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Skin Integrity and Wound Care Key Terms Questions and Answers (100% Pass)
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Skin Integrity and Wound Care Key Terms Questions and Answers (100% Pass)
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©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AMSkin Integrity and Wound Care Key Terms
Questions and Answers (100% Pass)
abrasion - ✔️✔️superficial wound with little bleeding, considered a partial-thickness wound.
Often appears "weepy" because of plasma leakage from damaged capilliaries
approximated - ✔️✔️closed skin edges as seen in surgical incision, sutures, staples
blanching - ✔️✔️Blanching occurs when the normal red tones of the light skinned patient are
absent.
It does not occur in patients with darkly pigmented skin. Darkly pigmented skin remains
unchanged when pressure is applied.
Characteristics of dark skin that alert for potential pressure ulcers:
1. Color: if patient previously has pressure ulcer, area of skin may be lighter than original
color
2. Temperature: inflammation is detected by making comparisons to surrounding skin
3. Appearance: localized area of skin may be purple/blue or violet instead of red
blanchable hyperemia - ✔️✔️If affected area blanches and the erythema returns when you
remove your finger, the hyperemia is transient and is an attempt to overcome the ischemic
episode, thus called blanching hyperemia.
However if the erythematous area does not blanch when you apply pressure, deep tissue
damage is probable.
collagen - ✔️✔️- a tough fibrous protein
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, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AM
- found in dermal layer along with blood vessels and nerves
Fibroblasts , which are responsible for collagen formation, are the only particular cell type
within the dermis.
The dermis, the inner layer of the skin, provides tensile strength; mechanical support; and
protection for the underlying muscles, bones, and organs.
debridement - ✔️✔️is the removal of nonviable, necrotic tissue
Removal of necrotic tissue is necessary to rid the wound of a source of infection, enable
visualization of the wound bed, and provide a clean base necessary for healing
dehiscense - ✔️✔️Dehiscence is the partial or total separation of wound layers. A patient who
is at risk for poor wound healing (ex. poor nutritional status, infection)is a risk for
dehiscence.
Obese patients have a higher risk because of constant stain placed on their wounds and the
poor healing qualities of fat tissue.
Frequently involves abdominal surgical wounds and occurs after sudden strain such as
coughing, vomiting, or sitting up in bed.
Strategy to prevent it: place a folded thin blanket/pillow over abdominal wound when patient
is coughing
drainage evacuators - ✔️✔️are convenient portable units that connect to tubular drains lying
within a wound bed and exert a safe, constant, low pressure vacuum to remove and collect
drainage
epithelialization - ✔️✔️the natural act of healing by secondary intention; the proliferation
(rapid reproduction) of new epithelium into an area devoid of it but that naturally is covered
by it
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