what is epidermis, dermis, and the subcutaneous layer
100
the types of wounds
what is intentional/unintentional, open/closed, acute/chronic, partial thickness/full thickness/ complex
100
The presence of infection in a wound would show as
what is wound is swollen, wound is deep red in color, wound feels hot to touch, drainage is increased and possibly purulent, foul odor, wound edges may be separated with dehiscence present
100
the largest organ in the body
what is skin
200
The stage of pressure ulcer where there is thickness of skin loss involving damage or necrosis of the subcutaneous tissue that may extend down to, but not through the underlying fascia
What is stage 3 pressure ulcer
200
the functions of the skin (at least 3)
what is barrier, insulation, sensory perception, vit D, heat regulation, lubrication, esthetics, absorption (at least 3)
200
The phases of wound healing
What is hemostasis, inflammatory, proliferation, and maturation
200
the thing you are looking for when changing dressing
what is signs of infection (drainage, red, hot, smell, swelling)
200
The stage of wound healing that lasts 2 to 3 days and is that phase that new tissue is built to fill the wound space
what is proliferation phase
300
The main causes of pressure ulcer development
What is external pressure, friction and shear, and moisture
300
The pigment that gives color to skin
what is melanin
300
The causes for delayed wound healing
what is bacterial in wound, foreign bodies/damage to wound, inadequate blood supply/oxygenation, malnutrition, immunocompetence
300
the two types of dressing care we talked about
what is saline-moistened dressing and dry dressing
300
Inspection during wound assessment would include
what is inspection for sight and smell of wound. Look to see if there is drainage and that the edges of the wound are healing well.
400
The people most at risk for developing a pressure ulcer
what is handicap, elderly, bedridden, confused, and obese people
400
The factors that affect the skin
What is adequate nourishment and hydration, adequate circulation, unbroken and healthy skin and mucous membranes
400
Wound complications include
what is infection, hemorrhage/hematoma, evisceration, dehiscence
400
the type of therapy you would use on a patient who needs their wound to heal and for pain relief
what is a heating pad or warm compress
400
the tissue type that presents itself as bright red or pink, bleeds easily, glistens, clean, epithelial budding
what is granulation tissue
500
The best ways to prevent pressure ulcers
what is skin assessment, turning the pt every 2 hrs, float heels, keep pts dry, and lifting pts instead of dragging
500
The skin appendages include... (3)
What is hair, nails, and glands
500
Delayed would healing would be shown as
what is wound size increasing, exudate/slough/ eschar appears, tunnels/fistula/undermining develops, epithelial edge is not smooth and continuous
500
the things you need for a saline-moistened dressing change
what is clean and sterile gloves, sterile gauze, sterile cleaning solution, tape
500
the most common cleaning solution that we use on wounds in the hospital