Wound Management Questions and Answers Already Passed

Wound Management Questions and Answers Already Passed Which skin layer is the key layer for wound healing? A. Stratum corneum B. Epidermis C. Dermis D. Deep fascia The dermis, which is much thicker than the epidermis, is primarily composed of connective tissue and is the key layer for wound healing. Removal of debris and devitalized tissue from the dermis results in optimal healing and minimal scar formation. The epidermis is the outermost layer and protects against chemicals and microorganisms. The outermost layer of the epidermis is the stratum corneum, which gives skin its cosmetic appearance. The deep fascia is part of the subcutaneous layer and covers and protects underlying muscles. Which statement accurately characterizes wound care? A. A tetanus-prone wound can result from a crushing mechanism. B. Uncomplicated minor wounds require prophylactic antibiotics. C. Tetanus toxoid provides passive immunization against tetanus. D. The most effective intervention to reduce the risk of infection is antibiotic administration. A tetanus-prone wound can result from a crushing mechanism. Tetanus-prone wounds also include those that are more than 6 hours old, are stellate or avulsed, are caused by missiles, show obvious signs of infection, have devitalized tissue, or contain contaminants, such as dirt, feces, soil, or saliva. Uncomplicated minor wounds do not require prophylactic antibiotics. Meticulous wound care, debridement, proper wound closure, and dressings are the most important infection- control techniques for minor wounds. Tetanus toxoid provides active immunization, whereas tetanus immune globulin (TIG) provides passive immunization. The most effective intervention to reduce the risk of infection is thorough wound cleansing. The use of antibiotics for all acute wounds is controversial. Which injury is a severe avulsion? A. Road rash B. Degloving C. Compartment syndrome D. Abscess A degloving injury is a severe avulsion in which the skin is peeled away from the hand, foot, or a greater portion of an extremity. This injury results in devascularization of the skin and underlying tissue damage. Road rash is the most severe of all abrasions. Compartment syndrome results when extensive extremity contusions or a puncture wound into the fascia causes compression of the nerves and blood vessels in an enclosed space. An abscess is a localized collection of pus beneath the skin. Which intervention is appropriate for a patient with a large "road rash" on the leg from a motorcycle crash? A. Procedural sedation B. Wound infiltration C. Topical anesthetic application D. Local nerve block administration The most severe of all abrasions is a "road rash." This may result in almost 100% tissue loss and, in extreme cases, requires care at a burn center. Because of the extent of this injury, procedural