WOUND CARE EXAM 3 2025/2026 QUESTIONS
WITH ANSWERS GRADED A+
Abrasions - caused by friction
Partial thickness (superficial or deep)
Light to mod bleeding
Contaminated ?
Abrasion interventions - irrigate and/or debride
Dressing: moisture retentive (if clean)
Antimicrobial and gauze dressing if contaminated
Skin tears - caused by shear or friction
Partial thickness (superficial or deep)
Linear tear or flap
Edges may/not be approximated
Slight serous drainage
Bleeding minimal to significant
More common in older adults
Skin tear interventions - irrigate with saline or water
Pat dry (don't rub)
Approximate wound edges and apply skin sealant
Debride if necessary
Use moisture retentive dressing
-film
-hydrogel + nonadherent gauze + roll gauze
Surgical wounds primary closure - keep clean and dry for 24-48 hrs
Observe for infection (redness, induration)
Protect from friction and tension
May cover with gauze square
Healing: minimal bleeding/drainage for 1-2 days; epithelialization in 7-10 days
Dehisced surgical wounds - patient factors: malnutrition, dm, steroids, smoking
Too much tension on wound edges (use binder to reduce tension)
Underlying infection and abscess- treated with antibiotics per md, wound irrigation and
debridement
Surgically debrided wounds - wounds should be 100% granular
No infection = moisture retentive
Fill dead space
May use negative wound pressure therapy
Traumatic wounds - variable presentation/causes
, -mva, gunshot...
-may have concomitant injuries
(fractures, sci, head injuries)
Traumatic wound interventions - irrigate, debride
Moist wound healing
Protect wound from further trauma
Bite wounds - dog bites more common on the hand
Cat bites more likely to cause infection
Irrigate thoroughly, debride as needed, assess infection risk
Human bite wounds - human mouth has varied microflora
May need polymicrobial tx
Need medical hx of bite person
Treatment similar to animal bites, monitor closely for infection
Black widow spider bite wound - pts acutely ill within 1-3 hrs of bite
Wound: small bite, periwound erythema, skin rash, stinging; rarely requires wound care
Systemic s/s: ha, weakness, nausea, hyperreflexia, dyspnea, diaphoresis, htn, tachycardia
Medical care: anti-venom, nsaid, muscle relaxer
Brown recluse spider bite wound - spider lives in enclosed spaces, active in the spring, bites
defensively
Edema, vasodilation, bv degeneration, reddish blisters
Red inflammation, blue thrombosis, white ischemia, possible necrotic center
Uncomplicated heals in 3-5 days
Complicated heals in 5-17 weeks
Systemic symptoms: fever, nausea, malaise, joint pain
Wound care for brown recluse spider bite - debride necrotic tissue
Moist wound healing with appropriate dressing
Avoid heat
Monitor for potential systemic complications
Antibiotics (if infected)
Anti-histamines
Steroids
Radiation burns and radiation fibrosis - damage varies with: pt characteristics, dose, type,
location, surface area treated
Wound presents: dry, scaly, itchy, hyperpigmented, bullae, fibrotic
Intervention for radiation burns - protect from mechanical forces
Decrease bathing frequency, pat skin dry
Avoid adhesives, heat/ice
Moisturizing ointment
WITH ANSWERS GRADED A+
Abrasions - caused by friction
Partial thickness (superficial or deep)
Light to mod bleeding
Contaminated ?
Abrasion interventions - irrigate and/or debride
Dressing: moisture retentive (if clean)
Antimicrobial and gauze dressing if contaminated
Skin tears - caused by shear or friction
Partial thickness (superficial or deep)
Linear tear or flap
Edges may/not be approximated
Slight serous drainage
Bleeding minimal to significant
More common in older adults
Skin tear interventions - irrigate with saline or water
Pat dry (don't rub)
Approximate wound edges and apply skin sealant
Debride if necessary
Use moisture retentive dressing
-film
-hydrogel + nonadherent gauze + roll gauze
Surgical wounds primary closure - keep clean and dry for 24-48 hrs
Observe for infection (redness, induration)
Protect from friction and tension
May cover with gauze square
Healing: minimal bleeding/drainage for 1-2 days; epithelialization in 7-10 days
Dehisced surgical wounds - patient factors: malnutrition, dm, steroids, smoking
Too much tension on wound edges (use binder to reduce tension)
Underlying infection and abscess- treated with antibiotics per md, wound irrigation and
debridement
Surgically debrided wounds - wounds should be 100% granular
No infection = moisture retentive
Fill dead space
May use negative wound pressure therapy
Traumatic wounds - variable presentation/causes
, -mva, gunshot...
-may have concomitant injuries
(fractures, sci, head injuries)
Traumatic wound interventions - irrigate, debride
Moist wound healing
Protect wound from further trauma
Bite wounds - dog bites more common on the hand
Cat bites more likely to cause infection
Irrigate thoroughly, debride as needed, assess infection risk
Human bite wounds - human mouth has varied microflora
May need polymicrobial tx
Need medical hx of bite person
Treatment similar to animal bites, monitor closely for infection
Black widow spider bite wound - pts acutely ill within 1-3 hrs of bite
Wound: small bite, periwound erythema, skin rash, stinging; rarely requires wound care
Systemic s/s: ha, weakness, nausea, hyperreflexia, dyspnea, diaphoresis, htn, tachycardia
Medical care: anti-venom, nsaid, muscle relaxer
Brown recluse spider bite wound - spider lives in enclosed spaces, active in the spring, bites
defensively
Edema, vasodilation, bv degeneration, reddish blisters
Red inflammation, blue thrombosis, white ischemia, possible necrotic center
Uncomplicated heals in 3-5 days
Complicated heals in 5-17 weeks
Systemic symptoms: fever, nausea, malaise, joint pain
Wound care for brown recluse spider bite - debride necrotic tissue
Moist wound healing with appropriate dressing
Avoid heat
Monitor for potential systemic complications
Antibiotics (if infected)
Anti-histamines
Steroids
Radiation burns and radiation fibrosis - damage varies with: pt characteristics, dose, type,
location, surface area treated
Wound presents: dry, scaly, itchy, hyperpigmented, bullae, fibrotic
Intervention for radiation burns - protect from mechanical forces
Decrease bathing frequency, pat skin dry
Avoid adhesives, heat/ice
Moisturizing ointment
