Wound Healing and Dressings

A surgical wound that is sutured together heals by:

Primary intention

Which classification of wound healing is involved with perforated bowel?

Third intention

Which wound is assigned to tissue healing by granulation?

Secondary intention

Which type of wound healing requires debridement and continuous irrigation?

Third

What is the correct order of the wound-healing process:

Inflammatory; proliferation; remodeling

Which of the following is associated with secondary infention wound healing?

Wound is not sutured

During which phase of healing is a scab formed?

Inflammatory

Conditions that affect wound healing include:

Surgical technique; obesity; age

A sunburn is classified as a:

First-degree burn

Which of the following burns cause destruction of the entire thickness of skin?

Third degree

Which burn classification is characterized by dry white skin and generally little pain?

Third degree

Another name for a scar is:

Cicatrix

Which nonadherent surgical dressing is used for a clean surgical wound and also care of specimens?

Telfa

What type of dressing is most often used on a skin graft?

Pressure & Stent

What type of pressure dressing is molded into a thick pad that fits into the graft area and is secured with sutures?

Stent

Gauze packing is used:

In nose or open wound

A strong, thin, transparent liquid useful in sealing certain wound edges is:

Dermabond & Collodion

The main purpose of Webril is:

cast padding & pressure dressing

What type of gauze dressing is used on a circumcision?

Vaseline gauze

What is the correct order of dressing a surgical wound?

Wash the incision, Place dressings, cover sterile dressing with a towel, remove drapes

A circumfrential bandage should be applied to an extremity:

Distal to proximal

The classification of a wound without infection, including a hernia, CABG, or craniotomy is:

Class I and clean wound

Dead space is a term that indicates:

Separation of wound layers

A tract that is open at both ends that runs between two epithelial line structures is:

A fistula

A one-layered dressing includes all EXCEPT:

ABD

Another name for a scrape is a/an:

Abrasion

In a three-layer dressing, all are included EXCEPT:

Steri-Strips

A circumferential wrap used to secure dressings commonly used after a thyroid procedure is a:

Queen Ann collar

The type of cast used to immobilize the hip or thig, including the trunk and one or both legs, is a:

Spica cast

An item used for padding that has smooth and clingy layers is called:

Webril

A temporary biologic dressing is:

Porcine

Which of the following is NOT a reason for a pressure dressing?

Absorbs extensive drainage

Adherent, occlusive dressings that are used when slight or no drainage is expected and are made of transparent polyurethane film are:

Bioclusive & Opsite

In a wet-to-dry dressing:

The dressing is soaked in saline and applied wet to the wound and allowed to dry. The dressing is then removed with a layer of the wound tissue

Which type of dressing is used for frequent dressing changes on an abdominal incision?

Montgomery straps

Wounds fit into which category":

Surgical; Traumatic: chronic

A direct inguinal hernia is considered a:

Clean wound

A cholecystectomy with no break in technique and no spillage from the gallbladder is considered a:

Class II wound

A penetrating fractured tibia would be classified as what type of wound?

Clean contaminated wound/ class II

A negative-pressure wound dressing/vacuum assisted closure apply to all EXCEPT:

Is commonly used on wounds where bones, blood vessels, and organs are exposed

Tissue breakdown at the wound edges is:

dehiscence

Fourth-degree burns affect:

Epidermis, dermis, and subcutaneous tissue down to bone

Pressure dressings added to the intermediate layer of a three-layer dressing are used to:

Concentrate pressure in one area and help absorb drainage; eliminate dead space; immobilize a body part

A scar that is hypertrophic and bulbous and usually does not reduce over time is a/an:

Keloid

A split-thickness skin graft is used to cover which type of burn?

Third degree

What is the term for a birthmark or a mole on the skin, especially a birthmark in the form of a raised red patch?

Nevus

The rule of nines is used to determine:

Body surface burned

A wound is described as a ____ when there is a collection of pus around the incision

Suppuration

Wound complicaitons include:

Hematoma, seroma, evisceration

The most common area on the body where pressure ulcers develop is the:

Heel

What is the wound classification that is indicated by a delayed closure:

Third intention

If a wound is approximated too tightly, it can cause:

Ischemia