104 Exam2 (3.skin Integrity & Wound Healing)

Front 1

wound in which skin or mucous membranes are rubbed or scraped

Back 1

abrasion

Front 2

lightly pulled together

Back 2

approximated

Front 3

large bandage used to support a body part or to hold a dressing in place

Back 3

binder

Front 4

removal of foreign material or dying tissue from a wound

Back 4

debridement

Front 5

accidental separation of wound edges, especially a surgical wound

Back 5

dehiscence

Front 6

layer of skin composed of dense connective fibers, blood vessels, nerves, hair follicles, and glands

Back 6

dermis

Front 7

process in which the thin, outermost layer of epidermis (stratum corneum or horny layer) is continuously shed

Back 7

desquamation

Front 8

abnormal tube like passage between organs or between an organ and a body surface, often as a result of poor wound healing

Back 8

fistula

Front 9

process in which epidermal cells, which appear pink in color, reproduce and migrate across the surface of the partial-thickness wound

Back 9

epithelialization

Front 10

protrusion of internal organs through an open wound

Back 10

evisceration

Front 11

soft, pink, highly vascularized connective tissue formed during wound repair

Back 11

granulation tissue

Front 12

localized accumulation of blood in a body tissue, organ, or space as a result of broken blood vessel

Back 12

hematoma

Front 13

wound caused by tearing of a body tissue

Back 13

laceration

Front 14

softening of tissue due to excessive moisture

Back 14

macerated

Front 15

result of the impeding of capillary blood flow to the skin or underlying tissue

Back 15

pressure ulcer

Front 16

producing or containing pus

Back 16

purulent

Front 17

pertaining to or containing blood

Back 17

sanguineous

Front 18

containing serum and blood

Back 18

seroanguineous

Front 19

thin, watery, serum-like

Back 19

serous

Front 20

who are most susceptible to skin disruption

Back 20

very young and very old

Front 21

what is used for predicting pressure ulcer sore risk?

Back 21

braden scale

Front 22

what stage pressure ulcer?...intact skin with non-blanchable redness of localized area, usually over bony prominence; area my be painful, firm, soft, warm or cooler, as compared to adjacent tissue

Back 22

Stage I pressure ulcer

Front 23

what stage pressure ulcer?...partial-thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed, without slough; may also present as an intact or open/ruptured serum-filled blister; presents as a shiny or dry shallow ulcer without slough or bruising

Back 23

stage II pressure ulcer

Front 24

what does bruising indicate?

Back 24

suspected deep tissue injury

Front 25

what stage pressure ulcer?...full-thickness tissue loss. subcutaneous fat may be visible but bone, tendon, or muscle is not exposed. slough may be present but does not obscure the depth of tissue loss. may include undermining and tunneling. bone/tendon is not visible or directly palpable. the depth of this stage varies by anatomic location

Back 25

stage III pressure ulcer

Front 26

full-thickness tissue loss with exposed bone, tendon, or muscle. slough or eschar may be present on some parts of the wound bed. often includes undermining and tunneling. depth of ulcer varies by anatomic location. can extend into muscle or bone or supporting structures making osteomyelitis possible. exposed bone/tendon is visible or directly palpable

Back 26

stage IV pressure ulcer

Front 27

what stage pressure ulcer?...full thickness tissue loss in which base of ulcer is covered by slough and or eschar in the wound bed

Back 27

unstageable pressure ulcer

Front 28

purple or maroon localized area of discolored intact skin or blood filled blister due to damage of underlying soft tissue from pressure and or shear. the area my be preceded by tissue that is painful, firm, mushy, boggy, warmer, or cooler as compared to adjacent tissue.

Back 28

suspected deep tissue injury

Front 29

nonviable or necrotic tissue that is white or yellow

Back 29

slough

Front 30

nonviable or necrotic tissue that is brown to black

Back 30

eschar

Front 31

chemical messengers that are involved in wound healing

Back 31

growth factors

Front 32

the phase of wound healing that begins immediately upon wounding with the onset of vasoconstriction, platelet aggregation, and clot formation

Back 32

hemostasis

Front 33

this phase of wound healing lasts about three days and is marked by vasodilation and phagocytosis as the body works to clean the wound to begin the repair process

Back 33

inflammatory phase

Front 34

what are the phases of wound healing in partial thickness wound repair?

Back 34

hemostasis, inflammatory phase, and proliferative phase

Front 35

what are the phases of wound healing in full thickness wound repair?

Back 35

hemostasis
inflammatory phase
proliferative phase
maturation

Front 36

in the proliferative phase of partial thickness wound repair, what does it begin with?

Back 36

epithelialization

Front 37

in the proliferative phase of full thickness wound repair, what does it begin with?

Back 37

development of granulation tissue

Front 38

pulling the wound inward, leading to decrease in depth and dimension of the wound

Back 38

contracture

Front 39

the number of fibroblasts decreases, collagen synthesis stabilizes, and collagen fibrils become increasingly organized, resulting in greater tensile strength of the wound

Back 39

maturation

Front 40

wounds with minimal tissue loss, such as clean surgical incisions or shallow sutured wounds heal by_______ ________

Back 40

primary intention

Front 41

the edge of a ______ wound are approximated; granulation tissue is not visible, and scarring is usually minimal

Back 41

primary

Front 42

wounds with full-thickness tissue loss, such as deep lacerations, burns, and pressure ulcers, have edges that do not readily approximate and they heal by ______ _______

Back 42

secondary intention

Front 43

type of wound healing: open wound gradually fills with granulation tissue, eventually epithelial cells migrate across granulation base, completing cycle; scarring is more prevalent

Back 43

secondary intention

Front 44

type of healing that occurs when a delay ensues between injury and wound closure

Back 44

tertiary intention

Front 45

tertiary intention is also known as what?

Back 45

delayed primary closure

Front 46

type of wound healing that may happen when a deep wound is not sutured immediately or is purposely left open until there is no sign of infection and then closed with sutures

Back 46

tertiary intention

Front 47

adhesive semipermeable film dressings

Back 47

transparent films

Front 48

hydrophilic polyurethane used for partial and full thickness wounds with small to moderate drainage; provide absorption and protection

Back 48

foams

Front 49

hydrophilic colloid particles attached to a backing

Back 49

hydrocolloids

Front 50

used to encourage granulation within full thickness wounds and to provide comfort in tender, partial thickness wounds

Back 50

hydrogels

Front 51

wound dressing used for absorption; indicated for deep or moderately draining wounds

Back 51

alginate

Front 52

antimicrobial dressing used for infected wounds

Back 52

silver dressings