Nursing Exam: Advanced Wound Management
(Detailed Q&A)
1
describe an incised wound
clean edges, usually surgical
2
describe a laceration
jagged edge (e.g. barbed wire)
3
describe an abrasion
graze, epithelial damage seen
4
describe a contusion
bruising, develops over time
5
describe a puncture wound
,deep, entry wound often not indicative of extent of injury beneath
6
where are bites commonly seen?
hindlimbs
7
what is commonly associated with bites?
large wound, lots of tissue necrosis and infection
8
what are other wound types seen commonly in practice?
burns
bites
9
what is the main way to classify wounds?
time of presentation after injury
10
what are the classifications of traumatic wounds?
,class 1-3
11
what is the time lapse since occurrence of a class 1 wound?
0-6 hours
12
what is the level of contamination and tissue trauma of a class one
wound?
minimal (fresh)
13
what is the time lapse since occurrence of a class 2 wound?
6-12 hours
14
what is the level of contamination and tissue trauma of a class 2
wound?
increasing levels of bacteria, more contamination present
microbial burden has not reached critical level
15
, what is the time lapse since occurrence of a class 3 wound?
more than 12 hours
16
what is the level of contamination and tissue trauma of a class 3
wound?
wound infection present regardless of how wound was created
17
does wound class affect the approach to treatment?
yes
18
how may wound class affect treatment?
class 3 wound not suitable for wound closure
19
what are some key considerations for a patient who has presented
with a wound?
clinical exam for other injuries
assess wound location
(Detailed Q&A)
1
describe an incised wound
clean edges, usually surgical
2
describe a laceration
jagged edge (e.g. barbed wire)
3
describe an abrasion
graze, epithelial damage seen
4
describe a contusion
bruising, develops over time
5
describe a puncture wound
,deep, entry wound often not indicative of extent of injury beneath
6
where are bites commonly seen?
hindlimbs
7
what is commonly associated with bites?
large wound, lots of tissue necrosis and infection
8
what are other wound types seen commonly in practice?
burns
bites
9
what is the main way to classify wounds?
time of presentation after injury
10
what are the classifications of traumatic wounds?
,class 1-3
11
what is the time lapse since occurrence of a class 1 wound?
0-6 hours
12
what is the level of contamination and tissue trauma of a class one
wound?
minimal (fresh)
13
what is the time lapse since occurrence of a class 2 wound?
6-12 hours
14
what is the level of contamination and tissue trauma of a class 2
wound?
increasing levels of bacteria, more contamination present
microbial burden has not reached critical level
15
, what is the time lapse since occurrence of a class 3 wound?
more than 12 hours
16
what is the level of contamination and tissue trauma of a class 3
wound?
wound infection present regardless of how wound was created
17
does wound class affect the approach to treatment?
yes
18
how may wound class affect treatment?
class 3 wound not suitable for wound closure
19
what are some key considerations for a patient who has presented
with a wound?
clinical exam for other injuries
assess wound location
