EMORY WOCN Wound Exam 2 Quiz and Answers 100% Solved 2025

EMORY WOCN Wound Exam 2 Quiz and Answers 100% Solved 2025 LEAD pain description - Answer- intense cramping, throbbing heaviness and difficulty walking worsened by activity and elevation nocturnal pain LEAD appearance - Answer- punched out scant exudate pale or necrotic wound bed LEAD location - Answer- distally: toes, forefoot, heel LEAD assessment findings - Answer- Diminished or absent pulses abdnormal ABI Infection (usually muted) elevation pallor/dependent rubor decrease hair growth prolonged venous filling time 20 secs LEAD management - Answer- -topical therapy - vascular consult -tabacco cessation - dry eschar w/no infx= betadine - if infx= chemical/enzymatic LEAD risk factors - Answer- -smoking -DM -HTN - Hyperlipidemia - age 66 - obese LEVD pain description - Answer- -aching/heavy/dull - ankle to knee - pain severity is variable - worsened by dependency and edema -relief with elevation - pain worsening throughout the day LEVD wound appearance: - Answer- -shallow and irregular shape - moderate to heavy exudate -dark red with layer of yellow slough - biofilm LEVD wound location - Answer- superior to the medial malleolus anywhere on lower extremity LEVD assessment findings: - Answer- -edema -hemosiderin staining - venous dermatitis - periwound maceration LEVD management: - Answer- - topical wound therapy - COMPRESSION THERAPY (based on ABI) - DYNAMIC COMPRESSION/LEG ELEVATION LEVD risk factors - Answer- - obesity - DVT -factor V - lupus - sedentary life style - calf muscle dysfunction/altered gait LEND pain description - Answer- -pins and needles -stinging/burning - plantar surface of foot or area of foot in contact with shoe - may be worse at night with sleep - often relived with walking LEND appearance - Answer- -mod/heavy exudate -red - may be surrounded by callus LEND location - Answer- - plantar surface of the foot -metatarsal head of great toe - dorsal/distal aspects of toes - interdigital areas LEND management: - Answer- - topical therapy - tight glucose control - offloading/ removal of focal pressure from area - elimination of repetitive trauma (TCC, RCW, half shoe, adhesive felt) - eliminate necrotic tissue/treat infx - patient edu - appropriate footwear when should we use modified compression (23-30 mmHg) - Answer- ABI0.5 and 0.8 Normal ABI - Answer- 0.9-1.3 ABI score 0.5-0.8 - Answer- moderate ischemia; vascular consult; modified compression ABI score 0.5 - Answer- severe ischemia urgent vascular consult Cornerstone for venous ulcer management - Answer- compression and elevation 4 layer compression wrap - Answer- -appropriate for both active and sedentary patient -provides sustained therapeutic level compression - omit layer 3 for modified compression (ABI 0.5-0.8) Unna boots - Answer- - intended only for patient who is actively ambulating Lymphedema - Answer- reversible accumulation of fluid that responds at lease partly to elevation and compression -pitting edema -no significant fibrosis - foot involvement Phase 2 lymphedema - Answer- spontaneously irreversible -nonpitting edema - papillomatosis - positive stemmer sign - elvation ineffective Phase 3 lymphedema - Answer- - lymphostatic elephantiasis - severe papillomatosis (cobblestone) - severe edema - ulceration sensory neuropathy - Answer- -loss of vibratory sense -loss of protective sensation -loss of proprioceptive sense (position) Motor neuropathy - Answer- - causes foot and toe deformities (hammer toes/clawfoot) -altered weight bearing (plantar surface ulcers) Autonomic Neuropathy - Answer- -damage to nerves controlling sweat glands/blood vessels - dry cracked feet/fissures - persistent vasodilation (charcot foot deformity) Vasculitic ulcer - Answer- -around malleoli or anterior surface of leg - full thickness -EXTREMELY PAINFUL - pale or necrotic wound base - minimal exudate - petechial/purpuric rash Vasculitic ulcer management - Answer- - address underlying disorder ( infx/autoimmune) - antiinflammatory agent - plasmapharesis - pain management Pyoderma Gengrenosum: - Answer- ulcers or pustular lesions with purplish borders Acutely painful -causes dermal destruction and scarring Pyoderma treatment - Answer- -anti-inflamatory -pain management - alginate/hydrofiber/non adherent Calciphylaxis - Answer- painful mottled lesions that progress to necrotic nodules and ulcerations - common site: thighs/buttocks/abd/legs - risk factors: femaie, obesity, DM, RENAL FAILURE Calciphylaxis treatment: - Answer- -normalize calcium/phosphorus -pain management - leave dry lesions OTA till systemic issues corrected, then debrided, NPWT/grafting, moist wound healing Viral Lesions (herpes simplex/herpes zoster): - Answer- painful vesicular rash, progresses to discrete shallow ulcers -treatment: antiviral, silicone adhesive foam, zinc for perianal, glycerine based gel Fungal lesions (yeast): - Answer- maculopapular rash that is solid in center with satellite lesions - treatment: azole/nystatin, burrows solution