TERMINOLOGY
SKIN AND WOUND
WOUND HEALING
PRESSURE ULCERS
NURSING MANAGEMENT
100
WHEN PRESSURE IS RELIEVED, THE SKIN TAKES ON A BRIGHT RED FLUSH.
What is REACTIVE HYPEREMIA
100
PROTECTION, SENSATION, EXCRETION, LUBRICATION
What is FUNCTION OF THE SKIN
100
HEALING IS A QUALITY OF LIVING TISSUE
What is REGENERATION OF TISSUES
100
PROBLEM IN ACUTE CARE SETTINGS, LONG-TERM CARE SETTINGS, AND HOMES
What is A PRESSURE ULCER
100
SKIN FOLDS, UNDER BREASTS, GROINS, SACRUM
What is AREAS MOST LIKELY TO BREAK DOWN
200
1. TISSUE SOFTENED BY PROLONGED WETTING OR SOAKING. 2. AREA OF LOSS OF THE SUPERFICIAL LAYERS OF THE SKIN
What is MACERATION AND EXCORIATION
200
GENETICS, HEREDITY, AGE, CHRONIC ILLNESSES, MEDICATIONS, AND POOR NUTRITION
What is FACTORS AFFECTING SKIN AND TISSUE INTEGRITY
200
HEMOSTASIS AND PHAGOCYTOSIS LASTS 3 TO 6 DAYS
What is INFLAMMATORY PHASE
200
PREVENTION OF HEALTH CARE ASSOCIATED PRESSURE ULCERS
What is NATIONAL PATIENT SAFETY GOAL
200
WBC (WHITE BLOOD CELL), HGB (HEMOGLOBIN), COAGULATION STUDIES, ALBUMIN LEVEL
What is LABORATORY DATA TO SUPPORT WOUND PROGRESS
300
A PATIENT WAS MASSIVELY BLEEDING _____ FROM THE RIGHT GROIN FOLLOWING A SURGICAL PROCEDURE. THE NURSE APPLIED PRESSURE TO THE RIGHT GROIN TO STOP THE BLEEDING _____, SWELLING BEGAN TO OCCUR AT THE SITE AND PLACED PRESSURE ON THE BLOOD VESSELS OBSTRUCTING BLOOD FLOW ______ WHICH LEAD TO _____OF THE RIGHT LEG BECAUSE THERE WAS NO BLOOD FLOW OR OXYGEN TO THE TISSUES OF THE RIGHT LEG.
What is HEMORRHAGE, HEMOSTASIS, HEMATOMA, ISCHEMIA
300
A BROKEN LEG AND REMOVAL OF A TUMOR
What is UNINTENTIONAL AND INTENTIONAL WOUNDS
300
HEALING THAT DEVELOPS COLLAGEN, GRANULATION TISSUE, AND POSSIBLY ESCHAR
What is PROLIFERATIVE PHASE
300
REDNESS DOES NOT DISAPPEAR
What is TISSUE DAMAGE
300
CLEANSING THE WOUND, APPLY PERMEABLE ADHESIVE MEMBRANE TO THE ULCER, TURNING THE PATIENT
What ARE NURSING INTERVENTIONS
400
AN ABDOMINAL SUTURED WOUND RUPTURED _____ THEN BECAME INFECTED WITH YELLOW-GREEN DRAINAGE _______ _______. THE NURSE NOTIFIED THE DOCTOR WHICH GAVE ORDERS TO OBTAIN A WOUND CULTURE THAT CHECKS FOR MICROORGANISMS THAT GROW IN THE PRESENCE OF OXYGEN _____ AND ABSENCE OF OXYGEN ______. THE RESULTS WILL ALLOW THE DOCTOR TO DETERMINE THE APPROPRIATE ______ TO BE ADMINISTERED.
What is DEHISCENCE, PURULENT EXUDATE, AEROBIC, ANAEROBIC, ANTIBIOTICS
400
1. AS I WAS COOKING IN THE KITCHEN, I SLICED MY FINGER WITH A KNIFE. 2. I FELL AND SCRAPPED MY ELBOW. 3. I CUT MY LEG ON A PIECE OF SHARP METAL.
What is INCISION, ABRASION, LACERATION.
400
A PATIENT SMOKES 3 PACKS A DAY AND IS DIABETIC WITH HISTORY OF RENAL FAILURE.
What is INHIBITS WOUND HEALING
400
A PATIENT HAS BEEN FOUND LYING ON A WET PAD AND THE PAD IS COLD TO TOUCH WHO HAS EDEMA AND IS ONLY EATING 10% OF HIS MEALS.
What ARE RISK FACTORS FOR A PRESSURE ULCER
400
DEMONSTRATES APPROPRIATE POSITIONS FOR PRESSURE RELIEF, DEMONSTRATING WOUND CARE, PROMOTION OF WOUND HEALING
What is PLANNING FOR DISCHARGE (TEACHING THE CLIENT)
500
TISSUE SURFACES HAVE BEEN CLOSED OR ______ WITH SURGICAL GLUE IS CONSIDERED TO BE _______ ______ HEALING WHILE A PRESSURE ULCER IS CONSIDERED TO BE _______ _______ ________ BECAUSE THE REPAIR TIME IS LONGER AND THE SCARRING IS GREATER WITH SUSCEPTIBILITY OF AN INFECTION DEVELOPING. IF THE WOUND IS LEFT OPEN FOR SEVERAL DAYS IT IS CONSIDERED ______ _________.
What is APPROXIMATED, PRIMARY INTENTION HEALING, SECONDARY INTENTION HEALING, TERTIARY INTENTION
500
A WOUND CONTAMINATION AND DEPTH OF WOUNDS
What is WOUND DESCRIPTION
500
HEAT EQUALS ? WHILE COLD EQUALS?
What is VASODILATION, VASOCONSTRICTION
500
EPIDERMIS AND DERMIS, PARTIAL THICKNESS, ABRASION
What is STAGE II
500
RED, YELLOW, BLACK
What is RYB - COLOR CODE OF WOUNDS
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