AND ANSWERS
Which cells located in the dermis produce collagen (dermal building blocks) and elastin (tensile
strength) - ANS Fibroblasts
A patient has an acute full-thickness wound due to trauma. What order of healing would occur
with this wound? - ANS Hemostasis, inflammation, proliferation and maturation.
Which statement accurately describes the characteristic and implication of necrotic tissue in a
wound bed? - ANS Eschar usually is black, brown, or gray and associated with deeper tissue
damage. It is usually firmly attached to the wound base.
What is the primary reason for taking the time to perform a comprehensive assessment to
identify protein energy malnutrition as opposed to ordering a simple blood draw to formulate a
diagnosis? - ANS Blood tests do not provide a stand-alone assessment.
Which of the following wounds will heal with scar formation? - ANS Full thickness wound.
When the skin around a wound develops a whitish appearance, it can be described as -
ANS Macerated.
As you setup a skin care program, you identify the elderly to be at risk for skin tears due to the
effects of aging on... - ANS Rete ridges.
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, As wound healing progresses, collagen deposition and remodeling occur and has which of the
following effects? - ANS Increased tensile strength.
You are aware that age itself is NOT a risk factor for failure to heal wounds. Problems in wound
healing for the elderly are most likely associated with: - ANS Multiple co-morbidities
Arterial disease, hypotension, vasopressors and severe anemia can be deleterious to wound
healing because they decrease the amount of: - ANS Oxygen in the tissue
Which of the following cells plays a central role in initiating the wound repair process. -
ANS Platelets
90-year old female in a nursing home has a partial thickness wound with a fully approximated
epidermal flap on her left forearm. Identify the type of skin damage present. - ANS Skin tear,
type 1.
Which of the following treatment wound be most appropriate for the management of a partial
thickness wound with a fully approximated epidermal flap? - ANS Re-approximate edges and
apply a non-adherent dressing.
When changing a wound dressing over a full thickness wound, you notice the wound bed is
shiny, moist, red and has a cobblestone appearance. What terminology would you use to
document this observation? - ANS Granulation is present.
The 3 principles of wound care provide a useful format for prioritizing approaches in wound
care. They are: - ANS reduce/eliminate the cause of the wound. support the host and
maintain a physiologic environment.
As the wound care nurse specialist, you are teaching your skin care team about the importance
of maintaining a physiologic wound environment. One of your nurses asks, "what is a
physiologic environment for a wound?" Your best response wound be condition establish in the
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