WEB WOC Wound Care Exam Latest 2024
|Wound Care WEB WOC Actual Exam
Update 2024-2025 Questions and Correct
Answers Rated A+
TIMERS -ANSWER-Tissue management
Inflammation/infection control
Moisture balance
Edge/epithelial advancement
Regeneration/repair of tissue
Social/patient related factors
Framework used to provide an optimal physiologic wound
environment that is conducive to healing -ANSWER-TIMERS
Goal of tissue management -ANSWER-to remove non-viable, necrotic
tissue as well as non-functional tissue such as hypergranulation
goal of inflammation or infection control -ANSWER-eliminate infection
and control bioburden
goal of moisture balance -ANSWER-not too wet and not too dry
provide moist wound therapy, absorb excess drainage, control odor,
fill dead space, control swelling, protect periwound
goal of epithelial/edge advancement -ANSWER-keep wound edged
open, address epibole and undermining, remove callous, protect
periwound skin
,goal of regeneration/repair of tissue -ANSWER-cellular products,
tissue based products, advanced therapies such as hyperbaric
treatment of NPWT
goal of social/patient related factors -ANSWER-develop a patient-
centers POC, patient engagement, holistic assessment
why use debridement? -ANSWER-to remove necrotic tissue or debris,
remove and reduce biofilm, remove infected tissues, in palliative care
to control odor, to facilitate wound visualization, in chronic wounds to
convert to acute wound to promote healing
autolytic debridement -ANSWER-a type of non-instrumental
debridement that uses the body's own WBCs, enzymes, and moisture
to re-hydrate, soften, and liquify hard eschar and slough
benefits of autolytic debridement -ANSWER-painless, easily done with
moisture retentive dressings, aides in combination debridement
methods
disadvantages of autolytic debridement -ANSWER-takes times, may
be aesthetically displeasing to the patient if using a transparent
dressing
contraindications to autolytic debridement -ANSWER-neutropenic
patients, those with diabetes mellitus (higher risk for infection)
surfactant debridement -ANSWER-a type of non-instrumental
debridement that uses concentrated nonionic surfactant dressings
(CSDs) which can soften and loosen wound debris, breakdown
biofilms, and prevent redevelopment of biofilms
indications for surfactant debridement -ANSWER-stagnant wounds,
local wound infections, burns
, benefits of surfactant debridement -ANSWER-cleanses wound without
the use of cytogenic agents, reduces inflammation, reduces biofilm,
allows for daily visualization of wound
disadvantages of surfactant debridement -ANSWER-can be
expensive, dressing must be changed daily
contraindications for surfactant debridement -ANSWER-sensitivity to
chemical properties
enzymatic debridement -ANSWER-a type of non-instrumental
debridement that uses collagenase to dissolve collagen anchors
between necrotic tissue and the wound bed
benefits of enzymatic debridement -ANSWER-faster than autolysis,
good option for those at high risk for bleeding, safe in infected wounds
disadvantages of enzymatic debridement -ANSWER-costly, daily
application, can sting, takes longer than sharp or mechanical
debridement
contraindications of enzymatic debridement -ANSWER-not compatible
with metal products, some antiseptic cleansers reduce its
activity/effectiveness
chemical debridement by sodium hypochlorite -ANSWER-a type of
non-instrumental debridement using sodium hypochlorite (diluted
bleach) to dissolve collagen anchors between necrotic tissue and the
wound bed
indications for chemical debridement by sodium hypochlorite -
ANSWER-grossly necrotic or infected wounds
benefits of chemical debridement by sodium hypochlorite -ANSWER-
reduces wound odor, cheap, non-cytotoxic
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