NU 136 EXAM 5 QUESTIONS WITH
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1. What are the locations for arterial ulcers?
Between toes, tips of toes, over phalangeal heads, around lateral malleolus.
2. What are the characteristics of arterial ulcers?
Severe pain, minimal drainage, decreased temperature, absent or diminished
pulses, cyanosis, thickened toenails, gangrene.
3. What are the locations for venous ulcers?
Medial lower leg, ankle, superior to medial malleolus, seldom on the foot or above
the knee.
4. What are the characteristics of venous ulcers?
Moderate to large drainage, pain levels vary, ankle flare, lipodermatosclerosis,
dilated superficial veins.
5. What are the locations for neuropathic (Diabetic) ulcers?
Plantar aspect of foot, over metatarsal heads, under heel.
6. What are the characteristics of neuropathic ulcers?
Low to moderate drainage, foot deformities, diminished or absent sensation,
palpable pulses, osteomyelitis, usually painless.
,7. What are the phases of wound healing?
Hemostasis, inflammation, proliferation, maturation.
8. What phase is hemostasis?
Phase 1 – the immediate response, blood clotting.
9. What phase is inflammation?
Phase 2 – begins immediately, lasts 4-5 days, protective response with WBC and
macrophages.
10. What phase is proliferation?
Phase 3 – reconstructive, begins on 3rd or 4th day, lasts 2-3 weeks.
11. What phase is maturation?
Phase 4 – final, remodeling, scar maturation, begins about 3 weeks after injury, can
last up to 2 years.
12. What factors affect wound healing?
Age, nutrition, medications, infection, chronic illness, lifestyle, immune system,
liver function.
13. What is first intention (Primary)?
Little tissue loss, edges approximate, slight infection risk.
14. What is second intention?
,Tissue loss, wound left open, fills with scar tissue.
15. What is third intention (Tertiary)?
Delayed suturing after granulation begins, healing.
16. What are the closed wounds and characteristics?
Contusion, hematoma, sprain.
17. What are open wounds and characteristics?
Incision, laceration, abrasion, penetrating, avulsion, ulceration, perforation, crush.
18. List complications of wound healing.
Hemorrhage, dehiscence, evisceration, infection.
19. What is the purpose of wound drains?
Provide an exit for blood and pus during inflammation.
20. How does an active drain work?
Attached to suction device (e.g., Hemovac, Jackson-Pratt).
21. How does a passive drain work?
No suction, relies on gravity and capillary action (e.g., Penrose).
22. What do you assess with drainage?
Color, consistency, odor, amount.
, 23. What are the advantages of negative pressure wound therapy (wound vac)?
Increases healing rate, blood flow, tissue growth, reduces dressing changes, draws
out fluid.
24. What is negative pressure wound therapy?
Suction device applying negative pressure, promoting tissue growth.
25. How long can a cold compress be applied?
20 minutes.
26. What is the most common place for neuropathic ulcers?
Metatarsals.
27. What is Charcot foot?
Collapse of arch causing ulcer.
28. What do you assess about a wound?
Edema, erythema, temp.
29. What are types of wound closures?
Sutures, staples, steri-strips, dermabond.
30. What are the different types of debridement?
Sharps, enzymatic, chemical, mechanical.