WebWoc Sem580 Questions And Answers.

Which of the following statements accurately reflects the history of the WOC Nursing Specialty? - Answer-Patient consumers began the specialty An ESSENTIAL component of a WOC Nursing Practice is: - Answer-Implements, coordinates, and evaluates specialty care. A certificate of completion is issued upon successful completion of a Program. Certification in WOC Nursing is accomplished once the learner has passed exams given by the: - Answer-WOCNCB® (Wound Ostomy Continence Nursing Certification Board). When a learner graduates from a WOCN® accredited nursing education program (i.e. WEB WOC), and successfully passes all scopes of practice certification exams from the WOCNCB, the correct abbreviation for the specialist is? - Answer-CWOCN. Trends in WOC Nursing Care include which of the following: - Answer-Safety in patient care, access, and outcomes research. The highest level of evidence comes from which of the following sources? - Answer-Randomized clinical trials. Which of the following statements about Clinical Practice Guidelines is TRUE? - Answer-Clinical guidelines are derived from the current literature and summarize state of the art care for specific healthcare issues. What are the major layers of the skin? - Answer-Epidermis & dermis What is the primary function of intact skin? - Answer-Protective barrier. What is the benefit in the skin maintaining an acid mantle (pH 4.5-6.5)? - Answer-Retards growth of skin pathogens.How does age alter the skin's epidermal turnover or process of differentiation? - Answer-Prolongs the rate of cell turnover (28 days). Which cells located in the dermis produce collagen (dermal building blocks) and elastin (tensile strength)? - Answer-Fibroblasts Structures of the dermis include: - Answer-Collagen, elastin proteins, hair follicles, sweat (sebaceous) glands. The functions of the hypodermis (subcutaneous tissue) include: - Answer-Cushions, insulates and adds to the mobility of the skin over underlying structures. Which layer of soft tissue is most vulnerable to pressure over a bony prominence? - Answer-Muscle. Diabetes causes increased risk for skin: - Answer-Bacterial and fungal infections. What is the definition of MASD? - Answer-Skin damage caused by prolonged exposure to various sources of moisture. MASD (Moisture Associated Skin Damage) affects what part of the skin or cell function? - AnswerEpidermis and/or dermis. How does MASD alter the acid mantle of the skin? - Answer-Increases TEWL (transepidermal water loss). What is the primary risk factor associated with ITD (intertriginous dermatitis)? - Answer-Obesity What is the primary risk factor associated with Peristomal MASD? - Answer-Pouching system leakage What is the primary risk factor associated with Periwound MASD (PWMASD)? - Answer-Large amount of wound exudate.Understanding the physiology of skin when it is injured by MASD is an important concept. Skin that is occluded by an absorptive type product (i.e. adult brief) results in what altered skin barrier effect? - Answer-Increase in TEWL (trans-epidermal water loss) & skin pH. Which type of wound exudate characteristic is most likely to cause periwound MASD? - Answer-Thick purulent. What type of MASD is more prone to fungal or bacterial infections? - Answer-Incontinence Associated Dermatitis (IAD). What factors most likely play the greatest risk in the development of peristomal MASD? - Answer-High pH, liquid stool & eroded pouch barrier. Moisture Associated Skin Damage (MASD) occurs across the scopes of practice for a Wound, Ostomy, and Continence care nurse. What is the primary etiology for MASD? - Answer-Moisture and mechanical forces. Intertriginous Dermatitis (ITD) is defined as inflammation and erosion that occurs because of: - AnswerFriction & moisture between skin folds. Severity of Skin Damage in IAD is based on what 3 things: - Answer-Type of irritant, duration of the exposed irritant & frequency of the exposure.