NR 224 Skin and Wound Care Test Questions with Correct Answers Graded A+

NR 224 Skin and Wound Care Test Questions with Correct Answers Graded A+ changes in skin on older adults - Answers less collagen, elasticity, thinning, weakened attachment of both epidermis and dermis shearing forces decreased inflammatory response slow healing reduced nutritional intake how does health status affect wound healing? - Answers corticosteroid drugs, poor immune system, and postopertive radiation therapy delay healing dessication, maceration, pressure, trauma, edema, infection, necrosis dessication - Answers drying out of skin maceration - Answers staying too wet or moist phases of wound healing - Answers hemostasis - vessels constrict, clot forms, vessels dilate, leak -> exudate inflammatory - 4-6 days proliferative (grow, rebuild) - several weeks remodeling/maturation - begin about three weeks after injury stages of forming new blood vessels - Answers filling contracting resurfacing remodeling stage of wound healing - Answers 3 weeks after injury collagen is remodeled new collagen tissue is deposited scare becomes a flat, thin, white line acute wound classification - Answers proceeds through timely and orderly reparative process that results in sustained restoration of anatomical and functional integrity causes: trauma, surgical incision usually easily cleaned and repaired, edges are clean and intact chronic wound classification - Answers fails to proceed through an orderly and timely process to produce anatomical and functionals integrity causes: vascular compromise, chronic inflammation, repetitive insults to tissue continued expose to insult delays wound healing healing process (intentions) - Answers primary intention - wound is closed secondary intention - wound edges not approximated (wound left open to heal from the ground up) tertiary intention - wound left open several days, then wound edges are approximated (contaminated) how does a secondary wound heal? - Answers by granulation tissue formation, wound contraction and epithelization principles of wound healing - Answers adequate blood support free of foreign material extent of damage on health proper nutrition maintained partial thickness wounds - Answers shallow involve loss of epidermis and possibly part of dermis (epithelialization) full-thickness wounds - Answers extend into dermis heal by scar formation (involves all three phases of wound healing) epithelialization - Answers stage of wound healing that is characterized by growth of epith