WOUND FINAL EXAM QUESTIONS AND CORRECT
ANSWERS
Contraindications to Oxendine - ANS✅✅renal or liver failure
Steroid dose that impairs healing - ANS✅✅>30-40 mg/day for >30 days
Serum glucose goal for wound healing - ANS✅✅<130-140 mg/dl
Who is vitamin A recommended for to promote wound healing? -
ANS✅✅Patients on high dose steroids. Apply topically.
Recommendations for cleansing a clean wound - ANS✅✅Gentle flushing with
noncytotoxic solutions
Recommendations for cleansing a necrotic/dirty/contaminated wound -
ANS✅✅8-15 psi irrigation force using saline, wound cleansers, tap water.
limited data on antiseptics for cleansing
Hydrogen peroxide wound cleansing guidlines - ANS✅✅mechanical cleanser
and debriding agent for dirty or necrotic wounds. Avoid forceful irrigation and
packing. Harmful to new granulation tissue.
,Initial Assessment Goals - ANS✅✅1. etiologic factors 2. systemic factors and
comorbidities 3. recommendations for management 4. determine phase of
healing 5.determine goals of topical therapy
Hyperglycemia impairs... - ANS✅✅leukocyte function when >180; collagen
synthesis; development of tensile strength; epithelial resurfacing
Random BG goals - ANS✅✅<140
A1C goal for wound healing - ANS✅✅<7
Nutrients essential for collagen synthesis - ANS✅✅Zinc, glutamine, 1-arginine
Unplanned weight loss parameters indicative of malnutrition - ANS✅✅greater
than or equal to 2.5% within 30 days; greater than or equal to 10% in 180 days;
5% in longterm care settings
Lab values indicative of malnutrition - ANS✅✅Albumin <3.5; transferrin <100;
pre-albumin <19.5; total lymphocyte count >1500
Recommended caloric intake for wound healing - ANS✅✅30-35 cal/kg/day
Recommended protein intake for wound healing - ANS✅✅1.25 - 1.5 g/kg/day
Recommended fluid intake - ANS✅✅30ml/kg/day
, Factors that interfere with healing - ANS✅✅1.hyperglycemia 2. malnutrition
3. poor perfusion/oxygenation 4. immunosuppression 5. comorbidities such as
renal failure, liver failure, multisystem trauma, smoking, advanced age
ISTAP skin tear classification Type 1 - ANS✅✅No skin loss; flap can be
repositioned to cover wound bed
ISTAP skin tear classification Type 2 - ANS✅✅Partial flap loss
ISTAP skin tear classification Type 3 - ANS✅✅Total flap loss
Indications for transfer to burn center - ANS✅✅1. > 10% TBSA full-thickness
burns 2. >10-20% TBSA partial-thickness burns 3. High risk area (face, hands,
feet) 4. Perineal burn (high risk infection) 5. age <10 or >50
Etiologic factors for wounds - ANS✅✅1.Surgical 2.Traumatic 3.Thermal
4.Autoimmune 5.Neoplastic 6.Allergic 7.Chemical 8.Microbial
Hidradenitis suppurativa definition - ANS✅✅lesions involving the sweat
glands typically due to inflammation or infection.
Hidradenitis suppurativa characteristics - ANS✅✅typically found in the axilla
or perineal area; painful; indurated lesions; foul smelling drainage
ANSWERS
Contraindications to Oxendine - ANS✅✅renal or liver failure
Steroid dose that impairs healing - ANS✅✅>30-40 mg/day for >30 days
Serum glucose goal for wound healing - ANS✅✅<130-140 mg/dl
Who is vitamin A recommended for to promote wound healing? -
ANS✅✅Patients on high dose steroids. Apply topically.
Recommendations for cleansing a clean wound - ANS✅✅Gentle flushing with
noncytotoxic solutions
Recommendations for cleansing a necrotic/dirty/contaminated wound -
ANS✅✅8-15 psi irrigation force using saline, wound cleansers, tap water.
limited data on antiseptics for cleansing
Hydrogen peroxide wound cleansing guidlines - ANS✅✅mechanical cleanser
and debriding agent for dirty or necrotic wounds. Avoid forceful irrigation and
packing. Harmful to new granulation tissue.
,Initial Assessment Goals - ANS✅✅1. etiologic factors 2. systemic factors and
comorbidities 3. recommendations for management 4. determine phase of
healing 5.determine goals of topical therapy
Hyperglycemia impairs... - ANS✅✅leukocyte function when >180; collagen
synthesis; development of tensile strength; epithelial resurfacing
Random BG goals - ANS✅✅<140
A1C goal for wound healing - ANS✅✅<7
Nutrients essential for collagen synthesis - ANS✅✅Zinc, glutamine, 1-arginine
Unplanned weight loss parameters indicative of malnutrition - ANS✅✅greater
than or equal to 2.5% within 30 days; greater than or equal to 10% in 180 days;
5% in longterm care settings
Lab values indicative of malnutrition - ANS✅✅Albumin <3.5; transferrin <100;
pre-albumin <19.5; total lymphocyte count >1500
Recommended caloric intake for wound healing - ANS✅✅30-35 cal/kg/day
Recommended protein intake for wound healing - ANS✅✅1.25 - 1.5 g/kg/day
Recommended fluid intake - ANS✅✅30ml/kg/day
, Factors that interfere with healing - ANS✅✅1.hyperglycemia 2. malnutrition
3. poor perfusion/oxygenation 4. immunosuppression 5. comorbidities such as
renal failure, liver failure, multisystem trauma, smoking, advanced age
ISTAP skin tear classification Type 1 - ANS✅✅No skin loss; flap can be
repositioned to cover wound bed
ISTAP skin tear classification Type 2 - ANS✅✅Partial flap loss
ISTAP skin tear classification Type 3 - ANS✅✅Total flap loss
Indications for transfer to burn center - ANS✅✅1. > 10% TBSA full-thickness
burns 2. >10-20% TBSA partial-thickness burns 3. High risk area (face, hands,
feet) 4. Perineal burn (high risk infection) 5. age <10 or >50
Etiologic factors for wounds - ANS✅✅1.Surgical 2.Traumatic 3.Thermal
4.Autoimmune 5.Neoplastic 6.Allergic 7.Chemical 8.Microbial
Hidradenitis suppurativa definition - ANS✅✅lesions involving the sweat
glands typically due to inflammation or infection.
Hidradenitis suppurativa characteristics - ANS✅✅typically found in the axilla
or perineal area; painful; indurated lesions; foul smelling drainage
