NUR 2210 FINAL EXAM
1. aerobic wound culture - ANSWER-wound culture that is exposed to O2
and open
2. anaerobic wound culture - ANSWER-wound culture where O2 is sucked
out and closed
3. infection - ANSWER-what results when the immune system fails to
control growth of microorganisms?
4. 2-7 days post surgery/ injury - ANSWER-when do infection symptoms
usually begin to appear?
5. purulent drainage, increased body temp, increased WBC, delayed
healing and discoloration of granulation tissue in the wound - ANSWER-
symptoms of infection
6. development of chronic wounds, osteomyelitis, and sepsis - ANSWER-
complications from wound infections
7. residential bacteria is on top and infection is deeper below - ANSWER-
Why should you always take a wound culture from deep in the wound
and not from the top?
8. Stage 1 pressure ulcer - ANSWER-pressure ulcer where skin is intact,
non-blancheable redness over a localized bony area. area may be
painful, firm, soft, warm/cool. Persistent red/blue/purple tones
,9. Stage 2 pressure ulcer - ANSWER-Pressure ulcer where partial-
thickness of dermis presents as shallow open ulcer with a red/pink
wound bed, without slough. Shallow ulcer is dry or shiny without slough
or bruising. May present as an intact or open/rupture clear serum-filled
blister
10. Stage 3 pressure ulcer - ANSWER-pressure ulcer presents with
full-thickness tissue loss with damage and necrosis subcutaneous
tissue. Subcutaneous fat may be visible, but bone, tendon, and muscle
are not. Presents as a deep crater.
11. Stage 4 pressure ulcer - ANSWER-pressure ulcer presents with
full-thickness skin loss with extensive destruction, necrosis, or damage
to muscle, bone, or other structures. Slough or eschar may be present
on some parts of the wound bed and often includes undermining and
tunneling
12. Unstageable - ANSWER-pressure ulcer presenting with
full0thickkness tissue loss in which the base of the ulcer is covered by
slough (yellow, tan, gray, green, or brown) and/or eschar (tan, brown,
black) in the wound bed. True depth is unable to be determined
13. normal sterile saline - ANSWER-agent usually used for cleaning
wounds
14. initially and before applying new dressings - ANSWER-when are
wounds cleaned?
15. wash from clean to dirty. Remove microorganisms and debris
with as little chemical and mechaical force as possible and protect
health granulation tissue - ANSWER-how to clean a wound
(approximated or unapproximated edges)
, 16. moisten slerile gauze with prescribed cleaning agent and use a
new one for each stroke. Clean from top to bottom and work outward
from the incision in lines parallel to it. Wipe from clean to dirty -
ANSWER-How to clean wounds with approximated edges
17. moisten sterile gauze with prescribed gleaning agent and use a
new one for each circle. Clean the wound in a full or half cycle,
beginning in the center and working toward the outside. - ANSWER-
how to clean wound with unapproximated edges
18. one inch beyond the end of new dressing - ANSWER-how far out
should you clean a wound with unapproximated edges before applying
a new dressing
19. 2 inches beyond wound margins - ANSWER-how far out should
you clean a wound with unapproximated edges when you will not be
applying a dressing
20. primary intention - ANSWER-wound that involves little tissue loss,
edges are approximated, and wound is closed to heal. surgical wounds
are this type
21. secondary intention - ANSWER-wounds that involve loss of tissue,
wound is left open to heal, and filled by scar tissue. Burns, pressure
ulcers, severe lacerations are this type
22. tertiary intention - ANSWER-wounds that are chronic; they heal
and then come back. They are not necessarily infected
23. inflammatory phase - ANSWER-phase in the healing process
when wound is red, painful, swelled, and healing on its own. lasts
about 4-6 days; WBC are moving to wound
1. aerobic wound culture - ANSWER-wound culture that is exposed to O2
and open
2. anaerobic wound culture - ANSWER-wound culture where O2 is sucked
out and closed
3. infection - ANSWER-what results when the immune system fails to
control growth of microorganisms?
4. 2-7 days post surgery/ injury - ANSWER-when do infection symptoms
usually begin to appear?
5. purulent drainage, increased body temp, increased WBC, delayed
healing and discoloration of granulation tissue in the wound - ANSWER-
symptoms of infection
6. development of chronic wounds, osteomyelitis, and sepsis - ANSWER-
complications from wound infections
7. residential bacteria is on top and infection is deeper below - ANSWER-
Why should you always take a wound culture from deep in the wound
and not from the top?
8. Stage 1 pressure ulcer - ANSWER-pressure ulcer where skin is intact,
non-blancheable redness over a localized bony area. area may be
painful, firm, soft, warm/cool. Persistent red/blue/purple tones
,9. Stage 2 pressure ulcer - ANSWER-Pressure ulcer where partial-
thickness of dermis presents as shallow open ulcer with a red/pink
wound bed, without slough. Shallow ulcer is dry or shiny without slough
or bruising. May present as an intact or open/rupture clear serum-filled
blister
10. Stage 3 pressure ulcer - ANSWER-pressure ulcer presents with
full-thickness tissue loss with damage and necrosis subcutaneous
tissue. Subcutaneous fat may be visible, but bone, tendon, and muscle
are not. Presents as a deep crater.
11. Stage 4 pressure ulcer - ANSWER-pressure ulcer presents with
full-thickness skin loss with extensive destruction, necrosis, or damage
to muscle, bone, or other structures. Slough or eschar may be present
on some parts of the wound bed and often includes undermining and
tunneling
12. Unstageable - ANSWER-pressure ulcer presenting with
full0thickkness tissue loss in which the base of the ulcer is covered by
slough (yellow, tan, gray, green, or brown) and/or eschar (tan, brown,
black) in the wound bed. True depth is unable to be determined
13. normal sterile saline - ANSWER-agent usually used for cleaning
wounds
14. initially and before applying new dressings - ANSWER-when are
wounds cleaned?
15. wash from clean to dirty. Remove microorganisms and debris
with as little chemical and mechaical force as possible and protect
health granulation tissue - ANSWER-how to clean a wound
(approximated or unapproximated edges)
, 16. moisten slerile gauze with prescribed cleaning agent and use a
new one for each stroke. Clean from top to bottom and work outward
from the incision in lines parallel to it. Wipe from clean to dirty -
ANSWER-How to clean wounds with approximated edges
17. moisten sterile gauze with prescribed gleaning agent and use a
new one for each circle. Clean the wound in a full or half cycle,
beginning in the center and working toward the outside. - ANSWER-
how to clean wound with unapproximated edges
18. one inch beyond the end of new dressing - ANSWER-how far out
should you clean a wound with unapproximated edges before applying
a new dressing
19. 2 inches beyond wound margins - ANSWER-how far out should
you clean a wound with unapproximated edges when you will not be
applying a dressing
20. primary intention - ANSWER-wound that involves little tissue loss,
edges are approximated, and wound is closed to heal. surgical wounds
are this type
21. secondary intention - ANSWER-wounds that involve loss of tissue,
wound is left open to heal, and filled by scar tissue. Burns, pressure
ulcers, severe lacerations are this type
22. tertiary intention - ANSWER-wounds that are chronic; they heal
and then come back. They are not necessarily infected
23. inflammatory phase - ANSWER-phase in the healing process
when wound is red, painful, swelled, and healing on its own. lasts
about 4-6 days; WBC are moving to wound
