure,
multisystem trauma, smoking, advanced age
ISTAP skin tear classification Type 1 No skin loss; flap can be repositioned to cover
wound bed
ISTAP skin tear classification Type 2 Partial flap loss
ISTAP skin tear classification Type 3 Total flap loss
, Indications for transfer to burn center 1. > 10% TBSA full-thickness burns 2. >10-20% TBSA
partial-thickness burns 3. High risk area (face, hands,
feet) 4. Perineal burn (high risk infection) 5. age <10
or >50
Etiologic factors for wounds 1.Surgical 2.Traumatic 3.Thermal 4.Autoimmune
5.Neoplastic 6.Allergic 7.Chemical 8.Microbial
Hidradenitis suppurativa definition lesions involving the sweat glands typically due to
inflammation or infection.
Hidradenitis suppurativa typically found in the axilla or perineal area; painful;
characteristics indurated lesions; foul smelling drainage
Hidradenitis suppurativa treatment tissue dissection to remove involved sweat glands
and hair follicles
Necrotizing Fasciitis characteristics petechial rash, edema, erythema, blisters, crepitus,
leukocytosis, low serum sodium, severe pain, rapid
progression (up to 2.5 cm/hr)
Staphylococcal Scalded Skin severe denudation of large skin surfaces
Syndrome Characteristics
Who is affected by SSSS Usually neonates
SSSS treatment Antibiotic therapy
Community acquired MRSA Skin and soft tissue lesions; look like a spider bite
Characteristics (pustular lesion with purplish hue surrounded by
erythema and induration)
Viral lesions characteristics small vesicles that rupture to reveal yellow-red and
painful base
Common location of herpes simplex mouth and perineal area
virus lesions
