An open area over a bony prominence in which muscle is visible.
What is Stage IV pressure ulcer
100
Bloody drainage that indicates damage to capillaries
What is sanguineous exudate
100
rupture of one or more layers of a wound
What is dehiscence
100
Number of times hands should be washed while performing a dressing change
What is 3 times (before, after removing the old dressing, and at completion of dressing change)
100
Occurs when two surfaces of granulation tissue are brought together. Initially the wound is allowed to heal by secondary intention then the wound edges are brought together by a suture.
What is tertiary intention healing
200
A shallow open area, over a bony prominence, involving the epidermis and dermis
What is Stage II pressure ulcer
200
Red tinged pus that indicates that small vessels in the wound area have ruptured
What is purosanguineous exudate
200
a red-blue collection of blood under the skin, which forms as a result of bleeding that cannot escape to the surface
What is hematoma
200
A risk assessment completed on hospital admission, every 24 hours, and with each change in condition
What is the Braden Scale
200
The regeneration phase of wound healing is called what?
What is proliferation phase
300
An unopened, dry, boggy, purple, nonblanchable area on a bony prominence
What is Deep Tissue Injury
300
Watery exudate that contains very little cellular matter
What is serous exudate
300
total separation of the layers of a wound in which internal viscera protrude through the incision
What is evisceration
300
This type of wound closure is safe for use in clean, low-tension wounds
What is surgical glue
300
What nutrient is important for patients who have wounds?
What is protein
400
A round, dry, black area on the foot or toe which is not painful
What is an arterial ulcer
400
Thick, malodorous, drainage that contains pus, a protein-rich fluid filled with WBC, bacteria, and cellular debris
What is purulent exudate
400
abnormal passage connecting two body cavities or a cavity and the skin
What is fistula
400
The administration of 100% oxygen under pressure to a wound site
What is hyperbaric oxygen therapy
400
What is the type of wound healing that is associated with minimal or no tissue loss and has edges that are well approximated
What is primary intention healing
500
A wound that has full-thickness skin loss involving damage or necrosis of subcutaneous tissue that may extend down to, but not through, underlying fascia would be described as which stage of a pressure ulcer.
What is Stage 3
500
Combination of bloody and serous drainage
What is serosanguineous drainage
500
introduction of microorganisms that cause edema, redness, heat, and pain
What is infection
500
A wound with an entrance and exit site
What is tunnel
500
What type of therapy promotes healing by secondary and tertiary intention?