WOCN Wound Exam Questions and Answers Already Passed

WOCN Wound Exam Questions and Answers Already Passed Goals of wound assessment 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? Impairs leukocyte function and negatively impacts collagen syntehesis, development of tensile strength, epithelial resurfacing What BG parameters should be maintained for wound healing? BG 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? 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? compromise collagen synthesis/crosslinking What amino acids are essential for collagen synthesis? What is the effect of stress on these amino acids? Glutamine and l-arginine Not adequately produced during times of physiologic stress What weight trend suggests nutritional deficiency? 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? 3.5 g/dl What serum transferrin level indicates malnutrition? 100mg/dl What serum prealbumin level indicates malnutrition? 19.5 What total lymphocyte count level indicates malnutrition? 1500 What are s/s of nutritional deficits? skin rashes, cracks in mucous membranes, edema, muscle and subQ tissue wasting, nonhealing wounds, dry/pluckable hair, dry flaky itchy skin What is the suggested caloric intake? 30-35 cal/kg body weight What is the suggested protein intake?