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WOCN Wound Care RN Exam Prep question with verified solution 2024 Steps to heal by Second, Exams of Nursing

WOCN Wound Care RN Exam Prep question with verified solution 2024 Steps to heal by Secondary Intention - ✔✔Formation of granulation tissue, contraction of the wound bed edges, and epithelialization Partial thickness repair - ✔✔Inflammatory response, epithelial proliferation and migration, epidermal reestablish

Typology: Exams

2024/2025

Available from 06/30/2025

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WOCN Wound Care RN Exam Prep question with
verified solution 2024
Steps to heal by Secondary Intention - ✔✔Formation of granulation tissue, contraction of the
wound bed edges, and epithelialization
Partial thickness repair - ✔✔Inflammatory response, epithelial proliferation and migration,
epidermal reestablishment and differentiation
What characterizes a chronic wound healing environment - ✔✔Low levels of growth factors and
receptor sites. They are needed to move cells out of the inflammatory phase and into the
proliferative/Rebuilding Phase
What Vitamin assists in collagen/fibroplasia formation? - ✔✔Vitamin C
Normal protein intake - ✔✔.8 g/kg/24
Protein intake for injury - ✔✔increased 1.25 - 1.5 /kg/24 hours
BMI >25 increases - ✔✔dehiscence, infection, delayed wound healing, adipose tissue poorly
perfused and heals at a slower rate
Keloid Scars are formed how? - ✔✔Overgrowth of collagen within scar tissue, seen with
pigmented skin. Trauma. May ulcerate. Genetic.
Hypertrophic Scar are formed how? - ✔✔scar with thickened epidermal layer contained within
the original incision area. Formed from prolonged inflammatory phase.
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WOCN Wound Care RN Exam Prep question with

verified solution 2024

Steps to heal by Secondary Intention - ✔✔Formation of granulation tissue, contraction of the wound bed edges, and epithelialization Partial thickness repair - ✔✔Inflammatory response, epithelial proliferation and migration, epidermal reestablishment and differentiation What characterizes a chronic wound healing environment - ✔✔Low levels of growth factors and receptor sites. They are needed to move cells out of the inflammatory phase and into the proliferative/Rebuilding Phase What Vitamin assists in collagen/fibroplasia formation? - ✔✔Vitamin C Normal protein intake - ✔✔.8 g/kg/ Protein intake for injury - ✔✔increased 1.25 - 1.5 /kg/24 hours BMI >25 increases - ✔✔dehiscence, infection, delayed wound healing, adipose tissue poorly perfused and heals at a slower rate Keloid Scars are formed how? - ✔✔Overgrowth of collagen within scar tissue, seen with pigmented skin. Trauma. May ulcerate. Genetic. Hypertrophic Scar are formed how? - ✔✔scar with thickened epidermal layer contained within the original incision area. Formed from prolonged inflammatory phase.

Fast/rapid weight loss produces what type of malnutrition? - ✔✔Protein & mixed protein malnutrition: marasmus-kwashiorkor Marjoin ulcer - ✔✔chronic wounds in malignant wound Candidiasis - ✔✔Pustules and satellite lesions with red base Incontinence associated dermatitis - ✔✔blisters with red base Radiation Dermatitis - ✔✔Grade 1: Dry desquamation (Peeling) Grade 2: erythema, moist desquamation (partial thickness), mod edema Grade 3: Bleeding skin Wheal skin lesion - ✔✔Itching, burning, red, elevated, irregular Pyoderma Gangrenosum - ✔✔Ulcer with irregular shape and violaceous (purple) raised edges. Sharp debridement is contraindicated. Calciphylaxix - ✔✔Calcific uremic arteriolopathy elevated calcium/phosphate. Dialysis. may present similar to Pyoderma. Aggressive sharp debridement for necrotic tissue. Partial thickness wound - ✔✔shallow ,.2 cm, moist, pink/red wound base, exposure of basement membrane and of nerve endings. Epidermal/Dermal Loss

  • Heal by reepithelialization
  • No scar or loss of function Epibole - ✔✔rolled skin edge that indicates slow healing. Prevents epithelialization and closure. Cauterization (silver nitrate) or surgical debridement

Elma (topical prilocaine/lidocaine) - ✔✔best 30-60 min under nonadherent transparent wrap for analgesia PreAlbumin - ✔✔Maybe normal under states of malnutrition Metronidazole (Flagyl) - ✔✔Crushed and used to control odor in fungating wounds (breast CA) Cover partial thickness skin tears with - ✔✔Contact layer (nonadherent dressing) Candidiasis Intervention - ✔✔prevent moisture buildup miconazole nitrate powder 2% Calcium Alginate Dressing - ✔✔Shallow to tunnels with moderate to heavy drainage Surgical Sharp Debridement - ✔✔Non selective. Indicated for advancing cellulitis and wound related sepsis Always culture - ✔✔Clean viable tissue not exudate or eschar A wound that fails to progress as anticipated Levine technique uses a normal saline moistened swab Dankin's (sodium hypochlorite <0.5%) - ✔✔Removes slough and controls odor Kenalog cream - ✔✔reduces hyperplasia Regranex - ✔✔Platelet growth factor for foot ulcers

Unstageable Pressure Ulcer - ✔✔Full thickness with base covered in slough Braden Scale - ✔✔>18-23 not at risk

15-18 mild 13-14 mod 10-12 high <9 very high PUSH Tool - ✔✔Pressure ulcer healing evaluated by size, exudate, and tissue type

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