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Wound Management - Comprehensive - 4.
Online Contact Hours With 100% Verified
Solutions | Updated & Verified | 2024
The layer of skin that comprises part of the skin immune system is the: - ✔✔A. Epidermis. B. Basement membrane zone. *** C. Dermis. D. Hypodermis. The thinning of the hypodermis as people age can contribute to pressure ulcers. - ✔✔*** A. True B. False Which of the following distinguishes a fistula from a tunnel? - ✔✔A. A fistula is shorter than a tunnel. *** B. A fistula connects two structures, such as the wound to an organ, and a tunnel does not. C. A fistula dead-ends, and a tunnel connects two structures. D. A fistula always opens onto the skin, and a tunnel does not. Tunneling, fistulae, and undermining are described in relation to a clock face. - ✔✔*** A.True B.False
The length, width, and depth of a wound should be measured in inches. - ✔✔A.True *** B.False Second-degree burns extend through the dermis and into the underlying tissue, including vasculature. - ✔✔A.True *** B.False Partial thickness wounds usually heal within: - ✔✔A.Two to three days. B.One week. *** C.Two weeks. D.One month. In the National Pressure Ulcer Advisory Panel staging system, Stage II ulcers are characterized as: - ✔✔A.Purple or reddish discolored intact skin or blood blister. B.Deep full-thickness ulceration of skin exposes subcutaneous tissue. C.Skin intact with localized non-blanching reddened area, often at areas where pressure is exerted, such as over bony prominences. *** D.Partial-thickness skin loss, involving the epidermis and/or dermis. With the modified Wagner classification system for foot ulcers, a grade IV ulcer would likely result in partial amputation of the foot. - ✔✔*** A.True
D.Maturation Remodeling of the tissue after a wound heals may take up to 6 months. - ✔✔A.True *** B.False .To maintain adequate perfusion, the patient should be positioned in the 30 degree lateral position rather than the 90 degree side-lying position. - ✔✔*** A.True B.False Angioplasty is effective to improve perfusion if occlusion is limited and arteries are large enough to accommodate the procedure. - ✔✔*** A.True B.False Which form of treatment would be most successful to treat hypoxic wounds related to widespread peripheral arterial insufficiency? - ✔✔A.Vasodilators B.Angioplasty C.Topical hyperbaric oxygen therapy. *** D.Hyperbaric oxygen therapy. The Circulator Boot� compresses the leg. - ✔✔*** A.At the end of diastole. B.During systole. C.Every 60 seconds. D.None of the above.
How much protein per kilogram is needed to promote wound healing? - ✔✔A.40 to 70 g/Kg. B.70 to 90 g/Kg. *** C.1.2 to 2 g/Kg. D.2.5 to 3.2 g/Kg. Which of the following laboratory tests is best to monitor acute changes in protein level? - ✔✔A.Total protein. *** B.Prealbumin. C.Albumin. D.Transferrin. Serum osmolality decreases with dehydration. - ✔✔A.True *** B.False Antiseptics should NOT be used to cleanse open wounds because they are cytotoxic. - ✔✔*** A.True B.False Wound irrigation pressures should range from: - ✔✔A.1 to 5 psi. B.5 to 10 psi. *** C.10 to 15 psi. D.20 to 25 psi. Water temperature during hydrotherapy should be maintained at: - ✔✔A.21 degrees C.
*** B.Hydrogels. C.Alginate dressings. D.Transparent film. The wound should have a pH in the 6 to 8 range for application of the enzyme collagenase. - ✔✔A.True B.False Medical Maggot� are applied to the wound and covered with an occlusive dressing. - ✔✔A.True B.False Which of the following topical preparations is effective against bacteria as well as viruses and fungi. - ✔✔ A. Cadexomer iodine. B. Gentamicin sulfate. C. Metronidazole. D. Mupirocin. Alginates must be packed loosely in a wound to allow for swelling as they absorb exudate. - ✔✔A.True B.False Negative pressure wound therapy is NOT appropriate for which types of wounds? - ✔✔A. Malignant tumor. B. Wound with non-enteric, non-explored fistula.
C. Deep ulceration to bone with osteomyelitis. *** D.All of the above. High-level compression dressings have pressure of 30 to 40 mm Hg at the ankle. - ✔✔A.True B.False Unna's boot is used to treat peripheral arterial disease in non-ambulatory patients. - ✔✔A.True B.False According to the WHO pain ladder, if a patient is complaining of moderate to severe pain, unrelieved by NSAIDs, which is the next appropriate analgesia? - ✔✔A. Aspirin or acetaminophen. *** B. Codeine or Percocet�. C. Morphine. D. Dilaudid�. When used prior to dressing change, eutectic mixture of local anesthetics (EMLA) cream should be applied thickly, covered with plastic wrap, and left in place for 20 to 60 minutes. - ✔✔ A. True B. False Photographs of wounds should only be taken if a protocol is in place to ensure consistency. - ✔✔A.True B.False
