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The wound care nurse is treating a patient with a chronic foot ulcer. The
patient is wondering why the wound is taking so long to heal as
compared to other wounds. The nurse identifies which of the following as
clinical characteristic of a chronic wound?
a. Low Levels of pro-inflammatory cytokines
b. High levels of matrix metalloproteinases
c. Fewer numbers of senescent cells
,d. High mitogenic activity - ANSWER ✔✔b. High levels of matrix
metalloproteinases (MMPs)
A patient has an acute full-thickness wound due to trauma. What order
of wound healing would occur with this wound?
a. Inflammatory, hemostasis, granulation tissue formation, re-
epithelialization
b. Re-epithelialization, granulation tissue formation, hemostasis,
remodeling
c. Hemostasis, resurfacing, scar formation, remodeling
d. Hemostasis, inflammation, proliferation and maturation - ANSWER
✔✔d. Hemostasis, inflammation, proliferation and maturation
Which statement accurately describes the characteristic and implication
of necrotic tissue in a wound bed?
a. Necrosis of muscle tissue typically results in the formation of stringy,
yellow slough.
b. Consistency refers to the cohesiveness of the debris; typically more
advanced necrosis is thin and wet.
, c. Eschar usually is black, brown or gray and associated with deeper
tissue damage. It is usually firmly attached to the wound base.
d. A soft mushy leather eschar is not attached to the base and edges of
wound and is sometimes mistaken as a scab. - ANSWER ✔✔c.
Eschar usually is black, brown or gray and associated with deeper tissue
damage. It is usually firmly attached to the wound base.
What is the primary reason for taking the time to perform a
comprehensive assessment to identify protein energy malnutrition as
opposed to ordering a simple blood draw to formulate a diagnosis?
a. Blood tests do not provide a 'stand-alone' assessment.
b. None, blood test for malnutrition are completely reliable.
c. There are no blood tests available.
d. There is a high incidence of false-positive results with blood tests. -
ANSWER ✔✔a. Blood tests do not provide a 'stand-alone'
assessment.
Which of the following wounds will heal with scar formation?
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