Stage That Wound
Dressings
Documentation
Odds 'N Ends
Name That Wound
100
An open area over a bony prominence in which muscle is visible.
What is a Stage IV pressure ulcer
100
This is the appropriate dressings needed for client with lymphedema (name at least 3)

What is 2 or 3 step wrap system, artiflex, profore, unna boot, kerlix and ACE, jobst stockings or farrow wraps

100

This is the correct way to document a wound that measures five centimeters vertically, six centimeters horizontally and nine tenths of a centimeter at the deepest point (answer should be in order of L x W x D)

What is 5 cm x 6 cm x 0.9 cm

100
A partial or full thickness wound in which a flap may or may not be present
What is a skin tear
200
A shallow open area, over a bony prominence, involving the epidermis and dermis
What is a Stage II pressure ulcer
200

Can be changed every 5-7 days, harsh on the skin, handles small to scant drainage and can soften eschar, appropriate (but not the best choice) for Stage I and II pressure ulcers on the coccyx/sacrum

What is a Hydrocolloid dressing

200

White soft tissue in periwound area

What is Maceration Tissue

200

Large, shallow wounds with irregular margins that typically develop on the lower leg or ankle

What is Venous Stasis Ulcer

300

Full-thickness skin and tissue loss over a bony promience in which the extent of tissue damage cannot be confirmed because there is slough/eschar making visualization of wound bed impossible

What is an unstageable pressure ulcer

300

2 part question

This dressing should never be placed on a Skin Tear

This is the correct wound care for skin tears

What is a Tegaderm - Correct wound care is: Initially lay skin over area after cleansing - pat dry - place Vaseline impregnated gauze over wound, apply non stick dressing and wrap in krelix 

400
A round, dry, black area on the foot or toe which is not painful
What is an arterial ulcer?
400

Can be used for wound care of Stage I pressure ulcers following cleansing of the skin (name at least 3)

What is skin protectant spray, liquid skin protectant, skin protectant wipes, barrier creams, dressings (tegaderm, mepelex, bordered, foam), powders 

400

A client's wound should be measured this often

What is at least weekly - should also be measured with any condition change of the wound (if the wound appears to be getting larger/infected).

Wounds should also be assessed by and RN weekly

400

A dry wound typically located on the plantar foot or toes that is surrounded by hyperkeratotic tissue (callus)

What is a neuropathic (diabetic) foot ulcer

500

Can be changed every 5-7 days, gentle on the skin, handles moderate to large drainage, third-spaces drainage away from the skin and is the preferred dressing for Stage II pressure ulcers on the coccyx/sacrum

What is a Tegaderm

500
Charted as a full-thickness wound and is not staged
What is any wound which is not a pressure ulcer
500

Wound with deep round/punched out appearance and sharply demarcated borders

What is an arterial ulcer