Fundamentals of Nursing: Unit 2 exam Flashcards


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1

Amount of zinc recommended for wound healing?

15-30 mg

2

Intermittant sutures

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3

retention sutures

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4

Continuous sutures

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5

Blanket continuous sutures

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6

Nonblanchable redness of local area, may be warm, painful, edema or hardness.

Stage 1

7

Loss of dermis, shallow, open ulcer with red-pink wound bed

NO SLOUGH

Stage 2- partial thickness

8

loss of subcutaneous tissue, fat may be visible

BONE AND TENDONS NOT EXPOSED

May include undermining and tunneling

full thickness Stage 3

9

exposed muscle, bone and tendon

slough or eschar may be present

Full thickness Stage 4

(but remember, if there is eschar on top, it is unstaggable)

10

Described as separation of the edges of a wound, revealing underlying tissues

A person who is at risk for this, is a person with poor wound healing (ex. obese patients) and not stinting surgical site with a pillow prior to moving or coughing.

Dehiscence

(possibly d/t incision failing to heal properly (primary intention). Before collagen formation (vit c).

11

Described as total separation of wound layers.

Protrusion of visceral organs through wound openings

Evisceration

Requires emergency surgical interventions.

Can cause blood supply in tissues to be compromised.

NPO.

Observe for s/s of shock (Decrease BP, Increase P)

12

Which vit plays a role in collagen synthesis and is an antioxidant?

What is the recommended daily value?

Vitamin C

1000 mg/day

13

Which Vit plays a major role on the inflammatory response in wound healing. A lack of this vitamin will cause wound impairment in inflammatory responses. It can also reverse steroid effects on skin

What is the daily requirement?

Vitamin A

1600-2000

14

What nutrient plays a role in cell energy and protein protection?

What is the recommended daily requirement?

Calories

30-35 kcal/kg/day

15

What nutrient plays a role in wound remodeling?

Protein (Albumin)

16

What tools are used to irrigate exudate from a wound?

30-60 mL syringe

18-19 gauge needle

17

What are the benefits of cold therapy?

Vasoconstrict

local anesthetic

parasthesia- numbness

slows bacterial growth

18

Concentric and Eccentric

Concentric (using trapeze bar to raise up in bed)

Eccentric (Using trapeze bar to lower in bed-purposefully slow)

Isotonic exercises

19

increase in muscle contraction/tension but no shortening or active mov't of muscle

CAN BE PERFORMED BY IMMOBILE PATIENTS

Isometric exercises