Multidimensional Care 1 Exam 3 Q&A with 100% Solutions | Rated A+

Multidimensional Care 1 Exam 3 Q&A with 100% Solutions | Rated A+ Functions of the skin - ✔✔protects from invasion of pathogens thermoregulator fluid and electrolyte balance perception of pain provides comfort Classifications of wound contamination - ✔✔clean clean -contaminated contaminated infected Clean wou nd - ✔✔minimal inflammation Clean -contaminated wound - ✔✔increased risk for infection Contaminated wound - ✔✔high-risk for infections Infected wound - ✔✔bacteria count is >100K Classifications of wound depth - ✔✔superficial partial thickness full-thickness penetrating Superficial wound - ✔✔damage to epidermis Partial thickness wound - ✔✔damage to epidermis and some dermis Full-thickness wound - ✔✔reaches the subcutaneous and could pass Penetrating wound - ✔✔involves internal organs Phases of wound healing - ✔✔hemostasis inflammatory phase proliferative phase maturation phase Hemostasis of wound healing - ✔✔blood clotting Inflammatory phase of wound healing - ✔✔cleaning Proliferative phase of wound healing - ✔✔granulation Maturation p hase of wound healing - ✔✔scar Types of wound healing - ✔✔regenerative/epithelial first intention second intention third intention Regenerative/Epithelial healing - ✔✔when only the epidermis and part of the dermis are lost; no scar forms First intention wo und healing - ✔✔wound edges can connect Second intention wound healing - ✔✔wound edges cannot connect and need help to heal Third intention wound healing - ✔✔delayed healing that later can be closed Serous wound drainage - ✔✔clear, watery, typical clean wo unds Sanguineous wound drainage - ✔✔bloody Serosanguineous wound drainage - ✔✔bloody and serous Purulent wound drainage - ✔✔pus Purosanguineous wound drainage - ✔✔bloody pus Dehiscence - ✔✔separation Evisceration - ✔✔total separation Fistula - ✔✔abnormal c onnection between two cavities Fungal infection culture - ✔✔obtained by scraping scales from skin lesions into a clean container specimen may be treated with potassium hydroxide and examined microscopically to determine the presence of branched hyphae Bacterial infection culture - ✔✔specimen taken from the drainage of the lesion and placed on a bacterial culture medium Viral infection culture - ✔✔herpes lesion vesicle fluid is obtained with a cotton swab and then placed on a tzanck smear Punch biopsy - ✔✔2-6 cm plug of tissue is removed Shave biopsy - ✔✔removal of a raised lesion on the skin surface Excisional biopsy - ✔✔obtained with a scalpel and have a scar similar to a surgical wound Skin biopsy after -care - ✔✔keep dressing dry and intact for at leas t *eight* hours clean site daily antibiotic cream may be prescribed to reduce risk of infection report any redness of drainage if sutures are used, they are usually removed after 7 -10 days Wood's light exam - ✔✔UV light used to expose skin infections Diasc opy - ✔✔painless technique used to eliminate erythema to reveal the shape of a skin lesion Pressure injuries - ✔✔loss of tissue integrity caused by compression of skin between a bony prominence and an external surface