FPCC Skin Integrity and Wound Care
(Exam 1) correctly answered to pass
Why is skin integrity important? - correct answer ✔✔primary defense; protective barrier
(against infection); sensory organ; vitamin D synthesis
how does a patient get "impaired skin integrity"? - correct answer ✔✔healthcare providers
cause it (ex. surgery); accidents, abrasions (animal bites, knives); circulatory problems (problems
with arteries or venous circulation); too much pressure (pressure ulcers)
by extent - correct answer ✔✔wound assessment, classification; partial thickness (open), full
thickness (open), closed
by onset and duration - correct answer ✔✔wound assessment, classification; acute (expected
to heal quickly), chronic (not resolving quickly)
by level of contamination - correct answer ✔✔wound assessment, classification; clean
(surgery), contaminated (puncture wounds, does NOT equal infected)
by healing process - correct answer ✔✔wound assessment, classification; primary -closed
up(does not leave a lot of scarring), secondary - left open (scarring is a lot worse), tertiary -
open then closed (not sutured immediately to be sure that it is clean)
wound drainage assessment - correct answer ✔✔amount, odor (if odor is present after being
cleaned, might be infected), consistency (gel-like, water, sticky), color
sanguineous drainage - correct answer ✔✔bright red blood
, serosanguineous drainage - correct answer ✔✔yellow with a little red
surgical wounds assessment - correct answer ✔✔incision (approximated edges, staples, sutures
intact, surrounding tissue); presence of drains
penrose - correct answer ✔✔big plastic straw looking; inserted through puncture wound that
the surgeon makes on purpose; does NOT come out of incision, but from a separate area
jackson pratt (JP) - correct answer ✔✔applies suction; can be measured in mL; can be measured
without emptying
hemovac - correct answer ✔✔smushed down, stays smoothed and sucks out drainage
abrasion - correct answer ✔✔traumatic wound; only the top layer of skin is lost; partial
thickness wound; most common drainage is serous or sero-sanguenous
laceration - correct answer ✔✔traumatic wound; patient cuts themselves on accident; can be
partial/full thickness
puncture wounds - correct answer ✔✔traumatic wound; small, round, and sometimes deep
holes
healing of closed laceration - correct answer ✔✔approximated edges, normal inflammation of
healing (small swelling around incision as it heals), edges closing 7-10 days (when staples and
sutures will come out)
venous wound - correct answer ✔✔brownish red, not too deep, fairly shallow, wound bed is
beefy red; can have a lot of drainage; if not elevated, can be painful for the patient
(Exam 1) correctly answered to pass
Why is skin integrity important? - correct answer ✔✔primary defense; protective barrier
(against infection); sensory organ; vitamin D synthesis
how does a patient get "impaired skin integrity"? - correct answer ✔✔healthcare providers
cause it (ex. surgery); accidents, abrasions (animal bites, knives); circulatory problems (problems
with arteries or venous circulation); too much pressure (pressure ulcers)
by extent - correct answer ✔✔wound assessment, classification; partial thickness (open), full
thickness (open), closed
by onset and duration - correct answer ✔✔wound assessment, classification; acute (expected
to heal quickly), chronic (not resolving quickly)
by level of contamination - correct answer ✔✔wound assessment, classification; clean
(surgery), contaminated (puncture wounds, does NOT equal infected)
by healing process - correct answer ✔✔wound assessment, classification; primary -closed
up(does not leave a lot of scarring), secondary - left open (scarring is a lot worse), tertiary -
open then closed (not sutured immediately to be sure that it is clean)
wound drainage assessment - correct answer ✔✔amount, odor (if odor is present after being
cleaned, might be infected), consistency (gel-like, water, sticky), color
sanguineous drainage - correct answer ✔✔bright red blood
, serosanguineous drainage - correct answer ✔✔yellow with a little red
surgical wounds assessment - correct answer ✔✔incision (approximated edges, staples, sutures
intact, surrounding tissue); presence of drains
penrose - correct answer ✔✔big plastic straw looking; inserted through puncture wound that
the surgeon makes on purpose; does NOT come out of incision, but from a separate area
jackson pratt (JP) - correct answer ✔✔applies suction; can be measured in mL; can be measured
without emptying
hemovac - correct answer ✔✔smushed down, stays smoothed and sucks out drainage
abrasion - correct answer ✔✔traumatic wound; only the top layer of skin is lost; partial
thickness wound; most common drainage is serous or sero-sanguenous
laceration - correct answer ✔✔traumatic wound; patient cuts themselves on accident; can be
partial/full thickness
puncture wounds - correct answer ✔✔traumatic wound; small, round, and sometimes deep
holes
healing of closed laceration - correct answer ✔✔approximated edges, normal inflammation of
healing (small swelling around incision as it heals), edges closing 7-10 days (when staples and
sutures will come out)
venous wound - correct answer ✔✔brownish red, not too deep, fairly shallow, wound bed is
beefy red; can have a lot of drainage; if not elevated, can be painful for the patient
