1 Exampromax - Stuvia US 2025/2026
NU 136, Galen College of Nursing, Exam 2,
Units 4-6, Chapters 22, 28, 39, 29, 30, 38
Questions with Detailed Verified Answers
(100% Correct Answers) /Already Graded A+
what are the locations for arterial ulcers
Ans: -between toes
-tips of toes
-over phalangeal heads
-around lateral malleolus
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Exampromax - Stuvia US
what are the characteristics of arterial ulcers
Ans: -severe pain
-minimal drainage
-decreased temperature
-absent or diminished pulses
-cyanosis
-thickened toenails
-gangrene
what are the locations for venous ulcers
Ans: -medial lower leg
-ankle
-superior to medial melleolus
-seldom, if ever noted on the foot or above the knee
what are the characteristics of venous ulcers
, 2 Exampromax - Stuvia US 2025/2026
Ans: -moderate to large amount of drainage
-pain levels vary
-ankle flare
-lipodermatosclerosis (hard fibrous of surrounding tissue)
-dialated superficial veins
what are the location for neuropathic (Diabetic) ulcers
Ans: -plantar aspect of foot
-over metatarsal heads
-under heel
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what are the characteristics for neuropathic ulcers
Exampromax - Stuvia US
Ans: -low to moderate drainage
-foot deformities
-deminished or absent sensation in foot
-palpable pulses
-osteomyelitis
-usually painless
what are the phases of wound healing
Ans: hemostatis
inflammation
proliferation
maturation
what phase is the hemostasis
Ans: phase 1 -the immediate response the body initiates to heal (blood
clotting)
what phase is the inflammation
, 3 Exampromax - Stuvia US 2025/2026
Ans: phase 2 - begins immediately and last 4-5 days, it is the protective
response (heat, pain, edema) wbc & macrophages migrate to the wound &
begin the repair
what phase is the proliferation
Ans: phase 3 - reconstructive phase - begins on 3rd or 4th day and lasts 2-3
weeks
what phase is the maturation phase
Ans: phase 4 - final phase/remodeling phase - scar maturation, scar slowly
thins and becomes paler - begins about 3 weeks after injury and can last up
to 2 years
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what factors affect wound healing
Exampromax - Stuvia US
Ans: -age
-nutrition (protein/fluid needed for healing)
-medications (heparin, steroids, antineoplastics interfere
w/healing
-Infection (slows healing) chronic illness (COPD, DM, CV)
slows wound healing due to lack of oxygen & nutrients at
the cellular level
-lifestyle (regular exercise)
-decreased immune system
-decreased liver function
what is first intention (Primary)
Ans: little tissue loss - edges of wound approximate and only a slight
chance of infection
what is second intention
Ans: a wound with tissue loss - edges of wound do not approximate;wound
left open & fills with scar tissue
, 4 Exampromax - Stuvia US 2025/2026
what is third intention (Tertiary)
Ans: occurs when there is delayed suturing of a wound/wound sutured
after granulation tissue begins to form. (Healing.)
