WCC exam
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| show | Macrophage, Fibroblast, Mast Cells
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| show | Giving skin tensile strength and providing the skin with elastic recoil
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| Red blood cells also known as erythrocytes are the most abundant cells in the blood. They account for 40-45% of the blood. The % of blood made up of RBC's is measured by a lab known as | show 🗑
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| Stem cells produce a protein that makes red blood cells look red and gives them the ability to transport oxygen. What is this protein called? | show 🗑
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| show | Neutrophil
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| show | shape or outline
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| Dermatomal corresponding to nerve root distribution is | show 🗑
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| To assess pain with non-verbal cognitively impaired patients or non-English speaking patients, it is recommended to use | show 🗑
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| Pain quantification would include: | show 🗑
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| show | True
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| show | False---Should be documented weekly!
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| show | False
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| T/F-Painful blood filled blister located on the heel would be considered unstageable. | show 🗑
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| show | True
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| Circular, free fluid filled, greater than 1 cm | show 🗑
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| show | Papule
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| show | Vesicle
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| show | Excoriation
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| show | Denuded
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| show | Satellite lesions
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| Change in color of skin, circular flat discoloration, less than 1 cm | show 🗑
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| Firm, edematous plaque, infiltration of dermis, may last few hours | show 🗑
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| show | Plantar
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| show | medial
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| Outer apect of ankle | show 🗑
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| Tunneling and undermining is caused by | show 🗑
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| A____ is part of the wound team and can assess for cognitive deficits and work to improve. | show 🗑
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| show | Medical Battery
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| show | Counseling, discuss consequences, document every instance of non-adherence
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| The provider relationship is terminated without making reasonable arrangements with an appropriate person so that appropriate care by others can be continued. This is called | show 🗑
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| One of the problems with Evidence based practice in wound care is there is | show 🗑
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| The Dermis contains an important cell called the fibroblast. What does a fibroblast produce? | show 🗑
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| When sweat and sebum mix on the skin they produce | show 🗑
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| What is the pH of the skin? | show 🗑
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| A fullthickness wound would include skin loss through the epidermis, dermis into the subcutaneous and possible bone, muscle and tendon. This type of wound will move through four overlapping phases of healing. These phases are: | show 🗑
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| During the Hemostasis phase of full thickness healing, the whole cascade of healing begins. At this time the platelets from the damaged blood vessels will come into contact with collagen and damaged tissue. This results in: | show 🗑
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| show | Shape changes, adhesiveness, clumping, release of growth factors.
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| show | coagulation and secretion of growth factor
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| The main function of inflammatory phase is | show 🗑
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| During what phase of full thickness wound healing does the wound remodel and increase tensile strength? | show 🗑
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| show | Primary, secondary, tertiary
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| With primary intention, wound edges are brought together and held in place by mechanical means. Within how many hours will epithelial resurfacing take place? | show 🗑
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| A patient has a pressure ulcer on their coccyx. In knowing about types of wound closure, how would you expect this wound to close? | show 🗑
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| ___ can increase the work load of the heart, decrease chest expansion and compromise tissue oxygenation. | show 🗑
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| An overweight person weighs too much, while an obese patient has too much body fat. Fat or adipose tissue is less tolerant of ischemia and hypoxia, and is | show 🗑
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| show | Normal saline
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| Commercial cleansers contain surface active agents known as | show 🗑
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| show | sharps
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| show | Autolytic, mechanical, sharps, bio-surgical, enzymatic
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| Presence of ____ in the wound creates a burden on the wound healing process by competing for oxygen and nutrients in the wound bed (bio burden) | show 🗑
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| A common bacteria found frequently around hydro/respiratory equipment is | show 🗑
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| There is no one specific lab test that indicates the dx of osteomyelitis; however, 3 labs done together with positive results could be indicative of osteomyelitis. What 3 labs? | show 🗑
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| show | 15-30 min, 1 hour
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| show | colonization
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| Signs and symptoms of a wound infection would include | show 🗑
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| show | stop
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| What would be a COMPLETE wound order? | show 🗑
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| show | alginates, hydrocolloids and transparent dressings.
