CWCN EXAM/ PRATICE EXAM AND STUDY GUIDE
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QUESTIONS AND CORRECT DETAILED ANSWERS
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autolytic .....ANSWER..... Severe neutropenia (<500) is a
contraindication for __________________ debridement.
MRI .....ANSWER..... An ___________ is the most accurate
noninvasive approach to diagnosis of osteomyelitis.
B-hemolytic strep .....ANSWER..... Any level of
__________________________ is an indicator of wound
infection.
adhesive .....ANSWER..... Hydrocolloids are to be avoided for
skin tears because they are aggressively
___________________.
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hydrocolloids .....ANSWER..... occlusive dressings made of
material like pectin, gelatin, or carboxymethylcellulose. Self-
adhesive dressings that provide a moist healing environment and
autolytic debridement but only light-moderate absorption.
Recommended for clean, shallow wounds with minimal exudate.
Can be used to protect intact skin or newly resurfaced
breakdown.
sleeves .....ANSWER..... Protective __________ can be used in
patients with frail skin to prevent skin tears.
candidal intertrigo .....ANSWER..... A condition that happens due
to moisture trapping in skin folds, presenting as beefy-red
maculopapular rashes with peripheral scaling and distinct
satellite lesions.
antifungals (e.g. nystatin, fluconazole) .....ANSWER..... candidal
intertrigo is treated with topical or oral __________________.
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Toxic Epidermal Necrolysis (TEN) .....ANSWER..... Life-threatening
immune-mediated skin/mucous membrane disorder. Significant
epidermal necrosis and detachment. Often results from a drug
reaction. Usually severe with more than 30% Body Surface Area
Skin detachment.
allopurinol .....ANSWER..... The most commonly implicated
medication for patients with SJS/TEN is
____________________.
Toxic Epidermal Necrolysis .....ANSWER..... Fever, Flu-like
symptoms, malaise, muscle aches, eye pain, pain with swallowing,
skin tenderness, inflammation, blistering.
Later disease involves confluent, red oval macules/papules with
pruritic centers or diffuse erythema. Widespread blistering and
epidermal sloughing. Lesions usually start on the face and
spread.
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fluid .....ANSWER..... Care of the patient with TEN should
resemble burn care with aggressive __________ management.
Petrolatum .....ANSWER..... _____________________ and other
nonadherent contact layer dressings are commonly used for
patients with Toxic Epidermal Necrolysis.
debridement .....ANSWER..... Aggressive _______________ is not
indicated in Toxic Epidermal Necrolysis Syndrome because of
extensive denudation.
Nonwoven .....ANSWER..... Which gauze is a better choice for
dressings that come into contact with the wound bed: nonwoven
or woven?
Necrotizing fasciitis .....ANSWER..... The lesions of this disease
typically begin as erythematous, painful, edematous areas on the
skin after major or minor skin trauma. Often mistaken for
cellulitis. Most commonly on the extremities, sometimes on the