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CWCN Exam Prep Questions with Complete Solutions
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CWCN Exam Prep Questions with Complete SolutionsToxic Epidermal Necrolysis (TEN) Correct Ans-Life-threatening immune-mediated
skin/mucous membrane disorder. Significant epidermal necrosis and detachment. Often
results from a drug reaction. Usually severe with more than 30% Body Surface Area Skin
detachment.
allopurinol Correct Ans-The most commonly implicated medication for patients with
SJS/TEN is ____________________.
Toxic Epidermal Necrolysis Correct Ans-Fever, Flu-like symptoms, malaise, muscle aches,
eye pain, pain with swallowing, skin tenderness, inflammation, blistering.
Later disease involves confluent, red oval macules/papules with pruritic centers or diffuse
erythema. Widespread blistering and epidermal sloughing. Lesions usually start on the face
and spread.
, CWCN Exam Prep Questions with Complete Solutions
fluid Correct Ans-Care of the patient with TEN should resemble burn care with aggressive
__________ management.
Petrolatum Correct Ans-_____________________ and other nonadherent contact layer
dressings are commonly used for patients with Toxic Epidermal Necrolysis.
debridement Correct Ans-Aggressive _______________ is not indicated in Toxic Epidermal
Necrolysis Syndrome because of extensive denudation.
Nonwoven Correct Ans-Which gauze is a better choice for dressings that come into contact
with the wound bed: nonwoven or woven?
Necrotizing fasciitis Correct Ans-The lesions of this disease typically begin as
erythematous, painful, edematous areas on the skin after major or minor skin trauma. Often
mistaken for cellulitis. Most commonly on the extremities, sometimes on the perianal and
trunk. Signs include fever and chills. Lab values included elevated WBCs and anemia.
, CWCN Exam Prep Questions with Complete Solutions
False (needs aggressive debridement and broad-spectrum IV antibiotics.) Correct Ans-True
or False: Aggressive debridement is not recommended for Necrotizing Fasciitis patients.
Hyperbaric Correct Ans-______________ oxygen is a treatment option for necrotizing
fasciitis patients.
surface area, type of tissue, volume of exudate Correct Ans-The Pressure Ulcer Tool for
Healing (PUSH) tools is based on what three characteristics of a wound?
autolytic Correct Ans-Severe neutropenia (<500) is a contraindication for
__________________ debridement.
MRI Correct Ans-An ___________ is the most accurate noninvasive approach to diagnosis
of osteomyelitis.
, CWCN Exam Prep Questions with Complete Solutions
B-hemolytic strep Correct Ans-Any level of __________________________ is an indicator
of wound infection.
adhesive Correct Ans-Hydrocolloids are to be avoided for skin tears because they are
aggressively ___________________.
hydrocolloids Correct Ans-occlusive dressings made of material like pectin, gelatin, or
carboxymethylcellulose. Self-adhesive dressings that provide a moist healing environment
and autolytic debridement but only light-moderate absorption. Recommended for clean,
shallow wounds with minimal exudate. Can be used to protect intact skin or newly resurfaced
breakdown.
sleeves Correct Ans-Protective __________ can be used in patients with frail skin to
prevent skin tears.
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