Wound Jeopardy

Stage That Wound

100

This is an area which is localized, non-blanchable redness on the skin indicating a pressure related injury

stage 1

200

This is a shallow open area over a bony prominence involving the epidermis and dermis

stage 2

300

This is an unopened dry, boggy, purple, nonblanchable area over a bony prominence 

deep tissue injury

400

this is an open area over a bony prominence in which muscle is visible 

stage 4

"if you didn't document it, you didn't do it"

100

this risk assessment is completed on hospital/unit admissions

braden scale 

200

if the braden score is 18 or less, what is one main intervention nursing can do to help prevent pressure injuries 

turning and repositioning 

300

you can use this to help prevent heel injuries and can get from hospital stores

prafo boot

400

if you do not have pillows to turn your patient with, what else could you use to get them up and off their side?

a wedge 

Wound Healing Roadblocks

100

these changes are associated with aging; such as atherosclerosis and atrophy of capillaries in the skin, can also impair blood flow to the wound

vascular changes 

200

what is a force acting parallel to the skin surface called?

friction

300

name 2 disease processes that increase the risk of delayed healing due to impaired oxygen delivery to these tissues

diabetes and cardiovascular disease 

400

this wound healing roadblock can reduce the amount of functional hemoglobin in the blood, thus limiting the oxygen-carrying capacity of the blood and constricts arterioles

smoking 

The Complication Station

100

this is a localized collection of blood underneath the skin that may appear as reddish/blue swelling

hematoma

200

this is the contamination of a wound surface with microorganisms 

infection

300

this is a partial or total rupturing of a sutured wound called:

dehiscence 

400

this is detected by swelling or distension in the area of the wound and possibly by sanguineous drainage from a surgical site or drain

hemorrhage 

All Wrapped up

100

this is an adhesive plastic, semipermeable, nonabsorbent dressing that allows the exchange of oxygen between the atmosphere and the wound bed

transparent film

200

this foam dressing is designed to absorb wound exudate and protect the wound from bacteria 

allyven/mepilex 

300

this type of dressing is woven or unwoven cotton or synthetic material impregnated with petrolatum and is non-adherent 

xeroform

400

nonadherent dressing of powder, beads, or granules, ropes, sheets, or paste conform to the wound surface and absorb up to 20 times their weight in exudate and require a second dressing 

Alginates