AMSA 104 Advanced Nursing 2
Wound/Injury - answer A disruption of the integrity & function of tissues in the body
Wound classifications - answer Enable the medical technician to understand the risk
associated with a wound & implications for healing
Acute - answer Orderly & timely reparative process & results in sustained restoration of
anatomical & functional integrity
Acute - answer Caused by trauma or a surgical incision
Chronic - answer Fails to proceed through an orderly & timely process to produce
anatomical & functional integrity
Chronic - answer Caused by vascular compromise or chronic inflammation
Wound management - answer Involves preventing the infection, preventing further
injury to the wound and nearby tissues, and preventing blood loss and pain
Primary, secondary, and tertiary intention - answerFor wound management, the
provider may initiate one or a combination of 3 wound intentions to promote healing:
Primary intention - answerTypically for clean surgical incisions with little tissue loss; risk
of infection is low
Secondary intention - answerUsed for a pressure ulcer, burn, or severe laceration
where tissue loss is greater; risk of infection is high
Tertiary infection - answerIf wound is contaminated or if needed after a surgical
procedure such as a ruptured appendix; closure of wound is delayed until risk of
infection is resolved
Skin - answerThe body's protective barrier against disease causing organisms, a
sensory organ for pain, temperature touch, and synthesizes vitamin D
Epidermis - answerMost superior & broken into several layers
Stratum corneum - answerThin, outermost layer of the epidermis
Stratum basale - answerthe innermost layer of the epidermis
Dermis - answerBelow the epidermis
, Subcutaneous - answerLayer of fat under the dermis
Intact skin - answerProtects the patient from invading organisms such as bacteria
Partial-thickness wound repair - answerShallow & has loss of the epidermis & possibly
partial loss of the dermis; epidermal regeneration
Full-thickness wound repair - answerExtends into the dermis & will heal by scar
formation due to deep structural damage
4 phases of healing of full-thickness wounds - answerHemostasis, inflammatory phase,
proliferation phase, maturation
Hemostasis - answerA fibrin matrix forms to provide the framework for cellular repair
Inflammatory phase - answerInitiates vasodilation of surrounding capillaries &
movement of serum & WBCs to the damaged tissues
Proliferation phase - answerReconstruction progresses & new blood vessels appear
through angiogenesis; beings & lasts from 3-24 days
Maturation - answerFinal stage of healing; may take place for more than a year
Integrity - answerOne of the medical technician's most important responsibilities is to
monitor the skin's...
Acute & chronic - answerWhat are two wound classifications that enable the medical
technician to understand the risks associated with a wound & implications for healing?
Wound evaluation/assessment - answerProvides the baseline for planning & evaluating
the wound care plan.
Criteria for conducting initial & ongoing wound assessments &
evaluations(LETSPOPET) - answerLocation, type of pressure injury/wound, extent of
tissue involvement, type of tissue in the wound base, size, exudate, odor, peri-wound
area, pain
Serous drainage - answerClear like plasma
Sanguineous drainage - answerBright red
Serosanguinous drainage - answerPink
Purulent drainage - answerThick & yellow, tan, green, or white
Wound/Injury - answer A disruption of the integrity & function of tissues in the body
Wound classifications - answer Enable the medical technician to understand the risk
associated with a wound & implications for healing
Acute - answer Orderly & timely reparative process & results in sustained restoration of
anatomical & functional integrity
Acute - answer Caused by trauma or a surgical incision
Chronic - answer Fails to proceed through an orderly & timely process to produce
anatomical & functional integrity
Chronic - answer Caused by vascular compromise or chronic inflammation
Wound management - answer Involves preventing the infection, preventing further
injury to the wound and nearby tissues, and preventing blood loss and pain
Primary, secondary, and tertiary intention - answerFor wound management, the
provider may initiate one or a combination of 3 wound intentions to promote healing:
Primary intention - answerTypically for clean surgical incisions with little tissue loss; risk
of infection is low
Secondary intention - answerUsed for a pressure ulcer, burn, or severe laceration
where tissue loss is greater; risk of infection is high
Tertiary infection - answerIf wound is contaminated or if needed after a surgical
procedure such as a ruptured appendix; closure of wound is delayed until risk of
infection is resolved
Skin - answerThe body's protective barrier against disease causing organisms, a
sensory organ for pain, temperature touch, and synthesizes vitamin D
Epidermis - answerMost superior & broken into several layers
Stratum corneum - answerThin, outermost layer of the epidermis
Stratum basale - answerthe innermost layer of the epidermis
Dermis - answerBelow the epidermis
, Subcutaneous - answerLayer of fat under the dermis
Intact skin - answerProtects the patient from invading organisms such as bacteria
Partial-thickness wound repair - answerShallow & has loss of the epidermis & possibly
partial loss of the dermis; epidermal regeneration
Full-thickness wound repair - answerExtends into the dermis & will heal by scar
formation due to deep structural damage
4 phases of healing of full-thickness wounds - answerHemostasis, inflammatory phase,
proliferation phase, maturation
Hemostasis - answerA fibrin matrix forms to provide the framework for cellular repair
Inflammatory phase - answerInitiates vasodilation of surrounding capillaries &
movement of serum & WBCs to the damaged tissues
Proliferation phase - answerReconstruction progresses & new blood vessels appear
through angiogenesis; beings & lasts from 3-24 days
Maturation - answerFinal stage of healing; may take place for more than a year
Integrity - answerOne of the medical technician's most important responsibilities is to
monitor the skin's...
Acute & chronic - answerWhat are two wound classifications that enable the medical
technician to understand the risks associated with a wound & implications for healing?
Wound evaluation/assessment - answerProvides the baseline for planning & evaluating
the wound care plan.
Criteria for conducting initial & ongoing wound assessments &
evaluations(LETSPOPET) - answerLocation, type of pressure injury/wound, extent of
tissue involvement, type of tissue in the wound base, size, exudate, odor, peri-wound
area, pain
Serous drainage - answerClear like plasma
Sanguineous drainage - answerBright red
Serosanguinous drainage - answerPink
Purulent drainage - answerThick & yellow, tan, green, or white