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| show | False
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| show | False
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| show | tissue culture
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| show | False
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| T/F--Safe irrigation pressures are 3-25 psi | show 🗑
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| show | topical antiseptic or antibiotics; systemic antibiotics
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| Hydrocolloid dressings are ____ and provide ____ | show 🗑
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| The Joint Commission recommends a nutritional assessment be completed within ______ of admission. | show 🗑
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| show | Dysphagia
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| show | visceral protein stores
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| Half life for Albumin is | show 🗑
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| At risk level for Albumin is | show 🗑
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| Pre-albumin is a more sensitive measure of visceral protein stores, providing a more current picture of protein status. What is the half life and at-risk level for Pre-albumin? | show 🗑
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| show | iron deficiency
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| show | 14-18 gm/dl
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| Fat soluble vitamins are not excreted by the body, and remain in the liver and fat tissue until they are used. Deficiencies are rare. What are the fat soluble vitamins? | show 🗑
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| Vitamin A effects healing and is needed for promoting deposition of | show 🗑
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| show | collagen; fibroblast
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| Water soluble vitamins are derived from water components of food, carried in the blood stream, not stored in the body and excreted in the urine. What are the water soluble vitamins? | show 🗑
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| show | B
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| show | B12 injection
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| show | calories and protein
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| Heavily draining wound. Use__ | show 🗑
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| show | dry dressing
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| Partial thickness friction wound on shoulder. Use__ | show 🗑
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| Radiation burn. Use__ | show 🗑
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| show | Enzymatic ointment
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| show | Hydrocolloid
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| Fragile wound bed. Use___ | show 🗑
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| show | Foam dressing
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| show | Acetic acid
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| What is the risk assessment tool used for? | show 🗑
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| show | Norton, Braden, Norton Plus
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| show | PUSH
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| show | Rule of 30
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| When placing a patient on a Group 2 or Air Fluidized Therapy, what is important to know? | show 🗑
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| show | >/= 1.0
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| show | Venous hypertension
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| show | Fibrin cuff theory, WBC trap theory, Trap hypothesis
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| Your pt has Venous Hypertension and has a hx of ulcers. She comes to you with an ulcer on the R medial malleolar area. You receive an order to obtain ABI and compress. What results would permit compression? | show 🗑
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| show | Yes, modified @ 23mm Hg
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| show | 30-40 mm Hg
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| show | Decompensated CHF, Peripheral arterial disease, ABI</= 0.5
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| When diagnosing arterial occlusion what is considered to be the "Gold Standard" | show 🗑
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| show | 50
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| Diabetic footwear should be assessed for | show 🗑
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| Characteristics of a leg assessment for venous ulceration may reveal | show 🗑
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| show | even wound margins, deep pale wound bed, intermittent claudication, lateral malleolus, ABI 0.7
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| show | even wound margins, plantar aspect foot, insensate foot, deep granular wound bed.
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| Callus formation is most commonly associated with | show 🗑
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| show | peripheral neuropathy, trauma, deformity
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| What offloading technique is recommended for patients with a plantar neuropathic ulcer? | show 🗑
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| show | Charcot foot
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| show | 2-3 days
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| What classification of burn is most painful? | show 🗑
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| ___ is the only oral anabolic agent approved by the FDA to promote weight gain after involuntary weight loss. | show 🗑
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| A __% loss of weight in the last three months indicates a significant decline in nutritional status. | show 🗑
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| show | foam heel protectors
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| show | Ischial Tuberosities and heels
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| show | friction
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| Full thickness tissue loss, subcutaneous fat may be visible but bone, tendon, or muscle are not exposed is what stage? | show 🗑
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| show | II
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| show | IV
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| Pressure area to sacrum that is 100% covered with black eschar is what stage? | show 🗑
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| show | Stage 1
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| show | Category 1A
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| show | Radiation recall
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| show | 24-48 hours
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| show | irregular, jagged, raised wound edges that are violet or bluish in color.
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| show | Hemoglobin electrophoresis
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| A fistula is an abnormal passage between two or more structures or spaces. Contributing factors to fistula formation are | show 🗑
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| show | pouches, skin barriers, petroleum/ zinc based ointments.
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| show | external
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| A palliative care patient suddenly developed a dark pear shaped ulcer on the sacrum with irregular borders that progressed rapidly in size. This suggest the pt has: | show 🗑
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| Upon assessment of a wound it observed to have a nodular cauliflower shaped tissue in the wound bed with heavy seropurulent exudate accompanied by a pungent odor. This suggest: | show 🗑
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| A patient presents with multiple painful necrotic lesions located on her legs and torso. Labs results elevated serum calcium, phosphate, BUN and creatinine. This suggest: | show 🗑
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| show | gas gangrene
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| show | Wound treatment and Emergency contact phone number.
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| show | prevalence
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| show | necrotizing fascitis
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| show | anaerobic bacteria, necrotic tissue, saturated dressing
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| A pt dx with colon cancer develops candida rash under her breast. The most appropriate tx is | show 🗑
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| show | epdiermal stripping
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| show | Apply liquid barrier film to peri-wound and apply transparent dressing.
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