WOCN Wound Care RN Exam Prep 2024

WOCN Wound Care RN Exam Prep 2024 Steps to heal by Secondary Intention -Answer-Formation of granulation tissue, contraction of the wound bed edges, and epithelialization Partial thickness repair -Answer-Inflammatory response, epithelial proliferation and migration, epidermal reestablishment and differentiation What characterizes a chronic wound healing environment -Answer-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? -Answer-Vitamin C Normal protein intake -Answer-.8 g/kg/24 Protein intake for injury -Answer-increased 1.25 - 1.5 /kg/24 hours BMI 25 increases -Answer-dehiscence, infection, delayed wound healing, adipose tissue poorly perfused and heals at a slower rate Keloid Scars are formed how? -Answer-Overgrowth of collagen within scar tissue, seen with pigmented skin. Trauma. May ulcerate. Genetic. Hypertrophic Scar are formed how? -Answer-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? -Answer-Protein & mixed protein malnutrition: marasmus-kwashiorkor Marjoin ulcer -Answer-chronic wounds in malignant wound Candidiasis -Answer-Pustules and satellite lesions with red base Incontinence associated dermatitis -Answer-blisters with red base Radiation Dermatitis -Answer-Grade 1: Dry desquamation (Peeling) Grade 2: erythema, moist desquamation (partial thickness), mod edema Grade 3: Bleeding skin Wheal skin lesion -Answer-Itching, burning, red, elevated, irregular Pyoderma Gangrenosum -Answer-Ulcer with irregular shape and violaceous (purple)