UTA Foundations Exam 1 Questions
and Answers16
full thickness wound - ANSWERSthe dermis, epidermis, and subcutaneous tissue are
penetrated; muscle and bone may be involved
unstageable wound - ANSWERSFull-thickness tissue loss in which the base of the ulcer is
covered by slough (yellow, tan, gray, green, or brown) and/or eschar (tan, brown, or black) in
the wound bed. Until enough slough and/or eschar is removed to expose the base of the
wound, the true depth, and therefore stage, cannot be determined.
open wound - ANSWERSan injury in which the skin is interrupted, exposing the tissue beneath
closed wound - ANSWERSan internal injury with no open pathway from the outside
Primary intention - ANSWERSWound healing where edges are well-approximated
Secondary intention healing - ANSWERSwound in which the tissue surfaces are not
approximated and there is extensive tissue loss; formation of excessive granulation tissue and
scarring
tertiary intention - ANSWERSThe wound is purposely left open due to heavy infection or
contamination
initially cleaned, debrided and observed
(Tissue Graft, Stage 4 Pressure ulcer with necrotic tissue and infection)
Phases of wound healing - ANSWERSHemostasis
,Inflammatory
Proliferation
Maturation
Putting on sterile gloves - ANSWERSPut cuff end closest to your body, insert dominant hand first
palm up into the glove (leave cuff folded). place fingers of the gloved hand under the other cuff
and fully extend the cuff down the arm touching only the sterile outside of the glove, repeat for
the other hand
removing soiled gloves - ANSWERSUse dominant hand to grasp the opposite glove near cuff end
on the outside exposed area.Remove it by pulling it off, inverting it as it is pulled, keeping the
contaminated area on the inside. Hold the removed glove in the remaining gloved hand. Slide
fingers of ungloved hand between the remaining glove and the wrist. Take care to avoid
touching the outside surface of the glove. Remove it by pulling it off, inverting it as it is pulled,
keeping the contaminated area on the inside, and securing the first glove inside the second
Preparing a sterile field - ANSWERSOpen packages away from body
Touch only outer 1 inch corner
Drop sterile items onto field 6 inches above
Pour sterile solution onto dressing or into container after pouring out a small amount - do not
let it touch
Put on sterile gloves after everything is opened
Using Sterile drapes - ANSWERSKeep drape folded until you are ready to use them; When ready
to use them; hold drapes higher than the OR bed or furniture you are draping; Once drape is in
place, don't move it. This would cause a non-sterile area to be brought up to a sterile one;
Drapes are unfolded and applied gently; any turbulence may move particulate material
Using of full PPE - ANSWERS1. check medical records and nursing care plan for precautions
2. plan activities
, 3. Provide instructions to patient, family etc...
4. hand hygiene
5. put on gown
6. put on mask
7. put on goggle
8 put on gloves
9 Identify patient
Removal of full PPE - ANSWERS1. If gown is tied in front, untie with gloves
2. remove gloves
3. remove goggles
4. remove gown
5. remove mask near doorway (respirator outside of room with door closed)
6. Perform hand hygiene
Hand Hygiene (Hand Washing) - ANSWERS1 Address client by name and introduces self to client
by
name
2 Turns on water at sink
3 Wets hands and wrists thoroughly
4 Applies soap to hands
5 Lathers all surfaces of wrists, hands, and fingers
producing friction, for at least 20 (twenty) seconds,
keeping hands lower than the elbows and the
fingertips down
6 Cleans fingernails by rubbing fingertips against palms
and Answers16
full thickness wound - ANSWERSthe dermis, epidermis, and subcutaneous tissue are
penetrated; muscle and bone may be involved
unstageable wound - ANSWERSFull-thickness tissue loss in which the base of the ulcer is
covered by slough (yellow, tan, gray, green, or brown) and/or eschar (tan, brown, or black) in
the wound bed. Until enough slough and/or eschar is removed to expose the base of the
wound, the true depth, and therefore stage, cannot be determined.
open wound - ANSWERSan injury in which the skin is interrupted, exposing the tissue beneath
closed wound - ANSWERSan internal injury with no open pathway from the outside
Primary intention - ANSWERSWound healing where edges are well-approximated
Secondary intention healing - ANSWERSwound in which the tissue surfaces are not
approximated and there is extensive tissue loss; formation of excessive granulation tissue and
scarring
tertiary intention - ANSWERSThe wound is purposely left open due to heavy infection or
contamination
initially cleaned, debrided and observed
(Tissue Graft, Stage 4 Pressure ulcer with necrotic tissue and infection)
Phases of wound healing - ANSWERSHemostasis
,Inflammatory
Proliferation
Maturation
Putting on sterile gloves - ANSWERSPut cuff end closest to your body, insert dominant hand first
palm up into the glove (leave cuff folded). place fingers of the gloved hand under the other cuff
and fully extend the cuff down the arm touching only the sterile outside of the glove, repeat for
the other hand
removing soiled gloves - ANSWERSUse dominant hand to grasp the opposite glove near cuff end
on the outside exposed area.Remove it by pulling it off, inverting it as it is pulled, keeping the
contaminated area on the inside. Hold the removed glove in the remaining gloved hand. Slide
fingers of ungloved hand between the remaining glove and the wrist. Take care to avoid
touching the outside surface of the glove. Remove it by pulling it off, inverting it as it is pulled,
keeping the contaminated area on the inside, and securing the first glove inside the second
Preparing a sterile field - ANSWERSOpen packages away from body
Touch only outer 1 inch corner
Drop sterile items onto field 6 inches above
Pour sterile solution onto dressing or into container after pouring out a small amount - do not
let it touch
Put on sterile gloves after everything is opened
Using Sterile drapes - ANSWERSKeep drape folded until you are ready to use them; When ready
to use them; hold drapes higher than the OR bed or furniture you are draping; Once drape is in
place, don't move it. This would cause a non-sterile area to be brought up to a sterile one;
Drapes are unfolded and applied gently; any turbulence may move particulate material
Using of full PPE - ANSWERS1. check medical records and nursing care plan for precautions
2. plan activities
, 3. Provide instructions to patient, family etc...
4. hand hygiene
5. put on gown
6. put on mask
7. put on goggle
8 put on gloves
9 Identify patient
Removal of full PPE - ANSWERS1. If gown is tied in front, untie with gloves
2. remove gloves
3. remove goggles
4. remove gown
5. remove mask near doorway (respirator outside of room with door closed)
6. Perform hand hygiene
Hand Hygiene (Hand Washing) - ANSWERS1 Address client by name and introduces self to client
by
name
2 Turns on water at sink
3 Wets hands and wrists thoroughly
4 Applies soap to hands
5 Lathers all surfaces of wrists, hands, and fingers
producing friction, for at least 20 (twenty) seconds,
keeping hands lower than the elbows and the
fingertips down
6 Cleans fingernails by rubbing fingertips against palms
