WOUND HEALING
What are the 4 phases of wound healing?
Hemostasis, Inflammation, Proliferation, Maturation (Remodeling)
Which burn degree affects only the epidermis?
First-degree (superficial
Are arterial ulcers painful or painless?
Very painful
Where are diabetic ulcers most commonly found?
Plantar surface of the foot
What causes pressure ulcers?
Prolonged pressure reducing blood flow
During which phase does granulation tissue form?
Proliferation phase
What are signs of a full-thickness burn?
White, brown, or charred skin
Leathery texture
Little or no pain (nerve damage)
Where are venous ulcers most commonly located?
Medial lower leg (gaiter area)
Why are diabetic ulcers often painless?
Peripheral neuropathy
What stage is partial-thickness skin loss with exposed dermis?
Stage 2
Which type of wound healing occurs when edges are approximated (e.g., surgical incision)?
Primary intention
Using the Rule of Nines, what percentage is one entire leg in an adult?
18%
Describe the drainage difference between arterial and venous ulcers.
Arterial: Minimal drainage
Venous: Moderate to heavy drainage
What is the most important patient education to prevent diabetic ulcers?
Daily foot inspection
What stage shows full-thickness skin loss with visible fat?
Stage 3
Name 3 factors that delay wound healing
Infection
Poor nutrition (low protein)
Diabetes
Smoking
Poor circulation
Steroid use
What is the priority nursing intervention in major burns?
Airway management
Should compression be used for arterial ulcers? Why or why not?
No — it decreases already poor circulation.
What lab value is most important for long-term glucose control?
HbA1c
hat stage has exposed bone, tendon, or muscle?
Stage 4