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30 Cards in this Set
- Front
- Back
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How does an infection affect the wound healing process?
a. reduces the amount of nutrients, oxygen, and other substances that can be involved in the healing process b. pathogens may produce toxins that interfere with the body's chemicals that are involved in healing c. tissues that are combating infection are slow to heal because the infection interferes with the healing process d. all of the above |
d. all of the above
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Which days of first intention wound healing are considered the healing (proliferative) phase?
a. days 1-6 b. days 6-14 c. days 14-21 d. days 21-30 |
b. days 6-14
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What is ischemia?
a. death of tissue cells b. seperation of layers of a surgical wound c. decrease of blood supply to the tissues d. blood - tinged or colored serous drainage |
c. decrease of blood supply to tissues
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Which of the following statements are TRUE concerning wound disruption?
a. occurs in a large percentage of clean, surgical, abdominal wounds b. usually happens between the first and third postoperative days c. may be a profuse amount of sero-sanguinous drainage on abdominal dressing d. none of the above |
c. may be a profuse amount of sero-sanguinous drainage on abdominal dressing
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A wound that will not heal by second intention and may be caused by extrinsic or intrinsic factors is called a _________?
a. chronic wound b. traumatic wound c. surgical incision d. chemical reaction |
a. chronic wound
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Which of the following statements is TRUE concerning a dirty and infected wound?
a. presence of a perforated organ such as a bowel b. elective procedure; wound made under ideal conditions c. no inflammation present d. open fresh traumatic wound of less than four hours old |
a. presence of a perforated organ such as a bowel
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What is a leukocyte?
a. red blood cell b. white blood cell c. collagen d. none of the above |
b. white blood cell
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Which of the following is the correct definition for debridement?
a. dense, unsightly connective tissue or excessive scar formation that is often removed surgically b. to bring two tissue surfaces close together, as in the repair of a wound c. formulation of new tissue, composed largely of newly growing capillaries which form in types of wounds left open d. removal of foreign materials; cutting away all dead and devitalized tissues leaving an open, clean wound where anaerobic organisms cannot survive |
d. removal of foreign materials; cutting away all dead and devitalized tissues leaving an open, clean wound where anaerobic organisms cannot survive
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Which of the following is a connective tissue cell that produces collagen and elastin fibers?
a. thrombin b. fibrin c. fibroblast d. fibrinogen |
c. fibroblast
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What type of wound is over six hours old and the conditions and/or object surrounding the injury are obviously not clean?
a. closed wound b. clean wound c. simple wound d. contaminated wound |
d. contaminated wound
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Which of the following is TRUE of the lag phase of first intention wound healing?
a. tensile strength grows rapidly because of collegen b. leukocytes remove bacteria and damaged tissue debris c. scar forms d. new cells are formed |
b. leukocytes remove bacteria and damaged tissue debris
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A cut that occurs when unloading a dishwasher is an example of a(n)___________.
a. clean b. closed c. simple d. contaminated |
a. clean
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Which of the following describes a contusion?
a. a bruise that may be caused by a blunt instrument in which skin is not broken, the tissues below the surface are damaged, and the blood vessels have ruptured causing discoloration b. a portion of the skin and soft tissue is partially or completely torn away c. a wound caused by mechanical irritation d. a wound with smooth edges that is made by a cutting instrument |
a. a bruise that may be caused by a blunt instrument in which skin is not broken, the tissues below the surface are damaged, and the blood vessels have ruptured causing discoloration
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Which of the following is defined as torn wound with irregular edges?
a. contusion b. puncture c. perforation d. laceration |
d. laceration
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Dishiscence, everisceration, and eventration are all examples of ____?
a. wound disruption b. infection c. herniation d. sinus - tract formation |
a. wound disruption
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Which of the following is FALSE concerning the wound healing process?
a. Early ambulation decreases circulation and increases post operative complications b. Abnormalities in immune response such as allergic reactions contribute to delayed wound healing c. healing is delayed if the patient has had radiation in large doses preoperatively d. Wound healing is impaired by deficiencies in zinc, protein, carbohydrates, and vitamins A, B, and C. |
a. Early ambulation decreases circulation and increases post operative complications
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Wound disruptions may be caused by which of the following?
a. infection b. abdominal distsntion c. coughing, straining, unusual activity d. all of the above |
d. all of the above
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Which of the following statement is TRUE of wound healing by first intention
a. has relatively slow healing b. has separation of wound edges c. has postoperative swelling d. has no serous discharge or local infection |
d. has no serous discharge or local infection
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How does vitamin C play a part in the wound healing process?
a. permits collagen formation b. aids in the production of connective tissue and a strong scar c. provides essential amino acids for new tissue construction d. both a and b |
d. both a and b
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What is a cicatrix?
a. situation in which severed tissue is essentially reunited with tissue from which it was originally separated b. union of two surfaces or structures that normally are seperate c. stitch placed in tissue to hold sides of a wound together d. scar left by a healed wound |
d. scar left by a healed wound
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A swelling or tumor that contains blood that is generally clotted is called a ___________?
a. hemorrhage b. hematoma c. sinus-tract formation d. herniation |
b. hematoma
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Which of the following is the correct definition for a bladder infection?
a. the separation of intact tissue by a surgeon using aseptic technique b. local damage to tissue as a result of exposure to low temperature c. damage to tissue due to exposure to a high-energy source d. the death of cells as a result of the action of microorganisms |
d. the death of cells as a result of the action of microorganisms
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Which of the following is TRUE of the maturation phase of first intention wound healing?
a. Exudate containing blood, lymph, and fibrin begins clotting and loosely binds the cut edges together b. Fibrin, clotting blood, and serum protein dry out, forming a scab which seals the wound c. As collagen density increases, vascularity decreases, and the scar grows pale d. tensile strength grows rapidly because of collagen |
c. As collagen density increases, vascularity decreases, and the scar grows pale
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Which of the following is FALSE concerning the effects of operative technique on wound healing?
a. All tissue should be handled as gently and as little as possible throughout the procedure b. Laparoscopes are not used very often because the maximize tissue trauma and slow healing c. aseptic technique must be followed by all operating room team d. Hemostasis must be achieved to prevent loss of the patient's blood and to provide as bloodless a field as possible for accurate dissection |
b. Laparoscopes are not used very often because the maximize tissue trauma and slow healing
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What is the expected infection rate of a clean - contaminated wound?
a. 1% to 5% b. 8% to 11% c. 15% to 20% d. 27% to 40% |
b. 8% to 11%
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Which of the following is FALSE concerning healing by 3rd intention?
a. There may be loss of tissue due to infections or complications of the healing process. b. A deeper and wider scar usually results. c. Healing is quicker than first intention. d. There is excessive separation of the wound edges due to disruption of the healing process. |
c. Healing is quicker than first intention.
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partial protrusion of the abdominal contents through an opening in the abdominal wall is called ____?
a. eventration b. evisceration c. dehiscence d. none of the above |
a. eventration
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which of the following is defined as an injury to living body tissue caused by an extrinsic agent?
a. surgical incision b. traumatic wound c. chemical reaction d. frostbite |
b. traumatic wound
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Which of the following is FALSE concerning healing by second intention?
a. Wound is sutured b. Healing is by process of granulation from the bottom up c. scar formation is excessive d. there is serous discharge |
a. wound is sutured
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____________is the white protein contained in connective tissue and bones.
a. Thrombin b. Fibrin c. Fibrinogen d. Collagen |
d. Collagen
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