WOCN Wound Care RN Exam Prep Final Questions and Answers latest

WOCN Wound Care RN Exam Prep Final Questions and Answers latest Steps to heal by Secondary Intention - CORRECT ANSWER-Formation of granulation tissue, contraction of the wound bed edges, and epithelialization Partial thickness repair - CORRECT ANSWER-Inflammatory response, epithelial proliferation and migration, epidermal reestablishment and differentiation What characterizes a chronic wound healing environment - CORRECT ANSWER-Low levels of growth factors and receptor sites. They are needed to move cells out of the inflammatory phase and into the proliferative/Rebuilding Phase What Vitamin assists in collagen/fibroplasia formation? - CORRECT ANSWER-Vitamin C Normal protein intake - CORRECT ANSWER-.8 g/kg/24 Protein intake for injury - CORRECT ANSWER-increased 1.25 - 1.5 /kg/24 hours BMI 25 increases - CORRECT ANSWER-dehiscence, infection, delayed wound healing, adipose tissue poorly perfused and heals at a slower rate Keloid Scars are formed how? - CORRECT ANSWER-Overgrowth of collagen within scar tissue, seen with pigmented skin. Trauma. May ulcerate. Genetic. Hypertrophic Scar are formed how? - CORRECT ANSWER-scar with thickened epidermal layer contained within the original incision area. Formed from prolonged inflammatory phase. Fast/rapid weight loss produces what type of malnutrition? - CORRECT ANSWERProtein & mixed protein malnutrition: marasmus-kwashiorkor Marjoin ulcer - CORRECT ANSWER-chronic wounds in malignant wound Candidiasis - CORRECT ANSWER-Pustules and satellite lesions with red base Incontinence associated dermatitis - CORRECT ANSWER-blisters with red base Radiation Dermatitis - CORRECT ANSWER-Grade 1: Dry desquamation (Peeling) Grade 2: erythema, moist desquamation (partial thickness), mod edema Grade 3: Bleeding skin Wheal skin lesion - CORRECT ANSWER-Itching, burning, red, elevated, irregular Pyoderma Gangrenosum - CORRECT ANSWER-Ulcer with irregular shape and violaceous (purple) raised edges. Sharp debridement is contraindicated. Calciphylaxix - CORRECT ANSWER-Calcific uremic arteriolopathy elevated calcium/phosphate. Dialysis. may present similar to Pyoderma. Aggressive sharp debridement for necrotic tissue. Partial thickness wound - CORRECT ANSWER-shallow ,.2 cm, moist, pink/red wound base, exposure of basement membrane and of nerve endings. Epidermal/Dermal Loss - Heal by reepithelialization - No scar or loss of function