WebWoc WND580 Exam – Questions With Verified
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Terms in this set (104)
Intermittent claudication leg pain is With activity and is relieved by rest.
characterized as pain that occurs:
As you examine a patient's lower 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?
Which of the following statements They are only effective in the ambulatory patient.
about inelastic compression bandages
is accurate?
What is Mrs. Lang's foot deformity Charcot's joint.
called when there is a rocker bottom
appearance to her foot?
Which of the following statements The contact cast redistributes the weight of the
about contact casting is correct? diabetic foot.
Mrs. Anderson has dependent rubor 0.59
and elevation pallor of her right lower Record the highest brachial pressure in the arms.
extremity. The systolic pressure in her Record the highest pressure from the dorsal pedis
R. arm is 170 mmHg; L arm is 165 and posterior tibial pulse location. Calculate the ABI
mmHg, R. dorsal pedis systolic by dividing the higher of two ankle pressures by the
pressure was 100 mmHg and the higher of the two brachial pressures. 100 (highest of
posterior tibial pressure was 95 two ankle pressures) is divided by 170 (highest of 2
mmHg. What is Mrs. Anderson's ABI brachial pressures) = 0.588; round off to 0.59 ABI.
for the RLE?
,An ambulatory patient with insulin 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?
Which of the following assessments is An ABI of 0.7. An ABI of less than 0.9 is indication that
most indicative of an arterial ulcer? the wound has an arterial insufficiency or LEAD
(lower extremity arterial disease). Pain occurs with
many types of leg ulcers as well as arterial. Many
factors can contribute to the color and condition of
the wound bed.
Which of the following statements is results in erythema, crusting, scaling skin of the leg.
TRUE? Venous dermatitis:
Which of the following statements 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?
Mrs. James has an eschar covered heel TcPO2 (transcutaneous oxygen) is 15 mmHg.
ulcer and you decide that the best A TcPO2 level below 40 mmHg demonstrates
approach to management is NOT to skin/tissue hypoxia and is a sign for possible delayed
debride but to keep the eschar healing. If the eschar is non-infected and dry, it is
covered, dry and intact. The rationale best left in place because it provides a natural barrier
for your decision is that the: to outside pathogens. Infection of an ischemic leg
ulcer requires aggressive systemic antibiotics and
debridement of necrotic tissue. Periwound erythema
may also be a sign of infection, but further data is
needed. Albumin levels of 3.0 show some reduced
protein stores but this is not as important of a factor
in non-debridement of an eschar covered wound.
, A patient in the outpatient wound Lipodermatosclerosis.
clinic has a venous ulcer and with
palpation, the skin around the ulcer
feels firm and woody or hardened.
This describes what condition?
Mrs. Jones has an ulcer located on the Arterial insufficiency.
dorsal surface of the third toe on the
left foot. The ulcer is 1 cm in diameter,
with a dry, pale pink wound bed. She
reports significant pain in the ulcer
and denies any history of diabetes.
What is the MOST likely cause of this
ulcer?
The wound nurse is providing Moisturizers and OTC antihistamines.
discharge education to a patient who
suffered a deep partial thickness burn
to their lower extremity. What
intervention would be most
appropriate in the plan of care?
Lymphedema is the accumulation of: Protein rich fluid in the soft tissue.
What diagnostic test is considered the Duplex ultrasound.
"Gold Standard" for diagnosing LEVD
(lower extremity venous disease)?
Mr. Best has been diagnosed with Diabetes mellitus.
lower extremity arterial disease
(LEAD). What risk factor for arterial
disease may have played the greatest
role in atherosclerosis development?
Solutions
Save Groups
Terms in this set (104)
Intermittent claudication leg pain is With activity and is relieved by rest.
characterized as pain that occurs:
As you examine a patient's lower 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?
Which of the following statements They are only effective in the ambulatory patient.
about inelastic compression bandages
is accurate?
What is Mrs. Lang's foot deformity Charcot's joint.
called when there is a rocker bottom
appearance to her foot?
Which of the following statements The contact cast redistributes the weight of the
about contact casting is correct? diabetic foot.
Mrs. Anderson has dependent rubor 0.59
and elevation pallor of her right lower Record the highest brachial pressure in the arms.
extremity. The systolic pressure in her Record the highest pressure from the dorsal pedis
R. arm is 170 mmHg; L arm is 165 and posterior tibial pulse location. Calculate the ABI
mmHg, R. dorsal pedis systolic by dividing the higher of two ankle pressures by the
pressure was 100 mmHg and the higher of the two brachial pressures. 100 (highest of
posterior tibial pressure was 95 two ankle pressures) is divided by 170 (highest of 2
mmHg. What is Mrs. Anderson's ABI brachial pressures) = 0.588; round off to 0.59 ABI.
for the RLE?
,An ambulatory patient with insulin 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?
Which of the following assessments is An ABI of 0.7. An ABI of less than 0.9 is indication that
most indicative of an arterial ulcer? the wound has an arterial insufficiency or LEAD
(lower extremity arterial disease). Pain occurs with
many types of leg ulcers as well as arterial. Many
factors can contribute to the color and condition of
the wound bed.
Which of the following statements is results in erythema, crusting, scaling skin of the leg.
TRUE? Venous dermatitis:
Which of the following statements 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?
Mrs. James has an eschar covered heel TcPO2 (transcutaneous oxygen) is 15 mmHg.
ulcer and you decide that the best A TcPO2 level below 40 mmHg demonstrates
approach to management is NOT to skin/tissue hypoxia and is a sign for possible delayed
debride but to keep the eschar healing. If the eschar is non-infected and dry, it is
covered, dry and intact. The rationale best left in place because it provides a natural barrier
for your decision is that the: to outside pathogens. Infection of an ischemic leg
ulcer requires aggressive systemic antibiotics and
debridement of necrotic tissue. Periwound erythema
may also be a sign of infection, but further data is
needed. Albumin levels of 3.0 show some reduced
protein stores but this is not as important of a factor
in non-debridement of an eschar covered wound.
, A patient in the outpatient wound Lipodermatosclerosis.
clinic has a venous ulcer and with
palpation, the skin around the ulcer
feels firm and woody or hardened.
This describes what condition?
Mrs. Jones has an ulcer located on the Arterial insufficiency.
dorsal surface of the third toe on the
left foot. The ulcer is 1 cm in diameter,
with a dry, pale pink wound bed. She
reports significant pain in the ulcer
and denies any history of diabetes.
What is the MOST likely cause of this
ulcer?
The wound nurse is providing Moisturizers and OTC antihistamines.
discharge education to a patient who
suffered a deep partial thickness burn
to their lower extremity. What
intervention would be most
appropriate in the plan of care?
Lymphedema is the accumulation of: Protein rich fluid in the soft tissue.
What diagnostic test is considered the Duplex ultrasound.
"Gold Standard" for diagnosing LEVD
(lower extremity venous disease)?
Mr. Best has been diagnosed with Diabetes mellitus.
lower extremity arterial disease
(LEAD). What risk factor for arterial
disease may have played the greatest
role in atherosclerosis development?
