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surface area, type of ssue, volume of exudate - Answers The Pressure Ulcer Tool for Healing
(PUSH) tools is based on what three characteris cs of a wound?
autoly c - Answers Severe neutropenia (<500) is a contraindica on for __________________
debridement.
MRI - Answers An ___________ is the most accurate noninvasive approach to diagnosis of
osteomyeli s.
B-hemoly c strep - Answers Any level of __________________________ is an indicator of
wound infec on.
adhesive - Answers Hydrocolloids are to be avoided for skin tears because they are
aggressively ___________________.
hydrocolloids - Answers occlusive dressings made of material like pec n, gela n, or
carboxymethylcellulose. Self-adhesive dressings that provide a moist healing environment and
autoly c debridement but only light-moderate absorp on. Recommended for clean, shallow
wounds with minimal exudate. Can be used to protect intact skin or newly resurfaced
breakdown.
sleeves - Answers Protec ve __________ can be used in pa ents with frail skin to prevent
skin tears.
candidal intertrigo - Answers A condi on that happens due to moisture trapping in skin folds,
presen ng as beefy-red maculopapular rashes with peripheral scaling and dis nct satellite
lesions.
,an fungals (e.g. nysta n, fluconazole) - Answers candidal intertrigo is treated with topical or
oral __________________.
Toxic Epidermal Necrolysis (TEN) - Answers Life-threatening immune-mediated skin/mucous
membrane disorder. Significant epidermal necrosis and detachment. O7en results from a drug
reac on. Usually severe with more than 30% Body Surface Area Skin detachment.
allopurinol - Answers The most commonly implicated medica on for pa ents with SJS/TEN is
____________________.
Toxic Epidermal Necrolysis - Answers Fever, Flu-like symptoms, malaise, muscle aches, eye
pain, pain with swallowing, skin tenderness, inflamma on, blistering.
Later disease involves confluent, red oval macules/papules with pruri c centers or diffuse
erythema. Widespread blistering and epidermal sloughing. Lesions usually start on the face and
spread.
fluid - Answers Care of the pa ent with TEN should resemble burn care with aggressive
__________ management.
Petrolatum - Answers _____________________ and other nonadherent contact layer
dressings are commonly used for pa ents with Toxic Epidermal Necrolysis.
debridement - Answers Aggressive _______________ is not indicated in Toxic Epidermal
Necrolysis Syndrome because of extensive denuda on.
Nonwoven - Answers Which gauze is a be>er choice for dressings that come into contact
with the wound bed: nonwoven or woven?
, Necro zing fascii s - Answers The lesions of this disease typically begin as erythematous,
painful, edematous areas on the skin a7er major or minor skin trauma. O7en mistaken for
celluli s. Most commonly on the extremi es, some mes on the perianal and trunk. Signs
include fever and chills. Lab values included elevated WBCs and anemia.
False (needs aggressive debridement and broad-spectrum IV an bio cs.) - Answers True or
False: Aggressive debridement is not recommended for Necro zing Fascii s pa ents.
Hyperbaric - Answers ______________ oxygen is a treatment op on for necro zing fascii s
pa ents.
nega ve pressure wound therapy (NPWT) - Answers __________________________ is
considered the standard of care a7er a clean wound bed has been established in the necro zing
fascii s pa ent.
Shear - Answers ___________ causes elongated wounds with undermining and tunneling.
True - Answers True or False: Iodine and silver will inac vate collagenase.
Nickel - Answers A ____________ thick layer of collagenase should be applied to a wound.
collagenase - Answers The only enzyme available in the US as a debriding agent is
_____________. It is derived from clostridium bacteria and dissolves the collagen anchors that
secure the necro c ssue to the wound bed. This process takes several days to weeks.
enzyma c - Answers ___________________ debridement (collagenase) is safe for infected
wounds. However, it does not have any local an microbial effects.
, crystal violet, methylene blue, sodium hypochlorite - Answers Collagenase is safe for use with
which three an microbial products?
True - Answers True or False: The nurse uses a waterpik on high seBng for wound cleansing,
but this causes bacteria to be driven further into the wound ssues.
nutri on - Answers At the end of the inflammatory phase, the pa ent's ______________
status should be monitored because a posi ve nitrogen balance is key for the prolifera ve
phase of wound healing.
catabolic - Answers Oxandrolone is for pa ents who are in a persistent ______________
state and have trouble breaking out of this state.
D - Answers If the pa ent is responding to nutri onal support, but their wound is clean and
non granula ng, which supplements should be considered?
A. L-Arginine
B. Glutamine
C. Vitamin A
D. A and B
silver nitrate (AgNO3) - Answers ___________________ Can be used to reopen rolled wound
edges.
48 hours - Answers A normally healing surgical incision is usually fully re-epithelialized within
________________ of closure.