Types (Arterial, Venous, Pressure Injuries) |
Verified Answers
1. Describe the significance of the Ankle-Brachial Index (ABI) in the diagnosis of
leg ulcers.
The ABI measures the pressure in the veins to diagnose venous ulcers.
The ABI helps assess blood flow to the legs, indicating potential
arterial insufficiency that can lead to ulcers.
The ABI determines the severity of pressure injuries.
The ABI is used to evaluate nerve function in neuropathic ulcers.
2. Whats the mainstay treatment for venous leg ulcer?
graduated compression bandaging
steroids
amputation
3. Describe the significance of tissue deformation occurring before visible
changes in tissue in the context of wound management.
It shows that visible changes are the first sign of injury.
It suggests that capillary closure is the most critical factor.
It means that all wounds will heal without intervention.
It indicates that early intervention may be necessary to prevent
further damage.
4. Dependent Rubor is commonly associated with...?
Lymphedema
, Arterial Insufficiency
Chronic Venous Insufficiency
Diabetic Foot Ulcers
5. Describe the significance of dependent rubor in the context of arterial
ulcers.
Dependent rubor is a sign of healing in pressure injuries.
Dependent rubor signifies excessive venous pressure in venous ulcers.
Dependent rubor is unrelated to any type of ulcer.
Dependent rubor indicates poor arterial blood flow, which is
characteristic of arterial ulcers.
6. Venous disease often leads to tissue ulcerations and varicose saphenous
veins and is primarily caused by:
high blood pressure
swimming
low blood pressure
lymph vessel edema
venous valve failure
7. The following action can assist with prevention of pressure injuries:
Frequent turning (every 2 hours)
Proper positioning
Monitor skin during treatment
Increase mobility
, All of the above
8. A patient presents with a localized area of non-blanchable erythema over the
sacral region. Based on the classification of pressure injuries, how should this
be categorized?
Stage 2
Stage 1
Stage 3
Stage 4
9. A patient presents with venous stasis ulcers. The medical history includes
stable CHF and vascular assessment reveals ABI of 0.7. When recommending
compression therapy for this patient, the basic principle to consider would
be:
Compression is contraindicated in patients with CHF.
Compression is contraindicated in patients with ABI less than 0.8.
A therapeutic compression level (at least 30 mmHg sustained
compression) is needed at the ankle.
Modified compression (20-27 mmHg) should be used for patients
with ABI of 0.6-0.8.
10. If a surgical patient develops a pressure injury, what intervention might be
most effective in managing their condition?
Increasing the patient's mobility without restrictions.
Implementing offloading techniques to relieve pressure on the
affected area.
Using topical ointments without addressing pressure.
, Administering antibiotics to prevent infection.
11. Describe the role of compression therapy in the treatment of venous ulcers.
Compression therapy helps reduce swelling and improve blood
flow in the affected area.
Compression therapy is used to kill bacteria in the wound.
Compression therapy is a surgical procedure.
Compression therapy is primarily for pain relief.
12. Describe how peripheral artery disease contributes to the development of
arterial leg ulcers.
Peripheral artery disease is unrelated to leg ulcers.
Peripheral artery disease increases blood flow, promoting healing of
ulcers.
Peripheral artery disease causes nerve damage, resulting in
neuropathic ulcers.
Peripheral artery disease reduces blood flow to the legs, leading to
tissue ischemia and ulcer formation.
13. A patient with a spinal cord injury will most likely have an increased risk of
pressure injuries due to which of the following risk factors?
Impaired sitting balance
Aging of the skin
Abnormal body weight
Loss of sensation