what are the closed wounds and characteristics
Ans: -contusion (bruise w/out breaking skin)
-hematoma (pooling of blood under unbroken skin)
-sprain (twisting of a joint)
what are the open wounds and characteristics
Ans: -incision (surgically made separation of tissues w/clean
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even edges)
Exampromax - Stuvia US
-laceration (traumatic separation of tissue)
-abrasion (traumatic scraping)
-penetrating (bullet/metal)
-avulsion (tearing away)
-ulceration (excavation of skin
-perforation (internal organ/cavity)
-crush (tissue disrupted or compressed
list complications of wound healing
Ans: -hemorrhage (uncontrolled bleeding)
-dehiscence (spontaneous opening of an incision)
-evisceration (protrusion of an internal organ through an
incision)
-infection (redness, edema, pain, purulent drainage)
what is the purpose of wound drains
Ans: to provide an exit for blood & pus that accumulate during the
inflammation process
NU 136, Galen College of Nursing, Exam 2,
Units 4-6, Chapters 22, 28, 39, 29, 30, 38
Questions with Detailed Verified Answers
(100% Correct Answers) /Already Graded A+
what are the locations for arterial ulcers
Ans: -between toes
-tips of toes
-over phalangeal heads
-around lateral malleolus
© 2025 All rights reserved®
Exampromax - Stuvia US
what are the characteristics of arterial ulcers
Ans: -severe pain
-minimal drainage
-decreased temperature
-absent or diminished pulses
-cyanosis
-thickened toenails
-gangrene
what are the locations for venous ulcers
Ans: -medial lower leg
-ankle
-superior to medial melleolus
-seldom, if ever noted on the foot or above the knee
what are the characteristics of venous ulcers
, 2 Exampromax - Stuvia US 2025/2026
Ans: -moderate to large amount of drainage
-pain levels vary
-ankle flare
-lipodermatosclerosis (hard fibrous of surrounding tissue)
-dialated superficial veins
what are the location for neuropathic (Diabetic) ulcers
Ans: -plantar aspect of foot
-over metatarsal heads
-under heel
© 2025 All rights reserved®
what are the characteristics for neuropathic ulcers
Exampromax - Stuvia US
Ans: -low to moderate drainage
-foot deformities
-deminished or absent sensation in foot
-palpable pulses
-osteomyelitis
-usually painless
what are the phases of wound healing
Ans: hemostatis
inflammation
proliferation
maturation
what phase is the hemostasis
Ans: phase 1 -the immediate response the body initiates to heal (blood
clotting)
what phase is the inflammation
, 3 Exampromax - Stuvia US 2025/2026
Ans: phase 2 - begins immediately and last 4-5 days, it is the protective
response (heat, pain, edema) wbc & macrophages migrate to the wound &
begin the repair
what phase is the proliferation
Ans: phase 3 - reconstructive phase - begins on 3rd or 4th day and lasts 2-3
weeks
what phase is the maturation phase
Ans: phase 4 - final phase/remodeling phase - scar maturation, scar slowly
thins and becomes paler - begins about 3 weeks after injury and can last up
to 2 years
© 2025 All rights reserved®
what factors affect wound healing
Exampromax - Stuvia US
Ans: -age
-nutrition (protein/fluid needed for healing)
-medications (heparin, steroids, antineoplastics interfere
w/healing
-Infection (slows healing) chronic illness (COPD, DM, CV)
slows wound healing due to lack of oxygen & nutrients at
the cellular level
-lifestyle (regular exercise)
-decreased immune system
-decreased liver function
what is first intention (Primary)
Ans: little tissue loss - edges of wound approximate and only a slight
chance of infection
what is second intention
Ans: a wound with tissue loss - edges of wound do not approximate;wound
left open & fills with scar tissue
, 4 Exampromax - Stuvia US 2025/2026
what is third intention (Tertiary)
Ans: occurs when there is delayed suturing of a wound/wound sutured
after granulation tissue begins to form. (Healing.)
what are the closed wounds and characteristics
Ans: -contusion (bruise w/out breaking skin)
-hematoma (pooling of blood under unbroken skin)
-sprain (twisting of a joint)
what are the open wounds and characteristics
Ans: -incision (surgically made separation of tissues w/clean
© 2025 All rights reserved®
even edges)
Exampromax - Stuvia US
-laceration (traumatic separation of tissue)
-abrasion (traumatic scraping)
-penetrating (bullet/metal)
-avulsion (tearing away)
-ulceration (excavation of skin
-perforation (internal organ/cavity)
-crush (tissue disrupted or compressed
list complications of wound healing
Ans: -hemorrhage (uncontrolled bleeding)
-dehiscence (spontaneous opening of an incision)
-evisceration (protrusion of an internal organ through an
incision)
-infection (redness, edema, pain, purulent drainage)
what is the purpose of wound drains
Ans: to provide an exit for blood & pus that accumulate during the
inflammation process
