Cps Iii-Skin Ulcers

Front 1

__ is a chronic ulcer commonly located on the distal medial aspect of the lower leg and is associated with stasis dermatitis.

-stasis ulcer
-decubitus ulcer

Back 1

stasis ulcer

Front 2

stasis ulcers are often preceded by __ and ____.

Back 2

stasis dermatitis and relatively minor trauma

Front 3

are SU's typically __ and __

-shallow and stay the same size
-deep and penetrating

Back 3

shallow and stay the same size but can increase in size quickly with inc. edema or infection

Front 4

__ typically occur over bony prominences such as sacrum, ischial tuberosities, trochanters, ankles, and heels.

-stasis dermatitis
-stasis ulcers
-decubitus ulcers

Back 4

decubitus ulcers

Front 5

A nonblanchable erythema seen over intact skin, is a ....

-stage 1 DU
-stage 2 DU
-stage 3 DU
-stage 4 DU

Back 5

stage 1 DU

Front 6

In a nonhealing SU a tissue __ or __ may be necessary to determine infection or malignancy.

Back 6

culture or biopsy

Front 7

t/f

ulcers of the lower extremity are often caused by more than one etiology

Back 7

true; most are making diagnosis more complicated

Front 8

__ ulcers are often assoc. with diabetes and loss of sensation in the lower extremities.

-venous
-neuropathic
-arterial

Back 8

neuropathic

Front 9

t/f

there is a high rate of recurrence of SU

Back 9

true

Front 10

what two studies are done to delineate the degree of venous or arterial disease?

Back 10

venous doppler
ankle-brachial index

Front 11

when should pt's with SU get antibiotics?

Back 11

when a tissue culture directs that type of therapy.

Front 12

what type of ulcers are assoc. with pain, decreased pulses, and cool extremities.?

-arterial
-venous
-neuropathic

Back 12

arterial

Front 13

__ ulcers occur over pressure points and are surrounded by a thick callous.

-arterial
-venous
-neuropathic

Back 13

neuropathic ulcers

Front 14

__ ulcers are often assoc. with diabetes, and loss of sensation in the lower extremities.

-arterial
-venous
-neuropathic

Back 14

neuropathic ulcers

Front 15

before aggressive compression therapy is initiated, __ disease should be excluded.

-arterial
-venous
-neuropathic

Back 15

arterial disease patients should not have compression therapy

Front 16

t/f

compression therapy is recommended with SD and SU

Back 16

true

Front 17

when is skin grafting considered in a stasis ulcer?

Back 17

when the pt fails to respond to compression therapy and other tx modalities.

Front 18

what is key in with SU?

Back 18

prevention

Front 19

t/f

reducing edema and stasis dermatitis reduces the incidence of SU.

Back 19

true

Front 20

__ are localized areas of tissue destruction caused by prolonged pressure usually over a bony prominence.

Back 20

decubitus ulcers

Front 21

what bony prominences do DU usually occur over?

Back 21

ischial tuberosities
sacrum
trochanters
ankles
heels

Front 22

a nonblanchable erythema seen over intact skin is what stage of DU?

Back 22

stage 1

Front 23

an ulceration extending to the subcu layer is what stage of DU?

Back 23

stage 3

Front 24

an ulceration of epidermis, dermis, or both is what stage of DU?

Back 24

stage 2

Front 25

an ulceration extending to muscle, bone, and/or supporting tissues is what stage of DU?

Back 25

stage 4

Front 26

what pt's are at increased risk of developing DU's?

Back 26

immobile
incontinent
poor nutrition
poor circulation
profound sensory deficits

Front 27

__ exert forces parallel to the skin causing stretching or tearing of underlying blood vessels and reducing the amount of pressure necessary to cause tissue ischemia.

-shear forces
-pressure
-friction

Back 27

shear forces

Front 28

what are the major contributing factors resulting in DU's?

Back 28

pressure
shear
friction
moisture

Front 29

__ over a bony prominence, causes soft tissue compression and interferes with the tissue blood supply.

-shear forces
-pressure
-friction

Back 29

pressure

Front 30

__ can occur when the head of a pt's bed is elevated causing the pt to sit on an incline for prolonged period of time.

-shear forces
-pressure
-friction
-moisture

Back 30

shear forces

Front 31

what scales are used in the prediction of decubitus ulcer risk?

Back 31

braden and/or norton

Front 32

DU's typically occur in the elderly but can occur in pt's with significant __ disease.

Back 32

neurologic

Front 33

what is the goal of treatment of stage 1 and 2 DU's?

Back 33

assessing and correcting risk factors

Front 34

how are stage 2 DU's typically treated?

Back 34

using an occlusive drsg and avoiding all pressure to the area.

Front 35

the presence of necrotic tissue, exudates, or evidence of infection usually requires what kind of tx?

Back 35

debridement

Front 36

stage 3 and 4 DU's usually require what type of mgt?

Back 36

wound care specialist care

Front 37

what type of surgical procedures can be therapeutic in the tx of DU's?

Back 37

skin grafts or flap closures

Front 38

shear and friction are increased with mild to moderate ___

pressure
moisture
movement

Back 38

moisture