NUR 155 Exam 3 Exam Three Study Guide With Complete Solutions 2024.

NUR 155 EXAM 3 REVIEW




Chapter 36 – Wounds
v/ v/ v/




• Factors Affecting Skin Integrity
v/ v/ v/



o Genetics And Heredity v/ v/


o Age
o Chronic Illness And Their Treatments
v/ v/ v/ v/


o Medications - Antibiotics, Decreased Immune System Drugs, v/ v/ v/ v/ v/ v/


Steroids (Increase Bp), And People With A Sugary Base, Like
v/ v/ v/ v/ v/ v/ v/ v/ v/ v/


Diabetics, TendTo Have An Increased Risk Of Infection
v/ v/ v/ v/ v/ v/ v/ v/ v/



o Poor Nutrition v/




Types Of Wounds
v/ v/


o Wounds Are Either Intentional Or Unintentional
v/ v/ v/ v/ v/


▪ Intentional
• Trauma That Occurs During Therapy v/ v/ v/ v/


• Example: Operations Or Venipunctures v/ v/ v/


▪ Unintentional
• Accidental
• Example: A Person May Fracture An Arm In An Automobile Collision v/ v/ v/ v/ v/ v/ v/ v/ v/ v/


o Classifying Wounds By Depth v/ v/ v/


▪ Partial Thickness: Confined To The Skin, That Is, The v/ v/ v/ v/ v/ v/ v/ v/


DermisAnd Epidermis; Heal By Regeneration
v/ v/ v/ v/ v/ v/



▪ Full Thickness: Involving The Dermis, Epidermis, Subcutaneous Tissue,
v/ v/ v/ v/ v/ v/ v/



AndPossibly v/ v/


Muscle And Bone; Require Connective Tissue Repair v/ v/ v/ v/ v/ v/


o Wounds Contamination v/


▪ Clean Wounds: Infected Wounds In Which There Is Minimal
v/ v/ v/ v/ v/ v/ v/ v/


Inflammation And The Respiratory, Gastrointestinal, Genital
v/ v/ v/ v/ v/ v/


AndUrinary Tracts Are Not Entered. Clean Wounds Are
v/ v/ v/ v/ v/ v/ v/ v/ v/


Primarily Closed Wounds.
v/ v/ v/


▪ Clean-Contaminated Wounds: Surgical Wounds In Which v/ v/ v/ v/ v/


The Respiratory, Gastrointestinal, Genital Or Urinary Tract Has
v/ v/ v/ v/ v/ v/ v/ v/


Been Entered. Such Wounds Show No Evidence Of
v/ v/ v/ v/ v/ v/ v/ v/


Inflammation. v/


▪ Contaminated Wounds: Include Open, Fresh, Accidental Wounds v/ v/ v/ v/ v/ v/


And Surgical Wounds Involving A Major Break In Sterile
v/ v/ v/ v/ v/ v/ v/ v/ v/

, TechniqueOr A Large Amount Of Spillage From The
v/ v/ v/ v/ v/ v/ v/ v/ v/


Gastrointestinal Tract. Contaminated Wounds Show Evidence Of
v/ v/ v/ v/ v/ v/ v/


Inflammation.
v/


▪ Dirty Or Infected Wounds: Include Wounds Containing Dead
v/ v/ v/ v/ v/ v/ v/


Tissue And Wounds With Evidence Of A Clinical Infection,
v/ v/ v/ v/ v/ v/ v/ v/ v/


SuchAs Purulent Drainage.
v/ v/ v/ v/


o Types Of Wounds
v/ v/


▪ Incision
• Cause: Sharp Instrument (Ex: Knife/Scalpel) – Surgical/Cut
v/ v/ v/ v/ v/ v/


• Open Wound; Deep Or Shallow; Once The Edges Have Been
v/ v/ v/ v/ v/ v/ v/ v/ v/

, Sealed Together As A Part Of Treatment Or Healing, The
v/ v/ v/ v/ v/ v/ v/ v/ v/


• Incision Becomes A Closed Wound
v/ v/ v/ v/




Nur 155 Exam 3
Review Notes
v/ v/ v/




v /

, ▪ Contusion
• Cause: Blow From A Blunt Instrument – Baseball Bat
v/ v/ v/ v/ v/ v/ v/ v/


• Closed Wound; Skin Has v/ v/ v/


Ecchymosis (Bruised) Because Of
v/ v/ v/ v/


Damaged BloodVessels
v/ v/ /
v




▪ Abrasion
• Cause: Surface Scrape, Either Intentional (Dermal v/ v/ v/ v/ v/


Abrasion To Remove Pockmarks) Or
v/ v/ v/ v/ v/


Unintentional(Scraped Knee From A Fall)
v/ v/ v/ v/ v/ v/


• Open Wound Involving The Skin v/ v/ v/ v/


▪ Puncture
• Cause: Penetration Of The Skin v/ v/ v/ v/


And Often The Underlying
v/ v/ v/ v/


Tissues By A Sharp Instrument,
v/ v/ v/ v/ v/


Either Intentional Or
v/ v/ v/


Unintentional (Goes In &
v/ v/ v/ v/


ComesOut – Traps Bacteria)
v/ v/ v/ v/ v/



• Open Wound v/




▪ Laceration
• Cause: Tissues Torn v/ v/


Apart,Often From
v/ v/ v/


Accidents (Ex:
v/ v/


Machinery)
• Open Wound; Edges Are Often Jagged v/ v/ v/ v/ v/




▪ Penetrating Wound v/


• Penetration Of The Skin And The Underlying Tissues, v/ v/ v/ v/ v/ v/ v/


Usually Unintentional (Ex: From A Bullet Or Metal Fragments)
v/ v/ v/ v/ v/ v/ v/ v/


• Open Wound v/


o Different Ways To Close A Wound
v/ v/ v/ v/ v/


▪ Before Closing A Wound Make Sure Its Clean
v/ v/ v/ v/ v/ v/ v/


▪ Sutures- 7-10 Days (Jagged Laceration)
v/ v/ v/ v/


• When Taking Off, Hold v/ v/ v/



Knot With Tweezers, Cut
v/ v/ v/ v/



One Side Closest To The
v/ v/ v/ v/ v/



Skin And Pull Longest
v/ v/ v/ v/



Sidev/



– This Prevents The
v/ v/ v/



DirtySuture From Being
v/ /v v/ v/



PulledThrough Skin
v/ /v v/



(Avoids Contamination).
v/ v/


• Used For Deep Tissue Wounds v/ v/ v/ v/


• Absorbent Sutures v/


AreUsed Deep In The
v/ v/ v/ v/ v/