Wound care Questions Quiz: Trivia!

1. What are signs and symptoms of an infected wound?

Fever, chills, and sweaty clammy skin

Fever, purulent drainage, foul odor, discoloration of wound bed, and macerated wound edges

Fever, purulent drainage, foul order, wound bed pink, macerated wound edges

Fever, granulation tissue present, edges are proximal, with purulent drainage.

The signs and symptoms of an infected wound include fever, purulent drainage, foul odor, discoloration of the wound bed, and macerated wound edges. These symptoms indicate that there is an infection present in the wound. Fever can be a sign of systemic infection, while purulent drainage, foul odor, and discoloration of the wound bed suggest the presence of bacteria. Macerated wound edges indicate that the surrounding tissue is becoming damaged due to the infection.

Explanation

The signs and symptoms of an infected wound include fever, purulent drainage, foul odor, discoloration of the wound bed, and macerated wound edges. These symptoms indicate that there is an infection present in the wound. Fever can be a sign of systemic infection, while purulent drainage, foul odor, and discoloration of the wound bed suggest the presence of bacteria. Macerated wound edges indicate that the surrounding tissue is becoming damaged due to the infection.

2. This phase of healing extends from day 3 or 4 until day 21 following injury. Collagen increases in the area, capillaries grow across the wound.

Inflammatory phase

Proliferative phase

Maturation phase

The proliferative phase of healing occurs from day 3 or 4 until day 21 following an injury. During this phase, collagen increases in the area, which helps to strengthen the wound. Additionally, capillaries grow across the wound, promoting the delivery of nutrients and oxygen to the healing tissue. This phase is characterized by the formation of granulation tissue, which fills the wound and helps to rebuild damaged tissue.

Explanation

The proliferative phase of healing occurs from day 3 or 4 until day 21 following an injury. During this phase, collagen increases in the area, which helps to strengthen the wound. Additionally, capillaries grow across the wound, promoting the delivery of nutrients and oxygen to the healing tissue. This phase is characterized by the formation of granulation tissue, which fills the wound and helps to rebuild damaged tissue.

3. This exudate is hemorrhagic, has a large number of RBC's, and indicates severe damage to capillaries.

Serous

Purulent

Sanguineous

The given exudate is described as hemorrhagic, meaning it contains blood. It also has a large number of red blood cells (RBCs), indicating bleeding. This suggests that there has been severe damage to the capillaries, which are small blood vessels. Therefore, the correct answer is "Sanguineous," which refers to a bloody or blood-tinged exudate.

Explanation

The given exudate is described as hemorrhagic, meaning it contains blood. It also has a large number of red blood cells (RBCs), indicating bleeding. This suggests that there has been severe damage to the capillaries, which are small blood vessels. Therefore, the correct answer is "Sanguineous," which refers to a bloody or blood-tinged exudate.

4. These are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered:

Clean wounds

Clean-contaminated wounds

Contaminated wounds

Dirty or infected wounds

A) these are primarily closed wounds. they are uninfected and the respiratory, alimentary, genital, or urinary tracts have not been entered B) correct C) open, fresh, accidental wounds or surgical wounds that are infected D) wounds containing dead tissue and wounds with evidence of a clinical infection i.e. purulent drainage

Explanation

A) these are primarily closed wounds. they are uninfected and the respiratory, alimentary, genital, or urinary tracts have not been entered B) correct C) open, fresh, accidental wounds or surgical wounds that are infected D) wounds containing dead tissue and wounds with evidence of a clinical infection i.e. purulent drainage

5. Full-thickness skin loss involving damage or necrosis of subcutaneous tissue.

Stage I

Stage II

Stage III

Stage IV

Stage III is the correct answer because it involves full-thickness skin loss, which means that the damage or necrosis extends through the subcutaneous tissue. In Stage I, there is partial-thickness skin loss, while in Stage II, there is full-thickness skin loss but limited to the dermis. Stage IV involves extensive tissue damage, including muscle, bone, or tendon. Therefore, Stage III is the most appropriate stage that matches the given description of full-thickness skin loss involving damage or necrosis of subcutaneous tissue.

