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AMSA 104 Advanced Nursing 2 Questions & answers.
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AMSA 104 Advanced Nursing 2Questions & answers.
Wound/Injury ANS - A disruption of the integrity & function of tissues in the body
Wound classifications ANS - Enable the medical technician to understand the risk associated
with a wound & implications for healing
Acute ANS - Orderly & timely reparative process & results in sustained restoration of
anatomical & functional integrity
Acute ANS - Caused by trauma or a surgical incision
Chronic ANS - Fails to proceed through an orderly & timely process to produce anatomical
& functional integrity
Chronic ANS - Caused by vascular compromise or chronic inflammation
Wound management ANS - Involves preventing the infection, preventing further injury to
the wound and nearby tissues, and preventing blood loss and pain
Primary, secondary, and tertiary intention ANS - For wound management, the provider may
initiate one or a combination of 3 wound intentions to promote healing:
Primary intention ANS - Typically for clean surgical incisions with little tissue loss; risk of
infection is low
Secondary intention ANS - Used for a pressure ulcer, burn, or severe laceration where tissue
loss is greater; risk of infection is high
Tertiary infection ANS - If wound is contaminated or if needed after a surgical procedure
such as a ruptured appendix; closure of wound is delayed until risk of infection is resolved
Skin ANS - The body's protective barrier against disease causing organisms, a sensory organ
for pain, temperature touch, and synthesizes vitamin D
Epidermis ANS - Most superior & broken into several layers
Stratum corneum ANS - Thin, outermost layer of the epidermis
Stratum basale ANS - the innermost layer of the epidermis
Dermis ANS - Below the epidermis
, Subcutaneous ANS - Layer of fat under the dermis
Intact skin ANS - Protects the patient from invading organisms such as bacteria
Partial-thickness wound repair ANS - Shallow & has loss of the epidermis & possibly partial
loss of the dermis; epidermal regeneration
Full-thickness wound repair ANS - Extends into the dermis & will heal by scar formation due
to deep structural damage
4 phases of healing of full-thickness wounds ANS - Hemostasis, inflammatory phase,
proliferation phase, maturation
Hemostasis ANS - A fibrin matrix forms to provide the framework for cellular repair
Inflammatory phase ANS - Initiates vasodilation of surrounding capillaries & movement of
serum & WBCs to the damaged tissues
Proliferation phase ANS - Reconstruction progresses & new blood vessels appear through
angiogenesis; beings & lasts from 3-24 days
Maturation ANS - Final stage of healing; may take place for more than a year
Integrity ANS - One of the medical technician's most important responsibilities is to monitor
the skin's...
Acute & chronic ANS - What are two wound classifications that enable the medical
technician to understand the risks associated with a wound & implications for healing?
Wound evaluation/assessment ANS - Provides the baseline for planning & evaluating the
wound care plan.
Criteria for conducting initial & ongoing wound assessments & evaluations(LETSPOPET) ANS
- Location, type of pressure injury/wound, extent of tissue involvement, type of tissue in the
wound base, size, exudate, odor, peri-wound area, pain
Serous drainage ANS - Clear like plasma
Sanguineous drainage ANS - Bright red
Serosanguinous drainage ANS - Pink
Purulent drainage ANS - Thick & yellow, tan, green, or white
Pressure ulcers ANS - Patients with decreased mobility, decreased sensory perception, fecal
or urinary incontinence, &/or poor nutrition have an increased risk for development of...
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