QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
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acute wound - CORRECT ANSWER- wound that proceeds through an orderly & timely
reparative process --> sustained restoration of anatomical & functional integrity
phases of wound healing - CORRECT ANSWER- 1) inflammatory phase
2) proliferative phase
3) remodelling phase
what's a part of the proliferative phase? - CORRECT ANSWER- proliferation, granulation
& contraction
what happens during inflammatory phase? - CORRECT ANSWER- 1) hemostasis.
(vasoconstriction)
2) platelets + fibrin forms, clot formation
3) histamina, vasodilation, increased capillary permeability, erythema, swelling &
warmth
,what happens day 1-3 inflammatory phase? - CORRECT ANSWER- neutrophils released
to injury site, phagocytosis of debris beings.
wound - CORRECT ANSWER- break in the continuity of body structure, caused by
violence, trauma, or surgery to tissue bodies
ex; of acute wounds - CORRECT ANSWER- surgical incisions, traumatic wounds,
lacerations, burns
ex; of chronic wounds - CORRECT ANSWER- PI, diabetic ulcers, malignant
what happens during day 3-24 of proliferative phase? - CORRECT ANSWER- 1)
granulation tissue appears in wound
2) contraction of wound edges
3) resurfacing by epithelialization --> dermal regen.
4) vascular bed reestablished
what happens during day 24-2 yrs of remodelling phase? - CORRECT ANSWER- 1)
collagen fibers reorganize & remodel
2) permanent scar
3) attains 80% of original strength
Primary intention healing - CORRECT ANSWER- wound that is closed by suture or wound
closers & healing occurs by collagen synthesis; lower risk of infection, and heals
quickly w/ minimal scarring.
,secondary intention healing - CORRECT ANSWER- wound edges are not approximated.
heals by granulation tissue formation, wound contraction & epithelialization.
has a prolonged phase of inflammation due to increased time needed for
phagocytosis of necrotic tissue.
tertiary intention healing - CORRECT ANSWER- wound is left open for several days as it
could be contaminated. has an increased risk of infection, so closure of wound is
done later until risk of infection is resolved.
why is the wound kept open for tertiary healing? - CORRECT ANSWER- to allow exudate
to drain, prevent the spread of deep infection & aiding granulation.
medical asepsis - CORRECT ANSWER- aka, *clean technique*.
includes procedures used to reduce & prevent the spread of microorganisms
ex; of medical asepsis - CORRECT ANSWER- hand washing, clean gloves, cleaning
environment routinely.
ex; of surgical asepsis - CORRECT ANSWER- aka *surgical technique*.
requires more stringent techniques, *eliminating all microorganisms*.
, when do you use surgical asepsis? - CORRECT ANSWER- when a patient's kin is broken,
or if the nurse performs an invasive procedure in a body cavity that is normally
free of microorganisms.
ex; of surgical asepsis procedures - CORRECT ANSWER- - protective clothing
- opening sterile packages
- sterile field
- pouring sterile solns
- surgical hand scrub
- gowning & gloving
Principles of Surgical Asepsis - CORRECT ANSWER- - *a sterile object remains sterile only
when touched by another sterile object*
- a sterile object or field out of range of vision or an object held below a person's
waist is contaminated
- a sterile objective or field becomes contaminated by prolonged exposure to air.
complications of wound healing - CORRECT ANSWER- hemorrhage, infection,
dehiscence, evisceration, fistula formation
hemorrhage nsg dx d/t - CORRECT ANSWER- slipped suture, dislodged clot, infection, or
eroded blood vessel