ACCURACY IS GUARANTEED
NU 136, Galen College of Nursing, Exam 2, Units
4-6, Chapters 22, 28, 39, 29, 30, 38 Questions with
Detailed Verified Answers for Accuracy
what are the locations for arterial ulcers
✓✓ -between toes
-tips of toes
-over phalangeal heads
-around lateral malleolus
what are the characteristics of arterial ulcers
✓✓ -severe pain
-minimal drainage
-decreased temperature
-absent or diminished pulses
-cyanosis
-thickened toenails
-gangrene
what are the locations for venous ulcers
✓✓ -medial lower leg
-ankle
-superior to medial melleolus
-seldom, if ever noted on the foot or above the knee
what are the characteristics of venous ulcers
, ACCURACY IS GUARANTEED
✓✓ -moderate to large amount of drainage
-pain levels vary
-ankle flare
-lipodermatosclerosis (hard fibrous of surrounding tissue)
-dialated superficial veins
what are the location for neuropathic (Diabetic) ulcers
✓✓ -plantar aspect of foot
-over metatarsal heads
-under heel
what are the characteristics for neuropathic ulcers
✓✓ -low to moderate drainage
-foot deformities
-deminished or absent sensation in foot
-palpable pulses
-osteomyelitis
-usually painless
what are the phases of wound healing
✓✓ hemostatis
inflammation
proliferation
maturation
what phase is the hemostasis
, ACCURACY IS GUARANTEED
✓✓ phase 1 -the immediate response the body initiates to heal
(blood clotting)
what phase is the inflammation
✓✓ phase 2 - begins immediately and last 4-5 days, it is the
protective response (heat, pain, edema) wbc & macrophages
migrate to the wound & begin the repair
what phase is the proliferation
✓✓ phase 3 - reconstructive phase - begins on 3rd or 4th day
and lasts 2-3 weeks
what phase is the maturation phase
✓✓ phase 4 - final phase/remodeling phase - scar maturation,
scar slowly thins and becomes paler - begins about 3 weeks
after injury and can last up to 2 years
what factors affect wound healing
, ACCURACY IS GUARANTEED
✓✓ -age
-nutrition (protein/fluid needed for healing)
-medications (heparin, steroids, antineoplastics interfere
w/healing
-Infection (slows healing) chronic illness (COPD, DM, CV)
slows wound healing due to lack of oxygen & nutrients at
the cellular level
-lifestyle (regular exercise)
-decreased immune system
-decreased liver function
what is first intention (Primary)
✓✓ little tissue loss - edges of wound approximate and only a
slight chance of infection
what is second intention
✓✓ a wound with tissue loss - edges of wound do not
approximate;wound left open & fills with scar tissue
what is third intention (Tertiary)
✓✓ occurs when there is delayed suturing of a wound/wound
sutured after granulation tissue begins to form. (Healing.)
what are the closed wounds and characteristics
NU 136, Galen College of Nursing, Exam 2, Units
4-6, Chapters 22, 28, 39, 29, 30, 38 Questions with
Detailed Verified Answers for Accuracy
what are the locations for arterial ulcers
✓✓ -between toes
-tips of toes
-over phalangeal heads
-around lateral malleolus
what are the characteristics of arterial ulcers
✓✓ -severe pain
-minimal drainage
-decreased temperature
-absent or diminished pulses
-cyanosis
-thickened toenails
-gangrene
what are the locations for venous ulcers
✓✓ -medial lower leg
-ankle
-superior to medial melleolus
-seldom, if ever noted on the foot or above the knee
what are the characteristics of venous ulcers
, ACCURACY IS GUARANTEED
✓✓ -moderate to large amount of drainage
-pain levels vary
-ankle flare
-lipodermatosclerosis (hard fibrous of surrounding tissue)
-dialated superficial veins
what are the location for neuropathic (Diabetic) ulcers
✓✓ -plantar aspect of foot
-over metatarsal heads
-under heel
what are the characteristics for neuropathic ulcers
✓✓ -low to moderate drainage
-foot deformities
-deminished or absent sensation in foot
-palpable pulses
-osteomyelitis
-usually painless
what are the phases of wound healing
✓✓ hemostatis
inflammation
proliferation
maturation
what phase is the hemostasis
, ACCURACY IS GUARANTEED
✓✓ phase 1 -the immediate response the body initiates to heal
(blood clotting)
what phase is the inflammation
✓✓ phase 2 - begins immediately and last 4-5 days, it is the
protective response (heat, pain, edema) wbc & macrophages
migrate to the wound & begin the repair
what phase is the proliferation
✓✓ phase 3 - reconstructive phase - begins on 3rd or 4th day
and lasts 2-3 weeks
what phase is the maturation phase
✓✓ phase 4 - final phase/remodeling phase - scar maturation,
scar slowly thins and becomes paler - begins about 3 weeks
after injury and can last up to 2 years
what factors affect wound healing
, ACCURACY IS GUARANTEED
✓✓ -age
-nutrition (protein/fluid needed for healing)
-medications (heparin, steroids, antineoplastics interfere
w/healing
-Infection (slows healing) chronic illness (COPD, DM, CV)
slows wound healing due to lack of oxygen & nutrients at
the cellular level
-lifestyle (regular exercise)
-decreased immune system
-decreased liver function
what is first intention (Primary)
✓✓ little tissue loss - edges of wound approximate and only a
slight chance of infection
what is second intention
✓✓ a wound with tissue loss - edges of wound do not
approximate;wound left open & fills with scar tissue
what is third intention (Tertiary)
✓✓ occurs when there is delayed suturing of a wound/wound
sutured after granulation tissue begins to form. (Healing.)
what are the closed wounds and characteristics
