WOUND CARE ACTUAL EXAM ALL QUESTIONS AND WELL ELABORATED ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED HIGHLY RECOMMENDED |NEW AND REVISED

WOUND CARE ACTUAL EXAM ALL
QUESTIONS AND WELL ELABORATED
ANSWERS TOP RATED VERSION FOR
ALREADY A+ GRADED HIGHLY
RECOMMENDED |NEW AND REVISED
whatVisVforceVactingVtangentiallyVonVanVareaVofVanVobject?V-VCORRECTVANSWERshearVforce



skinVremainsVstationaryVandVtheVtissuesVbelowVtheVskinV(fat/muscle)VareVdeformedVorVdistortedVisV
anVexampleVof:V____________V-VCORRECTVANSWERshearVforce



whatVdoVshearVstressesVonVaVtissueVdo?V-
VCORRECTVANSWERdecreaseVtheVabilityVtoVwithstandVnormalVloads



-
tissueVsubjectedVtoVshearVforceVcanVsufferVischemiaVatVonlyVHALFVtheVpressureVthanVwithoutVshea
r



theVresistanceVtoVmotionVinVaVparallelVdirectionVrelativeVtoVtheVcommonVboundaryVofV2VsurfacesVis
:V___________V-VCORRECTVANSWERfriction



whatVisVfrictionVpressureVusuallyVassociatedVwith?V-
VCORRECTVANSWERskin/beddingVonVskin/seatingVcushionVinterfaces




temperaturesVofV____VcauseVincreasedVperspiration,VincreasingVtheVmacerationVriskVofVtheVskinVa
ndVincreasingVtheVpHV-VCORRECTVANSWER95Vdeg.VF



whatVisVtheVnormalVskinVpH?

whatVaboutVurineVandVfeces?V-VCORRECTVANSWER4-6.5

,-urineVisVaroundV6.8VandVfecesVaroundV7-7.5V-->VtendVtoVbeVcloserVtoVaVneutralVpH



whatVareVtheV3VelementsVthatVleadVtoVtheVdevelopmentVofVanVactualVpressureVulcer?V-
VCORRECTVANSWER-intensityVofVpressureV&VvascularVocclusion



-durationVofVtheVpressureVAND

-tissueVtolerance



whatVisVnormalVcapillaryVbloodVpressure?

whatVhappensVifVexternalVpressureVexceedsVcapillaryVbloodVpressure?V-VCORRECTVANSWER12-
32VmmHg



-ifVexternalVpressureVexceedsVcapillaryVbloodVpressureV-->VbloodVflowVisVimpededV--
>VischemiaVandVbreakdownVoccur



tissueVdamageVwasVthoughtVtoVbeVcausedVbyVcompressionVofVcapillaries,VknownVasV________V___
______V_________V-VCORRECTVANSWERcapillaryVclosingVpressure



whatVhappensVifVpressureVtoVtheVskinVisVrelievedVwithinVaVfewVhours?V-
VCORRECTVANSWERaVbriefVperiodVofVreactiveVhyperemiaVoccursV(redness)VwithVNOVlastingVtissueV


damage

-willVhaveVblanching



whatVhappensVifVpressureVtoVtheVskinVisVunrelieved?V-
VCORRECTVANSWERtheVendothelialVcellsVliningVtheVcapillariesVbecomeVdisruptedVwithVplateletVag


gregationV-->VformingVmicro-
thrombiVthatVBLOCKVbloodVflowVandVcauseVanoxicVnecrosisVofVsurroundingVtissue



whatVisVmoreVsensitiveVtoVpressure:VmuscleVorVskin?V-
VCORRECTVANSWERmuscleVisVmoreVsensitiveVtoVpressure

, whatVisVconsideredVhypoalbuminiaVandVwhyVisVthisVimportant?V-VCORRECTVANSWER<3.4Vg/dLV--
>VimportantVbecauseVmalnutritionVcanVleadVtoVincreasedVriskVatVdevelopingVaVpressureVulcer



whatVareVtheVcommonVlocationsVofVpressureVulcersVinVsupineVposition?V-
VCORRECTVANSWERocciput,Vscapula,Vsacrum,Vheels




whatVareVtheVcommonVlocationsVofVpressureVulcersVinVsidelyingV(lateral)?V-
VCORRECTVANSWERear,VacromionVprocess,Velbow,Vtrochanter,VmedialVandVlateralVepicondylesVan


dVmalleoli,Vheels



whatVareVtheVcommonVlocationsVofVpressureVulcersVinVprone?V-
VCORRECTVANSWERelbow,Vear,Vcheek,Vnose,Vbreasts/genitals,ViliacVcrest,Vpatella,Vtoes




whatVisVtheVscaleVusedVtoVassessVwhoVisVATVRISKVofVdevelopingVaVpressureVulcer?

whatVisVtheVcut-off?

whatVisVitVoutVof?V-VCORRECTVANSWERBrandenVScaleVScoreV(doneVbyVnursingVstaff)



cutVoff:V16-18V-->VtriggerValternativeVmattressesVandVnursingVinterventions

outVofV23V(theVlowerVtheVscoreVtheVWORSE)



whatVareVtheV3VoptionsVforVscalesVofVwhoVisVatVRISKVforVdevelopingVaVpressureVulcer?V-
VCORRECTVANSWER-brandenVscaleVscore



-nortenVsclaeV(oldest)

-gosnellVscale



whatVisVaVstageV1VpressureVulcerVlike?V-VCORRECTVANSWERnon-blanchable