AMSA Advanced Nursing 2
Top layer of the epidermis - answer stratum corneum
bottom layer of epidermis - answer stratum basale
Purpose of stratum corneum - answer Protects underlying cells and tissues from
dehydration and entry of fluids
what do the cells in the stratum hassle do? - answer divide, multiply, and migrate toward
the epidermal surface
What lies below the epidermis and provides tensile strength and protection for the
underlying muscles, bones, and organs - answer dermis
the only distinctive cell type in the dermis and are responsible for collagen formation -
answer fibroblasts
what protects the patient from invading organisms - answer intact skin
disruption of the integrity and function of tissue in the body - answer wound
types of wounds - answersurgical incision, abrasion, puncture/penetrating injury,
avulsion, crush injury, blunt force trauma, and ulcer
caused by a trauma or a surgical incision. The wound edges are clean and intact -
answeracute
Wound that fails to proceed through an orderly and timely process to produce
anatomical and functional integrity - answerchronic
what events happen after an injury occurs - answercontrol blood loss, establish bacterial
control and seal the defect
wounds are shallow and has loss of the epidermis and possibly the dermis layers of the
skin - answerpartial thickness wound repair
How do partial thickness wounds heal? - answerepidermal regeneration
wound extends into the dermis and will heal by scar formation - answerfull thickness
wound repair
How does a full thickness wound heal? - answerforming new tissue
, what are the 4 phases of the healing process - answerhemostasis, inflammatory,
proliferative, maturation
when injured blood vessels constrict and platelets gather to stop the bleeding -
answerhemostasis
in hemostasis what is formed to provide the framework for cellular repair - answerfibrin
matrix
mast cells secrete histamine initiating vasodilation of surrounding capillaries and
movement of serum and WBC to the damaged tissues - answerinflammatory phase
symptoms of the inflammatory phase - answerredness, edema, warmth, and throbbing
pain
reconstruction progresses and new blood vessels appear through angiogenesis -
answerproliferative phase
How long does the proliferative phase last? - answer3-24 days
final stage of healing - answermaturation
Why do scars present as a lighter skin tone - answerscar tissue contains fewer
melanocytes
localized injury to the skin and other underlying tissue, usually over a bony prominence -
answerpressure ulcer
where are the common areas a pressure ulcer could form - answersacrum, greater
trochanter and heels
who are at risk for ulcers? - answerpatients w/ decreased mobility, sensory perception,
incontinence an poor nutrition
what systematic parameters are used to classify ulcers - answerstaging system
the staging systems is based on describing ____ - answerdepth and tissue loss
skin is intact; area is red and doesn't blanch with fingertip pressure - answerstage 1
partial thickness skin loss involving dermis; area presents with a blister - answerstage 2
full thickness tissue loss that presents as a deep red crater and may extend pass the
fascia. Slough buildup and tunneling may be present - answerstage 3
Top layer of the epidermis - answer stratum corneum
bottom layer of epidermis - answer stratum basale
Purpose of stratum corneum - answer Protects underlying cells and tissues from
dehydration and entry of fluids
what do the cells in the stratum hassle do? - answer divide, multiply, and migrate toward
the epidermal surface
What lies below the epidermis and provides tensile strength and protection for the
underlying muscles, bones, and organs - answer dermis
the only distinctive cell type in the dermis and are responsible for collagen formation -
answer fibroblasts
what protects the patient from invading organisms - answer intact skin
disruption of the integrity and function of tissue in the body - answer wound
types of wounds - answersurgical incision, abrasion, puncture/penetrating injury,
avulsion, crush injury, blunt force trauma, and ulcer
caused by a trauma or a surgical incision. The wound edges are clean and intact -
answeracute
Wound that fails to proceed through an orderly and timely process to produce
anatomical and functional integrity - answerchronic
what events happen after an injury occurs - answercontrol blood loss, establish bacterial
control and seal the defect
wounds are shallow and has loss of the epidermis and possibly the dermis layers of the
skin - answerpartial thickness wound repair
How do partial thickness wounds heal? - answerepidermal regeneration
wound extends into the dermis and will heal by scar formation - answerfull thickness
wound repair
How does a full thickness wound heal? - answerforming new tissue
, what are the 4 phases of the healing process - answerhemostasis, inflammatory,
proliferative, maturation
when injured blood vessels constrict and platelets gather to stop the bleeding -
answerhemostasis
in hemostasis what is formed to provide the framework for cellular repair - answerfibrin
matrix
mast cells secrete histamine initiating vasodilation of surrounding capillaries and
movement of serum and WBC to the damaged tissues - answerinflammatory phase
symptoms of the inflammatory phase - answerredness, edema, warmth, and throbbing
pain
reconstruction progresses and new blood vessels appear through angiogenesis -
answerproliferative phase
How long does the proliferative phase last? - answer3-24 days
final stage of healing - answermaturation
Why do scars present as a lighter skin tone - answerscar tissue contains fewer
melanocytes
localized injury to the skin and other underlying tissue, usually over a bony prominence -
answerpressure ulcer
where are the common areas a pressure ulcer could form - answersacrum, greater
trochanter and heels
who are at risk for ulcers? - answerpatients w/ decreased mobility, sensory perception,
incontinence an poor nutrition
what systematic parameters are used to classify ulcers - answerstaging system
the staging systems is based on describing ____ - answerdepth and tissue loss
skin is intact; area is red and doesn't blanch with fingertip pressure - answerstage 1
partial thickness skin loss involving dermis; area presents with a blister - answerstage 2
full thickness tissue loss that presents as a deep red crater and may extend pass the
fascia. Slough buildup and tunneling may be present - answerstage 3
