answers
A client's wound is draining thick yellow material. The nurse correctly describes
the drainage as
1. Sanguineous
2. Serous-sanguineous
3. Serous
4. Purulent Ans✓✓✓ purulent; Drainage is described as purulent. Sanguineous
and Serous-sanguineous contain blood. Serous is clear and watery.
A nurse is caring for patients with a variety of wounds. Which would will most
likely heal by primary intention?
1. Cut in the skin from a kitchen knife
2. Excoriated perineal area
3. Abrasion of the skin
4. Pressure ulcer Ans✓✓✓ 1. Cut in the skin from a kitchen knife; A cut in the skin
by a sharp instrument with minimal tissue loss can heal by primary intention
when the wound edges are lightly pulled together (approximated).
Chain of Infection Ans✓✓✓ Infectious agent
A reservoir or source for pathogen growth
a port of exit from the source
a mode of transmission
a port of entry to a host
a susceptible host
, Contaminated vs. Infection Ans✓✓✓ Contamination: a wound that is exposed is
always contaminated but not always infected. Contamination is the presence of
organisms without any manifestations of infection
Infection: wound is contaminated with pathogenic organisms to that degree that
growth and spread cannot be controlled by the body's immune defense
Diagnostic Tests for Impetigo Ans✓✓✓ Physical exam
Wound culture
Factors that delay wound healing Ans✓✓✓ vitamin c, protein, zinc,
corticosteroids, infection, smoking, advanced age
Full-thickness Wound repair Ans✓✓✓ hemostasis, inflammatory, proliferative,
and maturation
Goals regarding Trauma and Surgical Wounds Ans✓✓✓ Initial and secondary
goals: control bleeding, prevent infection, control pain, assess signs of shock
Hyperbaric Oxygen Treatment Ans✓✓✓
Impetigo Contagiosa Ans✓✓✓
Infectious agents include Ans✓✓✓ bacteria, viruses, fungi, protozoa
Is impetigo Contagious? Ans✓✓✓ Yes, Impetigo is contagious, meaning it can
spread to others.