Exam (elaborations)
Wound Quiz 1: Questions With Solutions (100% Accurate)
Wound Quiz 1: Questions With Solutions (100% Accurate)
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Wound Quiz 1: Questions With Solutions (100%Accurate)
Which cells located in the dermis produce collagen (dermal building blocks)
and elastin (tensile strength)?
Select one:
a. Leukotrienes.
b. Mast cells.
c. Macrophages.
d. Fibroblasts. Right Ans - d. Fibroblasts.
Fibroblasts' main function is to make connective tissue and the extracellular
matrix, specifically the production of collagen (dermal building blocks) and
elastin (tensile strength) and fibronectin, which binds extracellular matrix
proteins.
A patient has an acute full-thickness wound due to trauma. What order of
healing would occur with this wound?
Select one:
a. Inflammatory, hemostatis, granulation tissue formation, re-epithelialization.
b. Re-epithelialization, granulation tissue formation, hemostasis, remodeling.
c. Hemostatis, resurfacing, scar formation, remodeling.
d. Hemostatis, inflammation, proliferation or regeneration, maturation or
remodeling phases. Right Ans - d. Hemostatis, inflammation, proliferation
or regeneration, maturation or remodeling phases.
The deeper the tissue layers affected, the greater number of wound healing
mechanisms required. Full thickness wounds will experience all four phases of
wound healing: hemostasis, inflammation, proliferation where granulation
tissue is formed, re-epithelialization, and finally the maturational or
remodeling phase.
Which statement accurately describes the characteristic and implication of
necrotic tissue in a wound bed?
Select one:
, a. Necrosis of muscle tissue typically results in the formation of stringy, yellow
slough.
b. Consistency refers to the cohesiveness of the debris; typically more
advanced necrosis is thin and wet.
c. Color varies as necrosis worsens, from white/gray nonviable tissue, to
yellow slough, and finally to black eschar.
d. A soft mushy leather eschar is not attached to the base and edges of wound
and is sometimes mistaken as a scab. Right Ans - c. Color varies as necrosis
worsens, from white/gray nonviable tissue, to yellow slough, and finally to
black eschar.
The level and type of tissue death influence the clinical appearance of necrotic
tissue. Color varies as necrosis worsens, from white/gray nonviable tissue to
yellow slough, and finally to firm leathery hard black eschar.
You have a patient in acute care who has multiple risk factors for skin
breakdown. Which of the following statements are true regarding frequency
of skin assessments?
Select one:
a. A head to toe skin assessments should be done only upon initial admission.
b. Patients at risk for skin break down should have at least a daily skin
inspection.
c. Skin inspection should be performed twice an eight-hour shift for those at
risk.
d. Skin inspections should only be done daily if the patient has a wound.
Right Ans - b. Patients at risk for skin break down should have at least a daily
skin inspection.
At least a daily skin inspection is recommended for patients at risk for skin
integrity issues. Frequency of reassessment is dependent upon many
variables i.e. care setting, co-morbidities, immunosuppression, tissue
tolerance, continence status, nutrition, mobility etc. thus frequency of
assessment may change over time.
What is the primary reason for taking the time to perform a comprehensive
assessment to identify protein energy malnutrition as opposed to ordering a
simple blood draw to formulate a diagnosis?
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