WOUND CARE FINAL EXAM QUESTIONS WITH ANSWERS GRADED TO PASS

List 3 factos that impact a patient's physiological Response to a wound? - -ability to care for the wound -location of the wound -presentation of the wound list the reimbursement for wound care that uses OASIS: - home health agency what 4 items must be included in documentation for insurance coverage: - -location -measurement -techniques -descriptions Chronic wounds often occur because the wound becomes "stuck" in which phases? - -infection What are the 3 C's regarding pressure ulcers? - 1) collaboration 2) communication 3) coordination What are the 4 phases of healing in full thickness wounds: - 1) hemostasis 2) inflammation 3) proliferation 4) maturation Describe the colors: - *Adherence: firm, loosly, non-adherent -red: healthy, good -pale pink: poor blood flow, anemia -purple: engorged, swelling, high bacteria levels, --trauma -black or brown: non-viable, necrotic -yellow: non-viable, necrotic -gray: non-viable: necrotic -green: infection, non-viable -white: poor blood flow, maceration, confused with bone/tissue How do you measure a wound: - length x width x depth what 4 factors affect wound healing: - -blood flow -moisture -temp -pain -age What is considered part of a basic skin assessment? - -turgor List 5 physical signs of malnutrition: - -dry mouth -listless -turgor -hair loss -dry skin list some warning signs of weight loss: - -dark urine Types and descriptions of Exudate - -serous -Sanguineous 3) Serosanguinous 4) Purulent What is the Braden scale used for? - used to determine pressure ulcers List some functions of skin: - -protective layer (prevents bacterial infection) -maintains temperature (sweating, shivering) -immune responses -expression of emotions (smiling, blushing) -metabolism -holds body shape -sensation -retains water lymphatic vessels are contained in what layers? - -Dermis -Subcutaenous What is the most common form of malnutrition secondary to excess nutrients other than obesity? - diabetes mellitus In a pre-albumin test complete, what does it mean if the value is low? - -risk level What is considered systemic with regard to wound healing - nutrition What is a non-invasive exam to asses the lower extremity? - ABI List 3 PU danger zones? - -sacrum -heels -backs -ears Should you even debride dry stable necrotic tissue? - no What must be done to use enzymatic debridement? - Must have a Dr's order Name 2 benefits of wound debridement: - ... What are some types of debridement strategies? - surgical -sharps (debride thin layers and down toward you) -mechanical (pulse lavage) -autolytic (use bodies own mechanism: topical agent) -enzymatic/chamical -Bio-surgical what determines your selection between selective vs. non-selective? - choices determined by: -size, position, type of wound -pain management -exudate levels -risk of infection -cost the technique most widely used to obtain wound cultures: - -swab culture