NSG 310 Exam 2 Practice Questions and Correct Answers
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Course
NSG 310
Institution
NSG 310
What are the two types of healing? primary intention secondary intention
What is primary intention? The wound is closed and heals by epithelialization
What is secondary intention? The wound must heal by granulation tissue formation first
What are examples of secondary intention wound healing? bu...
NSG 310 Exam 2 Practice Questions and
Correct Answers
What are the two types of healing? ✅primary intention
secondary intention
What is primary intention? ✅The wound is closed and heals by epithelialization
What is secondary intention? ✅The wound must heal by granulation tissue formation
first
What are examples of secondary intention wound healing? ✅burns and ulcers
What is dehiscence? ✅A separation of the wound incision
What is evisceration? ✅disembowelment
What is exudate? ✅fluid and cells that escape from blood vessels during inflammation
What are the 3 types of exudate? ✅1. serous
2. sanguineous
3. purulent
What is serous exudate? ✅Watery exudate: indicates early inflammation
What is sanguineous exudate? ✅blood
What is purulent exudate? ✅Exudate with microbe and WBC involvement (ie. infection
or pus). It is usually thick, cloudy, and white / yellow / green colored depending on the
microbe involved.
What is suppuration? ✅formation of pus
What is pyrogenic bacteria? ✅bacteria that produces pus
What are the elements of the Braden risk assessment? ✅sensory perception,
moisture, friction and shear, nutrition, mobility, activity
Wound dressing principles ✅If it's clean, leave it alone
Use physiological solutions to clean unless the order says otherwise
Move from clean to dirty
, Irrigate gently if needed, preserve the healing tissue
The 9 Principles of Wound Healing ✅Address and correct underlying etiology
Determine and maximize vascular status
Debride non-viable tissue
Reduce bio-burden in the wound
Keep wound bed moist
Fill the dead space
Contain drainage and protect periskin
Reduce edema and promote perfusion
Avoid cytotoxic products
Principle of wound healing: Address and correct underlying etiology ✅pressure ulcer -
remove pressure
arterial ulcer - improve circulation
venous ulcer - reduce edema and improve venous return
Principles of Wound Healing: Determine and maximize vascular status ✅Look at signs
of poor tissue perfusion
Can you feel pulses?
Feet cold?
Nails cyanotic?
Principles of Wound Healing: Debride non-viable tissue ✅If there is a presence of
necrotic tissue, eschar, or slough then you should remove it so the wound can heal.
When do you not debride wounds? ✅poor arterial blood flow
dry gangrene
stable eschar in patients with poor circulation
What is eschar? ✅dead tissue that must be removed!
if it's not removed, new tissue can't regenerate!
What is slough? ✅Tan, yellow, or green scab like material.
What is necrotic tissue? ✅dead tissue
Principles of Wound Healing: contain drainage and protect the surrounding skin
✅decrease transmission of bacteria
outer dressing=dry or has moisture proof barrier
not all drainage is infectious
Principles of Wound Healing: Reduce edema and promote perfusion ✅Elevate
Compression stockings
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