Explanation

Stage III is the correct answer because it involves full-thickness skin loss, which means that the damage or necrosis extends through the subcutaneous tissue. In Stage I, there is partial-thickness skin loss, while in Stage II, there is full-thickness skin loss but limited to the dermis. Stage IV involves extensive tissue damage, including muscle, bone, or tendon. Therefore, Stage III is the most appropriate stage that matches the given description of full-thickness skin loss involving damage or necrosis of subcutaneous tissue.

6. Those wounds are left open for 3-5 days to allow edema, infection, or exudate to drain.

Primary healing

Secondary healing

Tertiary healing

Quaternary healing

A) primary healing is a clean incision, the tissue surface is closed

Explanation

A) primary healing is a clean incision, the tissue surface is closed

7. Which of the following are methods of applying moist cold?

Cold pack

Compress

Ice bag

Cooling sponge bath

A compress is a method of applying moist cold. It involves soaking a cloth or towel in cold water and then applying it to the affected area. The moisture from the compress helps to lower the temperature of the skin and provide relief from pain or inflammation. This method is commonly used for treating injuries such as sprains, strains, or bruises.

Explanation

A compress is a method of applying moist cold. It involves soaking a cloth or towel in cold water and then applying it to the affected area. The moisture from the compress helps to lower the temperature of the skin and provide relief from pain or inflammation. This method is commonly used for treating injuries such as sprains, strains, or bruises.

8. Place the layers of skin in the correct order.

Hair, subcutaneous, epidermis, dermis, subcutis

Subcutaneous, epidermis, dermis

Epidermis, dermis, subcutaneous

Subcutaneous, dermis, epidermis

The correct order of the layers of skin is Epidermis, dermis, subcutaneous. The subcutaneous layer, also known as the hypodermis, is the deepest layer of the skin and is composed of fat tissue. The epidermis is the outermost layer of the skin and provides protection against external factors. The dermis is located between the epidermis and subcutaneous layer and contains blood vessels, nerves, and connective tissue.

Explanation

The correct order of the layers of skin is Epidermis, dermis, subcutaneous. The subcutaneous layer, also known as the hypodermis, is the deepest layer of the skin and is composed of fat tissue. The epidermis is the outermost layer of the skin and provides protection against external factors. The dermis is located between the epidermis and subcutaneous layer and contains blood vessels, nerves, and connective tissue.

9. Which of the following are risk factors for pressure ulcers?

Decreased mental status

Fecal and urinary incontinence

Soft bed

Excessive body heat

Cold body

Decreased mental status, fecal and urinary incontinence, and excessive body heat are all risk factors for pressure ulcers. Decreased mental status can lead to decreased mobility and ability to reposition, increasing the risk of pressure ulcers. Fecal and urinary incontinence can cause moisture and irritation to the skin, making it more susceptible to breakdown. Excessive body heat can increase moisture and friction on the skin, also increasing the risk of pressure ulcers.

Explanation

Decreased mental status, fecal and urinary incontinence, and excessive body heat are all risk factors for pressure ulcers. Decreased mental status can lead to decreased mobility and ability to reposition, increasing the risk of pressure ulcers. Fecal and urinary incontinence can cause moisture and irritation to the skin, making it more susceptible to breakdown. Excessive body heat can increase moisture and friction on the skin, also increasing the risk of pressure ulcers.

Submit

10. The nurse receives a new admission to the unit, the nurse aide reports the patient has a sacral wound. The nurse goes into assessing the wound. The wound appears to have a crater-like formation because of tissue loss. The wound bed is yellowish, and fatty tissue is present. You complete the wound care treatment and you document this wound as a stage what?

Stage 2

Stage 3

Stage 4

Unstageable

The wound described in the scenario has characteristics consistent with a stage 4 pressure ulcer. A stage 4 pressure ulcer involves full-thickness tissue loss with exposed bone, tendon, or muscle. The presence of a crater-like formation and fatty tissue indicates significant tissue loss. The yellowish wound bed suggests the presence of slough or necrotic tissue. Based on these findings, the wound would be classified as a stage 4 pressure ulcer.

Explanation

The wound described in the scenario has characteristics consistent with a stage 4 pressure ulcer. A stage 4 pressure ulcer involves full-thickness tissue loss with exposed bone, tendon, or muscle. The presence of a crater-like formation and fatty tissue indicates significant tissue loss. The yellowish wound bed suggests the presence of slough or necrotic tissue. Based on these findings, the wound would be classified as a stage 4 pressure ulcer.