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Wound Care WOCN Exam Questions and Solutions
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Wound Care WOCN Exam Questions and Solutions
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Wound Care WOCNTEWL - Answer -Transepidermal water loss
What is the most common type of skin cancer? - Answer -basal cell carcinoma (BCC)
How does basal cell carcinoma present? - Answer -"pearl like" translucent papule with central ulceration
What is the second most common type of skin cancer? - Answer -Squamous cell carcinoma (SCC)
How does squamous cell carcinoma present? - Answer -Enlarging keratotic papule
ABCDEs of melanoma - Answer -Asymmetric, border irregular, color variance, diameter >0.6 cm,
evolution
What is the order of repair in an acute wound? - Answer -Brief inflammatory phase, epithelial
resurfacing and granulation tissue formation and remodeling
What is the max tensile strength for a full-thickness wound healing by scar tissue formation? - Answer -
80% of original tissue strength
, What strategy is used to help convert a chronic wound into an acute wound? - Answer -Surgical
debridement
intermittent claudication - Answer -pain and discomfort in calf muscles while walking; a condition seen
in peripheral arterial disease
What are the nutritional requirements of patients with open wounds or at risk for pressure ulcer? -
Answer -30 to 35 cal/kg/day; 1.25 to 1.5 proteins/kg/day; and 30mL/kg/day of fluids
Moisture retentive dressings - Answer -permit evaporation of moisture from the skin ad wound--NOT
OCCULSIVE
TIME framework for wound healing - Answer -tissue management, control of inflammation/infection,
moisture balance, edge advancement
Appropriate wound cleansers that flush away exudate without damaging proliferative cells include: -
Answer -saline, commercial wound cleansers, and potable tap water
Cleansing of "dirty" wounds - Answer -Require 4 to 15 psi irrigating force and may involve cytotoxic
solutions
contact layers - Answer -1. single layer of woven net
2. protects new granulation tissue
3. can irrigate through it
4. can use with topical med
5. needs a secondary dressing
6. not to be used with think exudate
Hydrocolloid dressing - Answer -Inappropriate for infected wounds and exudative wounds.
transparent adhesive dressing - Answer -semipermeable, bacteria do not penetrate the wound.
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