TEST BANK FOR WOUND CARE||REVISED
ANSWERS||COMPLETE GUIDE
Primary function of skin disruption
Ans>Protection from trauma (mechanical, thermal, chemical, radiant).
What are the results of impaired skin integrity?
Ans>Loss of body fluids and risk for infection.
Skin lesion
Ans>Pathological or traumatic discontinuity of tissue
Etiology: skin lesions
Ans>Mechanical injuries, pathological changes, allergies, bites
Primary lesion
Ans>Initial or first lesion to occur
Ex: mosquito bite
Secondary lesion
Ans>Change in the primary lesion
Ex: scab that develops after you have scratched the mosquito bite
,Wound
Ans>Disruption in the structure and function of the skin from bodily injury or disease
Intentional wounds
Ans>Wounds that occur from surgical procedures or treatments
Unintentional wound
Ans>Wound that occurs from accidental injuries or trauma, adverse effects of health care
Open wound
Ans>An injury in which the skin is interrupted or disrupted, exposing the tissue beneath.
Closed wound
Ans>Bruising underneath the skin
Clean wound
Ans>Wound that is created with clean surgical instruments; microbes have not entered the
wound.
Contaminated wound
Ans>Wound with presence of microorganisms, dirt, debris, exudate
Acute wound
Ans>Wound that heals in orderly and timely process; i.e. Surgical incision
, Chronic wound
Ans>Wound that heals slowly and has an insidious onset; i.e. Dpu
Types of wounds
Open vs closed
Clean vs contaminated
Acute vs chronic
Ryb classification system
Ans>Based on wound bed color
Red wound bed color
Ans>Granulating tissue (clean, healthy tissue)
Yellow wound bed color
Ans>Slough (fibrous material of exudate) ;wound is not ready to heal yet
Eschar wound bed
Ans>Necrotic tissue (thick, leathery); tissue is nonhealing and needs to be removed
Exudate
Ans>Fluid and cells that have escaped from blood vessels during the inflammatory process
Exudate: serous
Ans>Clear, plasma thats escaping from wound bed
ANSWERS||COMPLETE GUIDE
Primary function of skin disruption
Ans>Protection from trauma (mechanical, thermal, chemical, radiant).
What are the results of impaired skin integrity?
Ans>Loss of body fluids and risk for infection.
Skin lesion
Ans>Pathological or traumatic discontinuity of tissue
Etiology: skin lesions
Ans>Mechanical injuries, pathological changes, allergies, bites
Primary lesion
Ans>Initial or first lesion to occur
Ex: mosquito bite
Secondary lesion
Ans>Change in the primary lesion
Ex: scab that develops after you have scratched the mosquito bite
,Wound
Ans>Disruption in the structure and function of the skin from bodily injury or disease
Intentional wounds
Ans>Wounds that occur from surgical procedures or treatments
Unintentional wound
Ans>Wound that occurs from accidental injuries or trauma, adverse effects of health care
Open wound
Ans>An injury in which the skin is interrupted or disrupted, exposing the tissue beneath.
Closed wound
Ans>Bruising underneath the skin
Clean wound
Ans>Wound that is created with clean surgical instruments; microbes have not entered the
wound.
Contaminated wound
Ans>Wound with presence of microorganisms, dirt, debris, exudate
Acute wound
Ans>Wound that heals in orderly and timely process; i.e. Surgical incision
, Chronic wound
Ans>Wound that heals slowly and has an insidious onset; i.e. Dpu
Types of wounds
Open vs closed
Clean vs contaminated
Acute vs chronic
Ryb classification system
Ans>Based on wound bed color
Red wound bed color
Ans>Granulating tissue (clean, healthy tissue)
Yellow wound bed color
Ans>Slough (fibrous material of exudate) ;wound is not ready to heal yet
Eschar wound bed
Ans>Necrotic tissue (thick, leathery); tissue is nonhealing and needs to be removed
Exudate
Ans>Fluid and cells that have escaped from blood vessels during the inflammatory process
Exudate: serous
Ans>Clear, plasma thats escaping from wound bed
