Questions And Answers
Quiz :TEWL - Answer :Transepidermal water loss
Quiz :What is the most common type of skin cancer? - Answer :basal cell
carcinoma (BCC)
Quiz :How does basal cell carcinoma present? - Answer :"pearl like"
translucent papule with central ulceration
Quiz :What is the second most common type of skin cancer? -
Answer :Squamous cell carcinoma (SCC)
Quiz :How does squamous cell carcinoma present? - Answer :Enlarging
keratotic papule
Quiz :ABCDEs of melanoma - Answer :Asymmetric, border irregular, color
variance, diameter >0.6 cm, evolution
Quiz :What is the order of repair in an acute wound? - Answer :Brief
inflammatory phase, epithelial resurfacing and granulation tissue formation
and remodeling
Quiz :What is the max tensile strength for a full-thickness wound healing by
scar tissue formation? - Answer :80% of original tissue strength
Quiz :What strategy is used to help convert a chronic wound into an acute
wound? - Answer :Surgical debridement
Quiz :intermittent claudication - Answer :pain and discomfort in calf muscles
while walking; a condition seen in peripheral arterial disease
Quiz :What are the nutritional requirements of patients with open wounds or
at risk for pressure ulcer? - Answer :30 to 35 cal/kg/day; 1.25 to 1.5
proteins/kg/day; and 30mL/kg/day of fluids
Quiz :Moisture retentive dressings - Answer :permit evaporation of moisture
from the skin ad wound--NOT OCCULSIVE
, Quiz :TIME framework for wound healing - Answer :tissue management,
control of inflammation/infection, moisture balance, edge advancement
Quiz :Appropriate wound cleansers that flush away exudate without damaging
proliferative cells include: - Answer :saline, commercial wound cleansers, and
potable tap water
Quiz :Cleansing of "dirty" wounds - Answer :Require 4 to 15 psi irrigating force
and may involve cytotoxic solutions
Quiz :contact layers - Answer :1. single layer of woven net
2. protects new granulation tissue
3. can irrigate through it
4. can use with topical med
5. needs a secondary dressing
6. not to be used with think exudate
Quiz :Hydrocolloid dressing - Answer :Inappropriate for infected wounds and
exudative wounds.
Quiz :transparent adhesive dressing - Answer :semipermeable, bacteria do
not penetrate the wound.
Quiz :When is debridement contraindicated? - Answer :In a closed uninfected
wound that is poorly perfused and when the goal of care is maintenance or
comfort as opposed to healing
Quiz :surgical debridement - Answer :The use of scalpels, scissors, or lasers in
a sterile environment by a physician or podiatrist to remove necrotic tissue,
foreign material, and debris from the wound bed. Debridement to the point of
bleeding may stimulate healing via the release of platelet-derived growth
factors.
Quiz :autolytic debridement - Answer :using body's enzymes to break down
tissue; Requires a moist wound surface and normal WBC counts (no infection)
Quiz :Enzymatic debridement - Answer :topical application of enzymes to
surface of necrotic tissue. can be used on infected and non-infected wounds
with necrotic tissue. may be used in wounds that have not responded to
autolytic debridement or in conjunction with other debridement techniques.