ALL QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS | JUST RELEASED | UPDATED
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Which assessment parameter is of greatest value to differential
assessment of wounds? (17)
A. Indicators of pressure vs indicators of maceration or friction
B. Wound size
C. Type of eschar involved
D. Indicators of infected vs noninfected wounds ---------CORRECT
ANSWER-----------------A -- what is the source of the injury?
Which condition might the WCN observe as an indicator of pressure
injury? (17)
A. Maceration of surrounding tissue
B. Excessive granulation tissue
C. Edema
D. Purple discoloration ---------CORRECT ANSWER-----------------D -- d/t
ischemia
,A WCN documents a wound as being of mixed etiology. What is the
nurse describing? (17)
A. Patient history reveals exposure to only one mechanical stressor
B. The wound is limited to the superficial skin and tissue layers
C. Features of both superficial and deeper injury are manifested
D. Patient positioning affected the development of the wound ---------
CORRECT ANSWER-----------------C -- superficial skin loss with evidence of
deeper damage
What skin condition is associated with increased risk for pressure
injury? (17)
A. Dry skin
B. Macerated skin
C. Hyperkeratotic skin
D. Skin manifesting a rash ---------CORRECT ANSWER-----------------B --
maceration decreases resistance of skin to external pressure sources
,Which structure of the skin provides the body with photoprotective
properties by absorbing harmful UV light? (2)
A. Melanin
B. Langerhans cells
C. Odland bodies
D. Stratum lucidum ---------CORRECT ANSWER-----------------A
What is a unique function of the layer of the epidermis known as the
stratum basale? (2)
A. Providing immunity via Langerhans Cells
B. Producing new epithelial cells
C. Releasing lipids to hep maintain normal brick and mortar skin
configuration
D. Protecting the palms of the hands and soles of the feet ---------
CORRECT ANSWER-----------------B - reproductive layer of the dermis
characterized by proliferating keratinocytes
Which cells located in the dermis produce collagen and elastin critical
to immune function and healing? (2)
, A. Leukotrienes
B. Prostaglandins
C. Macrophages
D. Fibroblasts ---------CORRECT ANSWER-----------------D
Which patient's wound would the WCN expect to heal by scar
formation? (2)
A. A head wound extending beyond the hair follicles
B. A shallow wound on the hand
C. A stage 2 PI
D. A first-degree burn ---------CORRECT ANSWER-----------------A
Which of the following statements accurately describes how the skin
functions as a barrier between the internal and external environments?
(2)
A. The skin lipids bind water, normally maintaining skin water content
at 20% or higher
B. When the barrier function of the skin is compromised,
transepidermal water loss (TEWL) decreases