Wound Care and Skin Integrity Flashcards
7 cards from real CNA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Wound Care and Skin Integrity flashcards as text
A resident tells the CNA that the wound dressing fell off in the night. The CNA should:
Answer: Leave the wound uncovered and notify the nurse
The CNA should notify the nurse immediately; leaving the wound temporarily uncovered is acceptable until the nurse assesses and orders appropriate wound care.
Which statement about deep tissue pressure injury (DTPI) is correct?
Answer: It appears as persistent non-blanchable deep red, maroon, or purple discoloration of intact skin
DTPI presents as persistent, non-blanchable deep red, maroon, or purple skin or blood-filled blister indicating deep tissue damage beneath intact skin.
When documenting wound observations, which description is MOST accurate and professional?
Answer: Wound measures 3 cm x 2 cm, with serosanguineous drainage and no odor
Professional wound documentation uses objective, measurable terms including size, drainage type and amount, color, odor, and surrounding tissue description.
A resident with an arterial ulcer on the lower leg is most likely to report:
Answer: Pain that worsens when the leg is elevated
Arterial ulcers cause pain that worsens with leg elevation because raising the limb further reduces already-compromised blood flow to the tissues.
What is the primary goal of wound irrigation?
Answer: To remove debris, bacteria, and old drainage from the wound
Wound irrigation uses fluid to mechanically remove debris, bacteria, and loose necrotic tissue to create a cleaner wound environment for healing.
A CNA notices the skin around a wound is macerated (white, soft, and waterlogged). This is most likely caused by:
Answer: Excessive wound drainage soaking the surrounding skin
Maceration occurs when surrounding skin is overexposed to moisture, often from excess wound drainage, causing the skin to break down.
Which resident behavior would the CNA identify as a risk factor for developing a skin tear?
Answer: Frequently bumping into furniture or bed rails
Skin tears commonly result from friction or blunt trauma such as bumping into furniture or bed rails, especially in residents with thin, fragile skin.