Soft Tissue - Wound Care - WOCN Fact Sheet /
Updated 2024-2025/ Questions And Answers
Quiz :Venous Insufficiency History - Answer :-Advanced Age
-CHF
-Lymphedema
-Obesity
-Orthopedic Procedures
-Pain reduced by elevation
-Pregnancy
-Previous DVT with Phlebitis
-Pulmonary Embolus
-Reduced mobility
-Sedentary Lifestyle
-Traumatic Injury
-Vascular Ulcers
-Work History
Quiz :Venous Insufficiency Location - Answer :Malleolus - medial
Medial aspect of leg superior to medial malleolus
Quiz :Venous Insufficiency Assessment of Wound - Answer :Base: ruddy red;
yellow adherent or loose slough; granulation tissue present, undermining or
tunneling are uncommon
Depth: usually shallow
Margins: irregular
Exudate: moderate to heavy
Infection: less common
Quiz :Venous Insufficiency Assessment Surround Skin - Answer :-Venous
dermatitis (erythematic, weeping, scaling, crusting)
-Hemosiderosis (brown staining)
-Lipodermatosclerosis; Atrophy -Blanche
-Temperature: normal; warm to touch
-Edema: pitting or non-pitting; possible induration and cellulitis
-Scarring from previous ulcers ankle flare, tinea pedis
-Infection: induration, cellulitis, inflamed, tender bulla
Quiz :Venous Insufficiency Perfusion - Pain - Answer :Minimal unless infected
or dessicated
, Described as throbbing, sharp, itchy, sore, tender, heaviness
Worsens with prolonged dependency
Quiz :Venous Insufficiency Perfusion - Peripheral Pulses - Answer
:Present/Palpable - though they may not be if the edema is extreme enough
Quiz :Venous Insufficiency Perfusion - Non-Invasive Vascular Testing -
Answer :Capillary Refill: normal (less than 3 seconds)
ABI to rule out arterial component
Quiz :Venous Insufficiency Perfusion - Measures to Improve Venous Return -
Answer :Provided vascular studies have ruled out significant arterial disease
-Surgical obliteration or damaged veins
-Elevation of legs
-Medications
-Exercise
-Education
-Compression therapy to provide at least
Quiz :Venous Insufficiency Topical Therapy - Answer :Goals: absorb exudates,
maintain moist wound surface
Quiz :Clinical Interventions for Venous Wounds - Answer :Systemic Therapy:
pentoxifylline (trental) - research shows increased healing when combined
with compression therapy
Compression therapy: sequential compression devices; compression bandaging
systems/garments
Topical therapy: wound cleansing, debridement, topical agents and dressings
Patient education: compliance with LE elevation, compression therapy;
meticulous skin care; nutrition
Quiz :Arterial Insufficiency History - Answer :-Arterial Disease
-Cardiovascular Disease
-Diabetes
-Dyslipidemia
-Hypertension
-Increased pain with activity and/or elevation
-Intermittent Claudication
-Obesity
-Painful Ulcer
Updated 2024-2025/ Questions And Answers
Quiz :Venous Insufficiency History - Answer :-Advanced Age
-CHF
-Lymphedema
-Obesity
-Orthopedic Procedures
-Pain reduced by elevation
-Pregnancy
-Previous DVT with Phlebitis
-Pulmonary Embolus
-Reduced mobility
-Sedentary Lifestyle
-Traumatic Injury
-Vascular Ulcers
-Work History
Quiz :Venous Insufficiency Location - Answer :Malleolus - medial
Medial aspect of leg superior to medial malleolus
Quiz :Venous Insufficiency Assessment of Wound - Answer :Base: ruddy red;
yellow adherent or loose slough; granulation tissue present, undermining or
tunneling are uncommon
Depth: usually shallow
Margins: irregular
Exudate: moderate to heavy
Infection: less common
Quiz :Venous Insufficiency Assessment Surround Skin - Answer :-Venous
dermatitis (erythematic, weeping, scaling, crusting)
-Hemosiderosis (brown staining)
-Lipodermatosclerosis; Atrophy -Blanche
-Temperature: normal; warm to touch
-Edema: pitting or non-pitting; possible induration and cellulitis
-Scarring from previous ulcers ankle flare, tinea pedis
-Infection: induration, cellulitis, inflamed, tender bulla
Quiz :Venous Insufficiency Perfusion - Pain - Answer :Minimal unless infected
or dessicated
, Described as throbbing, sharp, itchy, sore, tender, heaviness
Worsens with prolonged dependency
Quiz :Venous Insufficiency Perfusion - Peripheral Pulses - Answer
:Present/Palpable - though they may not be if the edema is extreme enough
Quiz :Venous Insufficiency Perfusion - Non-Invasive Vascular Testing -
Answer :Capillary Refill: normal (less than 3 seconds)
ABI to rule out arterial component
Quiz :Venous Insufficiency Perfusion - Measures to Improve Venous Return -
Answer :Provided vascular studies have ruled out significant arterial disease
-Surgical obliteration or damaged veins
-Elevation of legs
-Medications
-Exercise
-Education
-Compression therapy to provide at least
Quiz :Venous Insufficiency Topical Therapy - Answer :Goals: absorb exudates,
maintain moist wound surface
Quiz :Clinical Interventions for Venous Wounds - Answer :Systemic Therapy:
pentoxifylline (trental) - research shows increased healing when combined
with compression therapy
Compression therapy: sequential compression devices; compression bandaging
systems/garments
Topical therapy: wound cleansing, debridement, topical agents and dressings
Patient education: compliance with LE elevation, compression therapy;
meticulous skin care; nutrition
Quiz :Arterial Insufficiency History - Answer :-Arterial Disease
-Cardiovascular Disease
-Diabetes
-Dyslipidemia
-Hypertension
-Increased pain with activity and/or elevation
-Intermittent Claudication
-Obesity
-Painful Ulcer
