WEB WOC Pressure Injury Management – Assessment, Prevention & Treatment

WND 581 - Final N N N




Intermittent claudication leg pain is characterized as pain that occurs:
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a. With activity and is relieved by rest.
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. Only during the night.
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c. In the absence of activity with the leg in a dependent position.
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d. When the leg is elevated such as when the patient is lying supine. - CORRECT ANSWER-a.
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With activity and is relieved by rest.
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As you examine a patient's lower extremity you observe a thin leg with dry skin and very little
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hair; the ABI is 0.5. From this data, what condition would you assess to be present?
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a. Arterial insufficiency.
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b. Venous hypertension.
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c. Neuropathy.
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d. Mixed arterial/venous ulcer. - CORRECT ANSWER-a. Arterial insufficiency.
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Which of the following statements about inelastic compression bandages is accurate?
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a. They are only effective in the ambulatory patient.
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b. They may be used when the ABI = 0.5 or less.
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c. They can only be used after edema is reduced.
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d. They provide sustained compression whether the patient is ambulatory or immobile. -
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CORRECT ANSWER-a. They are only effective in the ambulatory patient.
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,What is Mrs. Lang's foot deformity called when there is a rocker bottom appearance to her foot?
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a. Claw toes.
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b. Charcot's joint.
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c. Hammer toes.
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d. Onychomycosis. - CORRECT ANSWER-b. Charcot's joint.
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Which of the following statements about contact casting is correct?
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a. The contact cast is a multi-layer graduated compression wrap.
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b. The patient can be instructed to replace the contact cast every 7 days.
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c. It may be used when the ulcer is infected.
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d. The contact cast redistributes the weight of the diabetic foot. - CORRECT ANSWER-d. The
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contact cast redistributes the weight of the diabetic foot.
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Mrs. Anderson has dependent rubor and elevation pallor of her right lower extremity. The
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systolic pressure in her R. arm is 170 mmHg; L arm is 165 mmHg, R. dorsal pedis systolic
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pressure was 100 mmHg and the posterior tibial pressure was 95 mmHg. What is Mrs.
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Anderson's ABI for the RLE?
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a. .056
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b. 1.7
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c. 0.59
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d. 1.65 - CORRECT ANSWER-c. 0.59
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An ambulatory patient with insulin dependent diabetes has an ulcer located on the plantar
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surface of the left foot over the third metatarsal head. The ulcer is 1 cm in diameter, with a dry,
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red surface. The patient denies any pain in the ulcer. What type of wound does this most likely
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represent?
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,a. Venous Ulcer.
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b. Neuropathic Ulcer.
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c. Shear Ulcer.
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d. Arterial Insufficiency Ulcer. - CORRECT ANSWER-b. Neuropathic Ulcer.
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Which of the following assessments is most indicative of an arterial ulcer?
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a. The presence of pain.
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b. Absence of edema in the leg.
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c. An ABI of 0.7.
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d. Absence of a ruddy, red wound bed. - CORRECT ANSWER-c. An ABI of 0.7.
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Which of the following statements is TRUE? Venous dermatitis:
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a. indicates a wound infection.
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b. is characterized by hemosiderosis.
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c. results in erythema, crusting, scaling skin of the leg.
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d. is best managed with topical antimicrobial creams. - CORRECT ANSWER-c. results in
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erythema, crusting, scaling skin of the leg.
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Which of the following statements concerning the management of a mixed venous/arterial ulcer
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with an ABI of .75 is TRUE?
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a. Graduated compression is contraindicated.
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b. Graduated compression can be provided at a modified level of support.
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c. Graduated compression should be used temporarily to reduce edema and then discontinued.
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, d. Graduated compression should be provided only with compression stockings - CORRECT
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ANSWER-b. Graduated compression can be provided at a modified level of support.
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Mrs. James has an eschar covered heel ulcer and you decide that the best approach to
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management is NOT to debride but to keep the eschar covered, dry and intact. The rationale for
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your decision is that the:
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a. wound is clinically infected.
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b. TcPO2 (transcutaneous oxygen) is 15 mmHg.
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c. peri-wound is erythematous.
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d. albumin level is 3.0. - CORRECT ANSWER-b. TcPO2 (transcutaneous oxygen) is 15 mmHg.
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A patient in the outpatient wound clinic has a venous ulcer and with palpation, the skin around
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the ulcer feels firm and woody or hardened. This describes what condition?
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a. Lipodermatosclerosis.
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b. Atrophie blanche.
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c. Hemosiderin deposition.
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d. Venous dermatitis. - CORRECT ANSWER-a. Lipodermatosclerosis.
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Mrs. Jones has an ulcer located on the dorsal surface of the third toe on the left foot. The ulcer
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is 1 cm in diameter, with a dry, pale pink wound bed. She reports significant pain in the ulcer
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and denies any history of diabetes. What is the MOST likely cause of this ulcer?
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a. Venous hypertension.
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b. Neuropathy.
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c. Pressure.
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d. Arterial insufficiency. - CORRECT ANSWER-d. Arterial insufficiency.
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