Wound Assessment Study Guide Chronic Wound Assessment & Nursing Review

Wound Assessment Study Guide Chronic Wound Assessment & Nursing Review



WOUND ASSESSMENT
Review of key assessment findings in chronic wounds



# Term Definition



1 What is the descriptive term for Slough
the yellow tissue?




2 What is the descriptive term for Serous
exudate that is clear, thin, and
watery?


3 What is the descriptive term for Serosanguineous
exudate that is thin, watery, pale
red to pink?


4 Wound measurements should be Length X Width X Depth
recorded in what order?


5 Wounds should be measured Centimeters
utilizing inches, centimeters, or
fruit comparisons?


6 Length of a wound is measured Consider wound as face of clock. 12:00 points to
from head to toe (12:00 - 6:00) or patients head, 6:00 points toward patient’s feet.
side to side (3:00-9:00)? Length = 12:00 – 6:00 using patients head & feet
as guides Width = 3:00 – 9:00 side to side


7 What is the correct terminology Eschar
for the black tissue?

, Wound Assessment Study Guide Chronic Wound Assessment & Nursing Review

WOUND ASSESSMENT




# Term Definition



8 What is the correct terminology Granulation
for the red bubbly tissue?




9 What is the correct terminology Epithelial
for the light pink tissue seen at the
edge of this wound?




10 What is the terminology for the Maceration
white pale tissue?




11 What is the red striated tissue Muscle
seen in this wound?




12 What is the name of the rolled Epibole
tissue around the wound edges?