©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AM
Skin Integrity/Wound Care- FPCC Exam 1
Questions and Answers (100% Pass)
Why is skin integrity important? - ✔️✔️Protective barrier, Sensory organ, Vitamin-D Synthesis
How does a patient get "impaired skin integrity"? - ✔️✔️surgery, accidents, falls. Etc.,
Circulatory problems, TOO MUCH PRESSURE
Classification by Extent - ✔️✔️Partial Thickness (open)- scrape
Full Thickness (open)- go through all layers of the skin
Closed- bruises
Classification by onset/duration - ✔️✔️Acute- starts/heals suddenly
Chronic- starts/heals slowly
Classif. by Level of Contamination - ✔️✔️Clean- surgery wounds
Contaminated- traumatic wounds
Classif. by Healing Process - ✔️✔️Primary: Clean surgical incision, Close up cleanly
Secondary: Tissue has been lost, Have to build the tissue back up
Tertiary: Not closed up
Wound Drainage - ✔️✔️Amount, odor, consistency, color?????
Drainage Color - ✔️✔️bright red(senguinous), Light pink/yellow (serasenguinous), Yellow
(serous), Brown (Purulent
Surgical Wound Incisions - ✔️✔️Approximated edges
Staples, sutures, adhesive, or steristrips intact?
Surrounding tissue (red, damp, loose, etc.)
Presence of Drains - ✔️✔️Penrose- gauze around a straw-type tube (not measurable)
Page 1 of 5
, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AM
Jackson Pratt (JP)- applies suction to pull drainage out (measurable)
Hemovac- applies suction as well
Abrasion - ✔️✔️Not a lot of bleeding
Laceration - ✔️✔️Accidentally cut
Partial/full thickness
Can bleed a lot/or not
Neat or jagged
Puncture Wounds - ✔️✔️Staple/needle
Straight through
Bleeding differs
High risk for infection
Tetanus status - ✔️✔️Within 5 years????
Healing of Lacerations - ✔️✔️Approximated edges?
Normal inflammation
Edges closing in 7-10 days
Pressure Ulcer Development - ✔️✔️Duration
Intensity
Tissue Tolerance- friction, shear, moisture, ability to redistribute pressure
Pressure ulcer locations - ✔️✔️Bony prominences, underweight areas, damp areas,
intertriginous (touching skin)
Skin assessment - ✔️✔️Color of skin
Warmth
Edema (swelling)
Change in tissue consistency (induration= hardened)
High Risk for Ulcers - ✔️✔️Decreased sensation & mobility
Medical devices
History of skin breakdown
Poor nutrition
Stage I Ulcer - ✔️✔️Intact skin with nonblanchable redness
Page 2 of 5
Skin Integrity/Wound Care- FPCC Exam 1
Questions and Answers (100% Pass)
Why is skin integrity important? - ✔️✔️Protective barrier, Sensory organ, Vitamin-D Synthesis
How does a patient get "impaired skin integrity"? - ✔️✔️surgery, accidents, falls. Etc.,
Circulatory problems, TOO MUCH PRESSURE
Classification by Extent - ✔️✔️Partial Thickness (open)- scrape
Full Thickness (open)- go through all layers of the skin
Closed- bruises
Classification by onset/duration - ✔️✔️Acute- starts/heals suddenly
Chronic- starts/heals slowly
Classif. by Level of Contamination - ✔️✔️Clean- surgery wounds
Contaminated- traumatic wounds
Classif. by Healing Process - ✔️✔️Primary: Clean surgical incision, Close up cleanly
Secondary: Tissue has been lost, Have to build the tissue back up
Tertiary: Not closed up
Wound Drainage - ✔️✔️Amount, odor, consistency, color?????
Drainage Color - ✔️✔️bright red(senguinous), Light pink/yellow (serasenguinous), Yellow
(serous), Brown (Purulent
Surgical Wound Incisions - ✔️✔️Approximated edges
Staples, sutures, adhesive, or steristrips intact?
Surrounding tissue (red, damp, loose, etc.)
Presence of Drains - ✔️✔️Penrose- gauze around a straw-type tube (not measurable)
Page 1 of 5
, ©PREP4EXAMS @2024 [REAL EXAM DUMPS] Wednesday, July 17, 2024 1:27 AM
Jackson Pratt (JP)- applies suction to pull drainage out (measurable)
Hemovac- applies suction as well
Abrasion - ✔️✔️Not a lot of bleeding
Laceration - ✔️✔️Accidentally cut
Partial/full thickness
Can bleed a lot/or not
Neat or jagged
Puncture Wounds - ✔️✔️Staple/needle
Straight through
Bleeding differs
High risk for infection
Tetanus status - ✔️✔️Within 5 years????
Healing of Lacerations - ✔️✔️Approximated edges?
Normal inflammation
Edges closing in 7-10 days
Pressure Ulcer Development - ✔️✔️Duration
Intensity
Tissue Tolerance- friction, shear, moisture, ability to redistribute pressure
Pressure ulcer locations - ✔️✔️Bony prominences, underweight areas, damp areas,
intertriginous (touching skin)
Skin assessment - ✔️✔️Color of skin
Warmth
Edema (swelling)
Change in tissue consistency (induration= hardened)
High Risk for Ulcers - ✔️✔️Decreased sensation & mobility
Medical devices
History of skin breakdown
Poor nutrition
Stage I Ulcer - ✔️✔️Intact skin with nonblanchable redness
Page 2 of 5
