RLE 103 (WOUND CARE) EXAM
QUESTIONS AND ANSWERS ALL
CORRECT
Normal bleeding, but excessive bleeding is abnormal.
Causes: clot dislodgement, slipped stitch, vessel erosion. - Answer-Hemorrhage
Inevitable wound colonization by microorganisms.
Hinders healing, may progress to infection.
Signs: color change, pain, odor, drainage; confirmed by culture. - Answer-Infection
Sutured wound partially or fully ruptures.
Evisceration: internal organs protrude through incision. - Answer-Dehiscence with
Possible Evisceration:
Healthy children and adults generally heal faster than older adults.
Older adults often have chronic diseases hindering healing; reduced liver function can
impair clotting factor synthesis. - Answer-Developmental Considerations
are surgical wounds in which the respiratory, gastrointestinal, genital, or urinary tract
has been entered. Such wounds show no evidence of infection. - Answer-Clean-
contaminated wounds
include open, fresh, accidental wounds and surgical wounds involving a major break in
sterile technique or a large amount of spillage from the gastrointestinal tract.
Contaminated wounds show evidence of inflammation. - Answer-Contaminated wounds
include wounds containing dead tissue and wounds with evidence of a clinical infection,
such as purulent drainage. - Answer-Dirty or infected wounds
occurs where the tissue surfaces have been approximated (closed) and there is minimal
or no tissue loss - Answer-primary intention healing
occurs in healing a wound that is extensive and involves considerable tissue loss and in
which the edges cannot or should not be approximated. - Answer-Secondary intention
healing
Begins immediately after injury, lasts 3 to 6 days. - Answer-Inflammatory Phase
Occurs from day 3 or 4 to about day 21 post-injury.
, Fibroblasts synthesize collagen, increasing wound strength.
Capillary growth and fibrin deposition form granulation tissue.
Epithelialization or eschar formation occurs. - Answer-Proliferative Phase
Starts around day 21, extends 1-2 years.
Fibroblasts continue collagen synthesis, which reorganizes into a stronger structure. -
Answer-Maturation Phase
is material, such as fluid and cells, that escapes from blood vessels during inflammation
and deposits in tissue or on tissue surfaces. - Answer-Exudate
Mainly serum, looks watery, few cells; e.g., fluid in blister from burn. - Answer-Serous
exudate
Thicker, contains pus (leukocytes, dead tissue debris, bacteria), varies in color (blue,
green, yellow), suppuration process. - Answer-Purulent exudate
Large amounts of red blood cells, indicates severe capillary damage, commonly seen in
open wounds. - Answer-Sanguineous exudate
Clear and blood-tinged drainage, commonly in surgical incisions. - Answer-
Serosanguineous
Pus and blood, often seen in new infected wounds. - Answer-Purosanguineous
Wound healing increases body's demands.
Clients need diets rich in protein, carbohydrates, lipids, vitamins (A and C), and
minerals (iron, zinc, copper). - Answer-Nutrition
Regular exercise promotes good circulation, aiding in quicker healing.
Smoking reduces functional hemoglobin, limiting oxygen-carrying capacity of blood and
constricting arterioles. - Answer-Lifestyle
Anti-inflammatory drugs (e.g., steroids, aspirin) and antineoplastic agents hinder
healing.
Prolonged antibiotic use may increase susceptibility to infection by resistant organisms.
- Answer-Medications
PREVENTING PRESSURE ULCERS - Answer-Providing Nutrition
Maintaining Skin Hygiene
Avoiding Skin Trauma
Providing Supportive Devices
Made of polyvinyl, silicone, or Silastic filled with gelatinous substance resembling fat. -
Answer-Gel Flotation Pads
QUESTIONS AND ANSWERS ALL
CORRECT
Normal bleeding, but excessive bleeding is abnormal.
Causes: clot dislodgement, slipped stitch, vessel erosion. - Answer-Hemorrhage
Inevitable wound colonization by microorganisms.
Hinders healing, may progress to infection.
Signs: color change, pain, odor, drainage; confirmed by culture. - Answer-Infection
Sutured wound partially or fully ruptures.
Evisceration: internal organs protrude through incision. - Answer-Dehiscence with
Possible Evisceration:
Healthy children and adults generally heal faster than older adults.
Older adults often have chronic diseases hindering healing; reduced liver function can
impair clotting factor synthesis. - Answer-Developmental Considerations
are surgical wounds in which the respiratory, gastrointestinal, genital, or urinary tract
has been entered. Such wounds show no evidence of infection. - Answer-Clean-
contaminated wounds
include open, fresh, accidental wounds and surgical wounds involving a major break in
sterile technique or a large amount of spillage from the gastrointestinal tract.
Contaminated wounds show evidence of inflammation. - Answer-Contaminated wounds
include wounds containing dead tissue and wounds with evidence of a clinical infection,
such as purulent drainage. - Answer-Dirty or infected wounds
occurs where the tissue surfaces have been approximated (closed) and there is minimal
or no tissue loss - Answer-primary intention healing
occurs in healing a wound that is extensive and involves considerable tissue loss and in
which the edges cannot or should not be approximated. - Answer-Secondary intention
healing
Begins immediately after injury, lasts 3 to 6 days. - Answer-Inflammatory Phase
Occurs from day 3 or 4 to about day 21 post-injury.
, Fibroblasts synthesize collagen, increasing wound strength.
Capillary growth and fibrin deposition form granulation tissue.
Epithelialization or eschar formation occurs. - Answer-Proliferative Phase
Starts around day 21, extends 1-2 years.
Fibroblasts continue collagen synthesis, which reorganizes into a stronger structure. -
Answer-Maturation Phase
is material, such as fluid and cells, that escapes from blood vessels during inflammation
and deposits in tissue or on tissue surfaces. - Answer-Exudate
Mainly serum, looks watery, few cells; e.g., fluid in blister from burn. - Answer-Serous
exudate
Thicker, contains pus (leukocytes, dead tissue debris, bacteria), varies in color (blue,
green, yellow), suppuration process. - Answer-Purulent exudate
Large amounts of red blood cells, indicates severe capillary damage, commonly seen in
open wounds. - Answer-Sanguineous exudate
Clear and blood-tinged drainage, commonly in surgical incisions. - Answer-
Serosanguineous
Pus and blood, often seen in new infected wounds. - Answer-Purosanguineous
Wound healing increases body's demands.
Clients need diets rich in protein, carbohydrates, lipids, vitamins (A and C), and
minerals (iron, zinc, copper). - Answer-Nutrition
Regular exercise promotes good circulation, aiding in quicker healing.
Smoking reduces functional hemoglobin, limiting oxygen-carrying capacity of blood and
constricting arterioles. - Answer-Lifestyle
Anti-inflammatory drugs (e.g., steroids, aspirin) and antineoplastic agents hinder
healing.
Prolonged antibiotic use may increase susceptibility to infection by resistant organisms.
- Answer-Medications
PREVENTING PRESSURE ULCERS - Answer-Providing Nutrition
Maintaining Skin Hygiene
Avoiding Skin Trauma
Providing Supportive Devices
Made of polyvinyl, silicone, or Silastic filled with gelatinous substance resembling fat. -
Answer-Gel Flotation Pads
