NSE 211 Midterm Study Set Exam
Acute Wound - Answer - Surgical incisions
- Traumatic wounds
- Stab wound
- Closed wound (contusions)
- Lacerations
- Burns
Chronic Wound - Answer - Pressure injuries
- Diabetic/arterial/venous ulcers
- Fungating/malignant
Superficial Wound - Answer - Only epidermis
- Partial-thickness: extends into dermis
Full Thickness Wound - Answer - Involve subcutaneous tissue, sometimes fascia,
muscle, tendon, or bone
Pressure Injuries - Answer - Only type of wound that's staged
Full Thickness Wound Repair - Answer - Inflammatory
- Proliferative
- Remodelling
Types of Wound Healing - Answer - Primary intention
- Secondary intention
- Tertiary intention
Primary Intention - Answer Edges are sutured in place; healing through collagen
synthesis
- Inflammatory phase: 3-5 days
- Granulation phase: 5 days-3wks
- Maturation phase: Begins 7 days after injury; cont. months or yrs
Secondary Intention - Answer - Wounds w/ wide or irregular wound margins
, - Healing same as primary intention
Tertiary Intention - Answer - Delayed primary intention; contaminated wound that is left
open
- Wounds that have become infected so they're sutured later when infection controlled
Complication in Wound Healing - Answer - Adhesions
- Contractures
- Dehiscence
- Evisceration
- Infection
- Haemorrhage
- Scars
Stage 1 Pressure Injury - Answer - Intact skin
- Nonblanchable
- Don't incl. purple or maroon discolouration
Stage 2 Pressure Injury - Answer - Partial-thickness loss; exposed dermis
- No adipose, deep tissue visible, granulation tissue, slough, eschar
Stage 3 Pressure Injury - Answer - Full-thickness loss
- Adipose visible, epibole present
- Slough &/or eschar visible
- Undermining or tunneling may occur
- Fascia, muscle tendon, ligament, cartilage, & bone not exposed
Stage 4 Pressure Injury - Answer - Full-thickness loss
- Directly palpable fascia, muscle tendon, ligament, cartilage, or bone
- Slough &/ or eschar visible
- Epibole, undermining, tunneling or combo occur
Unstageable Pressure Injury - Answer - Obscured by slough or eschar
- Usually reveal stage 3 or 4 pressure injury
Acute Wound - Answer - Surgical incisions
- Traumatic wounds
- Stab wound
- Closed wound (contusions)
- Lacerations
- Burns
Chronic Wound - Answer - Pressure injuries
- Diabetic/arterial/venous ulcers
- Fungating/malignant
Superficial Wound - Answer - Only epidermis
- Partial-thickness: extends into dermis
Full Thickness Wound - Answer - Involve subcutaneous tissue, sometimes fascia,
muscle, tendon, or bone
Pressure Injuries - Answer - Only type of wound that's staged
Full Thickness Wound Repair - Answer - Inflammatory
- Proliferative
- Remodelling
Types of Wound Healing - Answer - Primary intention
- Secondary intention
- Tertiary intention
Primary Intention - Answer Edges are sutured in place; healing through collagen
synthesis
- Inflammatory phase: 3-5 days
- Granulation phase: 5 days-3wks
- Maturation phase: Begins 7 days after injury; cont. months or yrs
Secondary Intention - Answer - Wounds w/ wide or irregular wound margins
, - Healing same as primary intention
Tertiary Intention - Answer - Delayed primary intention; contaminated wound that is left
open
- Wounds that have become infected so they're sutured later when infection controlled
Complication in Wound Healing - Answer - Adhesions
- Contractures
- Dehiscence
- Evisceration
- Infection
- Haemorrhage
- Scars
Stage 1 Pressure Injury - Answer - Intact skin
- Nonblanchable
- Don't incl. purple or maroon discolouration
Stage 2 Pressure Injury - Answer - Partial-thickness loss; exposed dermis
- No adipose, deep tissue visible, granulation tissue, slough, eschar
Stage 3 Pressure Injury - Answer - Full-thickness loss
- Adipose visible, epibole present
- Slough &/or eschar visible
- Undermining or tunneling may occur
- Fascia, muscle tendon, ligament, cartilage, & bone not exposed
Stage 4 Pressure Injury - Answer - Full-thickness loss
- Directly palpable fascia, muscle tendon, ligament, cartilage, or bone
- Slough &/ or eschar visible
- Epibole, undermining, tunneling or combo occur
Unstageable Pressure Injury - Answer - Obscured by slough or eschar
- Usually reveal stage 3 or 4 pressure injury
