WOCN Wound Exam (WOCN Continence) final Questions and Answers 100% Correct

Goals of wound assessment - CORRECT ANSWER-1. Determine etiologic factors 2. Assess systemic factors/comorbidities 3. Assess wound to determine phase of healing 4. Determine goals of topical therapy Why does hyperglycemia affect wound healing? - CORRECT ANSWER-Impairs leukocyte function and negatively impacts collagen syntehesis, development of tensile strength, epithelial resurfacing What BG parameters should be maintained for wound healing? - CORRECT ANSWERBG 180 for leukocyte function; 140 for healing A1C 7 for most, 8 if hx of severe hypoglycemia, advanced comorbidities, limited life expectancy Why is nutrition relevant to wound healing? - CORRECT ANSWER-Muscle or SubQ wasting increases risk of pressure/shear damage malnourished pt unable to synthesize and cross-link collagen normally protein deficiency increases risk of infection What effect do low zinc levels have on wound healing? - CORRECT ANSWERcompromise collagen synthesis/crosslinking What amino acids are essential for collagen synthesis? What is the effect of stress on these amino acids? - CORRECT ANSWER-Glutamine and l-arginine Not adequately produced during times of physiologic stress What weight trend suggests nutritional deficiency? - CORRECT ANSWER-Unplanned weight loss =2.5% of usual weight in 30 days or =10% within 180 days BMI 18.5 What serum albumin level indicates malnutrition? - CORRECT ANSWER-3.5 g/dl What serum transferrin level indicates malnutrition? - CORRECT ANSWER-100mg/dl What serum prealbumin level indicates malnutrition? - CORRECT ANSWER-19.5 What total lymphocyte count level indicates malnutrition? - CORRECT ANSWER-1500 What are s/s of nutritional deficits? - CORRECT ANSWER-skin rashes, cracks in mucous membranes, edema, muscle and subQ tissue wasting, nonhealing wounds, dry/pluckable hair, dry flaky it