Download Wound Management - Comprehensive - 4.0 Online Contact Hours and more Exams Nursing in PDF only on Docsity! Wound Management - Comprehensive - 4.0 Online Contact Hours The layer of skin that comprises part of the skin immune system is the: ANS: A. Epidermis. B. Basement membrane zone. *** C. Dermis. D. Hypodermis. QUIZ: The thinning of the hypodermis as people age can contribute to pressure ulcers. ANS: *** A. True B. False QUIZ: Which of the following distinguishes a fistula from a tunnel? ANS: A. A fistula is shorter than a tunnel. *** B. A fistula connects two structures, such as the wound to an organ, and a tunnel does not. C. A fistula dead-ends, and a tunnel connects two structures. D. A fistula always opens onto the skin, and a tunnel does not. QUIZ: Tunneling, fistulae, and undermining are described in relation to a clock face. ANS: *** A.True B.False QUIZ: The length, width, and depth of a wound should be measured in inches. ANS: A.True *** B.False QUIZ: Second-degree burns extend through the dermis and into the underlying tissue, including vasculature. ANS: A.True *** B.False QUIZ: Partial thickness wounds usually heal within: ANS: A.Two to three days. B.One week. *** C.Two weeks. D.One month. QUIZ: In the National Pressure Ulcer Advisory Panel staging system, Stage II ulcers are characterized as: ANS: A.Purple or reddish discolored intact skin or blood blister. B.Deep full-thickness ulceration of skin exposes subcutaneous tissue. C.Skin intact with localized non-blanching reddened area, often at areas where pressure is exerted, such as over bony prominences. *** D.Partial-thickness skin loss, involving the epidermis and/or dermis. QUIZ: With the modified Wagner classification system for foot ulcers, a grade IV ulcer would likely result in partial amputation of the foot. ANS: *** A.True B.False QUIZ: .The SAD grading classification is used primarily for: ANS: *** A.Neuropathic ulcers. B.Pressure ulcers. C.Arterial ulcers. D.Venous ulcers. QUIZ: With the Payne-Martin classification system for skin tears, a category II skin tear involves complete partial thickness injury with loss of epidermal flap. A.True B.False ANS: A.True *** B.False QUIZ: With Ayello's ASSESSMENTS classification, the "M" refers to: A.Marginal edges. B.Maceration. C.Medications. D.Management. ANS: A.Marginal edges. *** B.Maceration. C.Medications. D.Management. QUIZ: Tertiary healing (by third intention) involves first debriding a wound, leaving it open to begin healing, and then later closing the wound with sutures or grafts. ANS: *** A.True B.False QUIZ: In which phase of healing should granulation tissue appear about the wound? ANS: A.Hemostasis. B.Inflammation. *** C.Proliferation. D.Maturation QUIZ: Remodeling of the tissue after a wound heals may take up to 6 months. ANS: A.True *** B.False QUIZ: .To maintain adequate perfusion, the patient should be positioned in the 30 degree lateral position rather than the 90 degree side-lying position. ANS: *** A.True B.False