TCRN REVIEWED TEST WITH
CORRECT ANSWERS
List some special considerations for abrasions. - CORRECT
ANSWER-Pain control - full thickness abrasions may be
associated with nerve damage and may have less pain
Evaporative heat loss - consider warming measures
Evaporative fluid loss - consider need for fluid replacement
Scarring - anesthetize wound and aggressively remove debris
Define contusion. - CORRECT ANSWER-Rupture of
subcutaneous blood vessels with extravasation of erythrocytes.
Define hematoma. - CORRECT ANSWER-Rupture of artery or
vein that will continue to expand until the pressure in the tissue
exceeds the pressure in the ruptured vessel.
Contusions and hematomas have the potential for what
significant complication? - CORRECT ANSWER-Compartment
Syndrome
List 2 special considerations related to contusions /
hematomas. - CORRECT ANSWER-Potential for enough blood
loss to cause hypovolemia, especially in areas of the body with
greater dispensability (like the thigh).
Blood is a medium for bacterial growth, therefore wounds with
contusions and hematomas may have a greater risk for
infection.
What are the treatments for contusions / hematomas? -
CORRECT ANSWER-Elevation
Application of Ice Packs
,Puncture wounds have a high rate of _____. - CORRECT
ANSWER-Infection
What treatment should be done with puncture wounds? -
CORRECT ANSWER-Soaking
At time of discharge, what teaching should be given to a patient
who sustained a puncture wound? - CORRECT ANSWER-
Soak wound 2-3 times per day for 2-4 days
What type of bites tend to be deep wounds involving crushing
of the tissue or avulsion? - CORRECT ANSWER-Dog Bites
Are larger bites or smaller bites more susceptible to infection? -
CORRECT ANSWER-Smaller. The larger size of wounds
allows bacteria to exit, decreasing the incidence of infection.
How many hours after a cat bite does infection usually start? -
CORRECT ANSWER-12 hours
What complications are often associated with cat bites? -
CORRECT ANSWER-Abscess, Cellulitis, Osteomyelitis
Smaller puncture wounds traps bacteria increasing rate of
infectious complications.
What type of bites have very high infection rates? - CORRECT
ANSWER-Human bites
How many days after a human bite does infection usually start?
- CORRECT ANSWER-1-2 days after bite
What diseases can be associated by human bite? - CORRECT
ANSWER-Hepatitis B, Hepatitis C and potentially HIV
Teeth marks over knuckles from "punching someone" are
associated with _____. - CORRECT ANSWER-Fractures of the
third and fifth metacarpal, osteomyelitis and joint infection.
, Wounds caused by high pressure devices (paintball gun,
grease gun) can cause _____. - CORRECT ANSWER-
Compartment Syndrome
If a device triggers releasing foreign matter into the wound, it
may travel deep into the tissue separating fascial planes and
causing _____. - CORRECT ANSWER-Compartment
Syndrome
_____ requires high triage prioritization and potential surgical
intervention. - CORRECT ANSWER-Compartment Syndrome
List the 3 types of tissue damage that occur with gunshot
wounds. - CORRECT ANSWER-Permanent cavity
Temporary cavity
Pressure Wave
What is the permanent cavity associated with a gunshot
wound? - CORRECT ANSWER-Penetrating trauma following
the path of the projectile
What is the temporary cavity associated with a gunshot wound?
- CORRECT ANSWER-Crush injuries around the permanent
cavity caused by temporary displacement of tissue as the
projectile moves through the tissue.
What is the pressure wave associated with a gunshot wound? -
CORRECT ANSWER-Damage in areas adjacent to the
permanent cavity as the projectile moves through the tissue
(increased damage to hollow organs).
In gunshot wounds, the faster the projectile is moving as it
passes through the tissue, the _____. - CORRECT ANSWER-
Greater the size of the temporary cavity and pressure wave.
CORRECT ANSWERS
List some special considerations for abrasions. - CORRECT
ANSWER-Pain control - full thickness abrasions may be
associated with nerve damage and may have less pain
Evaporative heat loss - consider warming measures
Evaporative fluid loss - consider need for fluid replacement
Scarring - anesthetize wound and aggressively remove debris
Define contusion. - CORRECT ANSWER-Rupture of
subcutaneous blood vessels with extravasation of erythrocytes.
Define hematoma. - CORRECT ANSWER-Rupture of artery or
vein that will continue to expand until the pressure in the tissue
exceeds the pressure in the ruptured vessel.
Contusions and hematomas have the potential for what
significant complication? - CORRECT ANSWER-Compartment
Syndrome
List 2 special considerations related to contusions /
hematomas. - CORRECT ANSWER-Potential for enough blood
loss to cause hypovolemia, especially in areas of the body with
greater dispensability (like the thigh).
Blood is a medium for bacterial growth, therefore wounds with
contusions and hematomas may have a greater risk for
infection.
What are the treatments for contusions / hematomas? -
CORRECT ANSWER-Elevation
Application of Ice Packs
,Puncture wounds have a high rate of _____. - CORRECT
ANSWER-Infection
What treatment should be done with puncture wounds? -
CORRECT ANSWER-Soaking
At time of discharge, what teaching should be given to a patient
who sustained a puncture wound? - CORRECT ANSWER-
Soak wound 2-3 times per day for 2-4 days
What type of bites tend to be deep wounds involving crushing
of the tissue or avulsion? - CORRECT ANSWER-Dog Bites
Are larger bites or smaller bites more susceptible to infection? -
CORRECT ANSWER-Smaller. The larger size of wounds
allows bacteria to exit, decreasing the incidence of infection.
How many hours after a cat bite does infection usually start? -
CORRECT ANSWER-12 hours
What complications are often associated with cat bites? -
CORRECT ANSWER-Abscess, Cellulitis, Osteomyelitis
Smaller puncture wounds traps bacteria increasing rate of
infectious complications.
What type of bites have very high infection rates? - CORRECT
ANSWER-Human bites
How many days after a human bite does infection usually start?
- CORRECT ANSWER-1-2 days after bite
What diseases can be associated by human bite? - CORRECT
ANSWER-Hepatitis B, Hepatitis C and potentially HIV
Teeth marks over knuckles from "punching someone" are
associated with _____. - CORRECT ANSWER-Fractures of the
third and fifth metacarpal, osteomyelitis and joint infection.
, Wounds caused by high pressure devices (paintball gun,
grease gun) can cause _____. - CORRECT ANSWER-
Compartment Syndrome
If a device triggers releasing foreign matter into the wound, it
may travel deep into the tissue separating fascial planes and
causing _____. - CORRECT ANSWER-Compartment
Syndrome
_____ requires high triage prioritization and potential surgical
intervention. - CORRECT ANSWER-Compartment Syndrome
List the 3 types of tissue damage that occur with gunshot
wounds. - CORRECT ANSWER-Permanent cavity
Temporary cavity
Pressure Wave
What is the permanent cavity associated with a gunshot
wound? - CORRECT ANSWER-Penetrating trauma following
the path of the projectile
What is the temporary cavity associated with a gunshot wound?
- CORRECT ANSWER-Crush injuries around the permanent
cavity caused by temporary displacement of tissue as the
projectile moves through the tissue.
What is the pressure wave associated with a gunshot wound? -
CORRECT ANSWER-Damage in areas adjacent to the
permanent cavity as the projectile moves through the tissue
(increased damage to hollow organs).
In gunshot wounds, the faster the projectile is moving as it
passes through the tissue, the _____. - CORRECT ANSWER-
Greater the size of the temporary cavity and pressure wave.
