Under Pressure
Managing the Output
Cover It
Time for Bed
Misc.
100
An area that is intact, red, and nonblanchable
What is Stage I pressure ulcer
100
A surgical procedure involving the small intestine where a stoma site has been created
What is an Ileostomy?
100
A chemical debriding agent that requires to be applied on a nickel layer thick with Xeroform gauze covering it.
What is Santyl?
100
An RN informs you that: A patient who is immobile with incontinence and a current Stage IV ulceration on their sacrum was just admitted and he/she is thinking a specialty bed is needed. What do you do?
What is notify Wound and Skin Care the need to order a specialty bed?
100
Monthly Audit that is Completed by Skin Saver Team
What is NDNQI
200
Upon assessment of the sacrum you notice exposed bone within the wound bed.
What is Stage IV pressure ulceration?
200
While getting report the RN states that Mr. Jones had 25cc of output out of his ileostomy.
What is Notify the Physician of a possible bowel obstruction
200
While transfering a patient from the stretch to the bed the patient received a skin tear.
Apply steri strips or adaptic over the site. (NO adhesive dressings)
200
Mr. Smith is admitted to 6 Main he weighs 320lbs. It is noted that he is having difficulty turning to his side in the bed. What bed do you think WSC will order?
What is Bari Maxx Bed
200
Applied to the incontinent patient to protect his/her skin
What is Critic Aid Clear
300
Wound bed is moist, yellow to a tan color with irregular edges and located on the heel
What is an Unstageable Heel Ulceration?
300
Dr. Harris orders a flexiseal placement for Mrs. Smith due to the previous RN on duty informing him that the patient has had several bowel movements. What the RN forget to fully mention is that the bowel movements were only 4 within 12 hours, mucous like, and the patient has hemorroids. These are all what?
What is Contraindications for a Flexiseal?
300
Mrs. Miller has a 2x3 purple discoloration to her sacrum that in non blanchable and surrounding area is red. She has a deep tissue injury.
What is Xenaderm
300
In report it is mentioned that the patient has skin breakdown and is incontinent. It is also mentioned that they are on a Kin Air IV specialty bed. The nurse is relieved since the pt will no longer need to be turned. TRUE OR FALSE
What is FALSE
300
Your patients wound vac machine is alarming! What do you do? A) Shut it off and hope someone else deals with it B) Check what type of alarm is going off C) Hit the silence button
What is B) Check what type of alarm is going off
400
Mrs. Thompson is complaining of her left heel is hurting. Upon assessment it is noted that she has a blood filled blister that is intact.
What is Deep Tissue Injury
400
Mr. Jones pushes his call bell and informs you that he is experiencing a burning/pain underneath his ostomy wafer. What do you do? A) Tell him that he is ok B) Apply a Urostomy pouch to him since that is the only one you can find or C) Remove ostomy pouch to further assess the peristomal skin
What is Remove the ostomy pouch to further assess the peristomal skin
400
A venous stasis ulceration to the lower right leg that is moist with minimal drainage noted. What type of foam dressing that allows absorbtion of moisture should be applied?
What is Mepitel
400
A surface that contains 4 to 9 cylinders that allow dynamic pressure redistribution for the patients shoulder, torso, and seat areas
What is Atmos Air
400
A patients groin and sacrum was assess to have a red area that appears inflammed it is noted that the patient is also incontinent of both stool and urine. The patient is experiencing?
What is Incontinence Associated Dermatitis (This is not a Pressure Ulcer)
500
Moist wound noted to be over the sacrum that is approximately 3x4 with a wound bed that is yellow with red epithelials present.
What is Stage III ulceration
500
When cleansing around an stoma site it is best to use? A) Baby wipes B) Water C) Alcohol Wipe
What is B) Water
500
Pt is noted to have red/open/moist areas that also appearance of a papular rash within the groin and underneath the breasts. What is the best thing to apply?
What is Interdry
500
A support surface that assist with microclimate management using air cushions, turn assist, max weight of 300lbs, and built in scale/exit alarm/ and retractable/extendable frame
What is Kin Air iV
500
Continueously applies pressure allowing increased blood flow to the wound and reduces edema within the wound. Applied to Stage III and Stage IV wounds, surgical wounds, diabetic or vascular ulcers.
What is Negative Pressure Wound Therapy
M
e
n
u