Wound Care Final Exam/104 Questions
and Answers
List 3 factors that impact a patient's physiological Response to a wound? - --
ability to care for the wound
-location of the wound
-presentation of the wound
-list the reimbursement for wound care that uses OASIS: - -home health
agency
-what 4 items must be included in documentation for insurance coverage: -
--location
-measurement
-techniques
-descriptions
-Chronic wounds often occur because the wound becomes "stuck" in which
phases? - --infection
-What are the 3 C's regarding pressure ulcers? - -1) collaboration
2) communication
3) coordination
-What are the 4 phases of healing in full thickness wounds: - -1) hemostasis
2) inflammation
3) proliferation
4) maturation
-Describe the colors: - -*Adherence: firm, loosly, non-adherent
-red: healthy, good
-pale pink: poor blood flow, anemia
-purple: engorged, swelling, high bacteria levels, --trauma
-black or brown: non-viable, necrotic
-yellow: non-viable, necrotic
-gray: non-viable: necrotic
-green: infection, non-viable
-white: poor blood flow, maceration, confused with bone/tissue
-How do you measure a wound: - -length x width x depth
-What is considered part of a basic skin assessment? - --turgor
-List 5 physical signs of malnutrition: - --dry mouth
-listless
-turgor
-hair loss
-dry skin
-list some warning signs of weight loss: - --dark urine
-Types and descriptions of Exudate - --serous
-Sanguineous
3) Serosanguinous
4) Purulent
-What is the Braden scale used for? - -used to determine pressure ulcers
-List some functions of skin: - --protective layer (prevents bacterial
infection)
-maintains temperature (sweating, shivering)
-immune responses
-expression of emotions (smiling, blushing)
-metabolism
-holds body shape
-sensation
-retains water
-lymphatic vessels are contained in what layers? - --Dermis
-Subcutaenous
-What is the most common form of malnutrition secondary to excess
nutrients other than obesity? - -diabetes mellitus
-In a pre-albumin test complete, what does it mean if the value is low? - --
risk level
-What is considered systemic with regard to wound healing - -nutrition
-What is a non-invasive exam to asses the lower extremity? - -ABI
-List 3 PU danger zones? - --sacrum
-heels
-backs
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