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These flashcards cover key concepts related to the integumentary system, wound care, and healing processes as discussed in the lecture.
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The skin serves as a barrier against __________.
the invasion of bacteria
A factor that supports healthy skin is adequate __________.
nutrition
Moisture balance is important in wound healing because too little moisture can lead to __________.
maceration
During the inflammatory response, blood vessels __________ to prevent blood loss.
constrict
The first phase of wound healing is __________.
Hemostasis
In the proliferation stage, __________ begins to grow within the wound.
collagen
The __________ stage is characterized by remodeling of collagen.
Maturation
Wound assessment must include expected healing times and the identification of factors __________ wound healing.
inhibiting or slowing
Visual inspection is not sufficient; tactile, olfactory, and verbal assessments are necessary to properly evaluate __________.
wound characteristics
Granulating, slough, and necrotic are terms related to the __________ of the wound bed.
assessment
Wound drainage that is thin, clear, and watery is called __________.
serous drainage
A therapeutic irrigation force of __________ psi is usually effective for wound cleansing.
4 – 15 psi
To achieve debridement, the __________ removes necrotic tissue from the wound.
healthcare professional
Mechanical debridement methods include __________ and irrigation.
wet to dry dressings
Chemical debridement may use substances like __________ to digest collagen fibers of dead tissue.
bleach
Maggot therapy is an example of __________ debridement.
biological
The method of debridement that is least desirable is __________ debridement.
mechanical
The five levels of bacterial involvement in wounds range from __________ to systemic infection.
contamination
Regular reassessment helps to promote environmental and general measures to __________.
optimize healing
Wound cleansing should use solutions that are __________ and hypoallergenic.
nontoxic
Wound cleaning is likely to cause __________ during dressing change.
pain
The main goal of debridement is to promote __________.
wound healing
Hydrogels are used in wound care to add __________ to a dry wound.
moisture
Hydrofiber dressings convert to a gel as exudate is __________.
absorbed
Moisture-retentive dressings can be left in place for up to __________ days.
7
Antimicrobial dressings help reduce the count of __________ in the wound.
viable microorganisms
Dressings that reduce the risk of infection are categorized as __________ dressings.
antimicrobial
Infection in a wound is identified by signs such as __________ and purulent drainage.
pain
Biofilms are formed by bacteria and fungi embedded in a thick __________ barrier.
slimy
The assessment of dark skin requires understanding of how clinical manifestations can differ compared to __________ individuals.
Caucasian
Acute wounds usually heal quickly and without an underlying __________ defect.
healing
Chronic wounds may require special care due to slow healing or repeated __________ .
recurrence
Pain management is critical as increasing pain over time can indicate __________.
infection
For wound healing, adequate __________ is essential to provide necessary nutrients.
nutritional support
When assessing wounds, it’s important to differentiate between healing and __________ states.
non-healing
The mucous membranes and nail beds are areas where assessment changes are more __________ in individuals with darker skin.
readily observable
Debridement can occur through a __________ process involving the body's own enzymes.
natural autolytic
Factors delaying wound healing include irritants like sweat, urine, and __________.
chemicals
__________ is characterized by redness, heat, pain, swelling, and loss of function.
Inflammation
When healing does not occur, the healthcare team must reassess and redefine goals based on the __________.
patient's condition
Documentation of wound care must be specific and avoid vague terms like __________.
appear to be healing well
Evisceration is defined as the wound opening revealing __________ organs.
internal
Chronic wounds may develop biofilms that are resistant to standard __________ techniques.
culture
Skin assessments must consider the decreased elasticity and increased fragility in __________ individuals.
elderly
Proliferation stage begins approximately __________ days after injury.
2 – 3
Healing by primary intention involves pulling wound edges together using sutures, staples, or __________.
glue
The nursing interventions for wound care include assessing skin daily and ensuring __________ nutrition.
adequate
When skin integrity is altered, use a scale like the __________ to assess risk.
Braden scale
Wound cleansing with solutions such as __________ is recommended when infection is suspected.
povidone-iodine
In assessing biofilms, the presence of a __________ formation indicates delayed healing.
slimy top
Adequate blood flow is crucial for proper __________ in wound healing.
nutrient delivery
The three stages of wound healing include inflammatory, __________, and maturation stages.
proliferation