WND 581 Final Exam – Questions With Expert
Solutions
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Terms in this set (105)
Intermittent claudication leg pain is a. With activity and is relieved by rest.
characterized as pain that occurs:
a. With activity and is relieved by rest.
. Only during the night.
c. In the absence of activity with the
leg in a dependent position.
d. When the leg is elevated such as
when the patient is lying supine.
As you examine a patient's lower a. Arterial insufficiency.
extremity you observe a thin leg with
dry skin and very little hair; the ABI is
0.5. From this data, what condition
would you assess to be present?
a. Arterial insufficiency.
b. Venous hypertension.
c. Neuropathy.
d. Mixed arterial/venous ulcer.
,Which of the following statements a. They are only effective in the ambulatory patient.
about inelastic compression bandages
is accurate?
a. They are only effective in the
ambulatory patient.
b. They may be used when the ABI =
0.5 or less.
c. They can only be used after edema
is reduced.
d. They provide sustained
compression whether the patient is
ambulatory or immobile.
What is Mrs. Lang's foot deformity b. Charcot's joint.
called when there is a rocker bottom
appearance to her foot?
a. Claw toes.
b. Charcot's joint.
c. Hammer toes.
d. Onychomycosis.
Which of the following statements d. The contact cast redistributes the weight of the
about contact casting is correct? diabetic foot.
a. The contact cast is a multi-layer
graduated compression wrap.
b. The patient can be instructed to
replace the contact cast every 7 days.
c. It may be used when the ulcer is
infected.
d. The contact cast redistributes the
weight of the diabetic foot.
,Mrs. Anderson has dependent rubor c. 0.59
and elevation pallor of her right lower
extremity. The systolic pressure in her
R. arm is 170 mmHg; L arm is 165
mmHg, R. dorsal pedis systolic
pressure was 100 mmHg and the
posterior tibial pressure was 95
mmHg. What is Mrs. Anderson's ABI
for the RLE?
a. .056
b. 1.7
c. 0.59
d. 1.65
An ambulatory patient with insulin b. Neuropathic Ulcer.
dependent diabetes has an ulcer
located on the plantar surface of the
left foot over the third metatarsal
head. The ulcer is 1 cm in diameter,
with a dry, red surface. The patient
denies any pain in the ulcer. What type
of wound does this most likely
represent?
a. Venous Ulcer.
b. Neuropathic Ulcer.
c. Shear Ulcer.
d. Arterial Insufficiency Ulcer.
Which of the following assessments is c. An ABI of 0.7.
most indicative of an arterial ulcer?
a. The presence of pain.
b. Absence of edema in the leg.
c. An ABI of 0.7.
d. Absence of a ruddy, red wound
bed.
, Which of the following statements is c. results in erythema, crusting, scaling skin of the
TRUE? Venous dermatitis: leg.
a. indicates a wound infection.
b. is characterized by hemosiderosis.
c. results in erythema, crusting, scaling
skin of the leg.
d. is best managed with topical
antimicrobial creams.
Which of the following statements b. Graduated compression can be provided at a
concerning the management of a modified level of support.
mixed venous/arterial ulcer with an
ABI of .75 is TRUE?
a. Graduated compression is
contraindicated.
b. Graduated compression can be
provided at a modified level of
support.
c. Graduated compression should be
used temporarily to reduce edema
and then discontinued.
d. Graduated compression should be
provided only with compression
stockings
Mrs. James has an eschar covered heel b. TcPO2 (transcutaneous oxygen) is 15 mmHg.
ulcer and you decide that the best
approach to management is NOT to
debride but to keep the eschar
covered, dry and intact. The rationale
for your decision is that the:
a. wound is clinically infected.
b. TcPO2 (transcutaneous oxygen) is 15
mmHg.
c. peri-wound is erythematous.
d. albumin level is 3.0.
Solutions
Save Groups
Terms in this set (105)
Intermittent claudication leg pain is a. With activity and is relieved by rest.
characterized as pain that occurs:
a. With activity and is relieved by rest.
. Only during the night.
c. In the absence of activity with the
leg in a dependent position.
d. When the leg is elevated such as
when the patient is lying supine.
As you examine a patient's lower a. Arterial insufficiency.
extremity you observe a thin leg with
dry skin and very little hair; the ABI is
0.5. From this data, what condition
would you assess to be present?
a. Arterial insufficiency.
b. Venous hypertension.
c. Neuropathy.
d. Mixed arterial/venous ulcer.
,Which of the following statements a. They are only effective in the ambulatory patient.
about inelastic compression bandages
is accurate?
a. They are only effective in the
ambulatory patient.
b. They may be used when the ABI =
0.5 or less.
c. They can only be used after edema
is reduced.
d. They provide sustained
compression whether the patient is
ambulatory or immobile.
What is Mrs. Lang's foot deformity b. Charcot's joint.
called when there is a rocker bottom
appearance to her foot?
a. Claw toes.
b. Charcot's joint.
c. Hammer toes.
d. Onychomycosis.
Which of the following statements d. The contact cast redistributes the weight of the
about contact casting is correct? diabetic foot.
a. The contact cast is a multi-layer
graduated compression wrap.
b. The patient can be instructed to
replace the contact cast every 7 days.
c. It may be used when the ulcer is
infected.
d. The contact cast redistributes the
weight of the diabetic foot.
,Mrs. Anderson has dependent rubor c. 0.59
and elevation pallor of her right lower
extremity. The systolic pressure in her
R. arm is 170 mmHg; L arm is 165
mmHg, R. dorsal pedis systolic
pressure was 100 mmHg and the
posterior tibial pressure was 95
mmHg. What is Mrs. Anderson's ABI
for the RLE?
a. .056
b. 1.7
c. 0.59
d. 1.65
An ambulatory patient with insulin b. Neuropathic Ulcer.
dependent diabetes has an ulcer
located on the plantar surface of the
left foot over the third metatarsal
head. The ulcer is 1 cm in diameter,
with a dry, red surface. The patient
denies any pain in the ulcer. What type
of wound does this most likely
represent?
a. Venous Ulcer.
b. Neuropathic Ulcer.
c. Shear Ulcer.
d. Arterial Insufficiency Ulcer.
Which of the following assessments is c. An ABI of 0.7.
most indicative of an arterial ulcer?
a. The presence of pain.
b. Absence of edema in the leg.
c. An ABI of 0.7.
d. Absence of a ruddy, red wound
bed.
, Which of the following statements is c. results in erythema, crusting, scaling skin of the
TRUE? Venous dermatitis: leg.
a. indicates a wound infection.
b. is characterized by hemosiderosis.
c. results in erythema, crusting, scaling
skin of the leg.
d. is best managed with topical
antimicrobial creams.
Which of the following statements b. Graduated compression can be provided at a
concerning the management of a modified level of support.
mixed venous/arterial ulcer with an
ABI of .75 is TRUE?
a. Graduated compression is
contraindicated.
b. Graduated compression can be
provided at a modified level of
support.
c. Graduated compression should be
used temporarily to reduce edema
and then discontinued.
d. Graduated compression should be
provided only with compression
stockings
Mrs. James has an eschar covered heel b. TcPO2 (transcutaneous oxygen) is 15 mmHg.
ulcer and you decide that the best
approach to management is NOT to
debride but to keep the eschar
covered, dry and intact. The rationale
for your decision is that the:
a. wound is clinically infected.
b. TcPO2 (transcutaneous oxygen) is 15
mmHg.
c. peri-wound is erythematous.
d. albumin level is 3.0.
