Integumentary Conditions and Wound Care Flashcards

The proliferative phase of wound healing is primarily characterized by:

Answer: Granulation tissue formation and re-epithelialization

The proliferative phase involves granulation tissue formation, angiogenesis, and re-epithelialization, which are the core building blocks of wound repair.

Which type of wound debridement is most selective and least traumatic to surrounding healthy tissue?

Answer: Autolytic debridement

Autolytic debridement uses the body's own enzymes and moisture under an occlusive dressing to selectively break down necrotic tissue while leaving healthy tissue intact.

A patient with peripheral arterial disease presents with a lower extremity ulcer. Which finding would you MOST likely expect?

Answer: Punched-out appearance with well-defined edges and minimal exudate

Arterial insufficiency ulcers typically have a punched-out appearance with well-defined edges, minimal exudate, and pale wound beds due to inadequate perfusion.

The Rule of Nines is used in burn management to estimate:

Answer: Percentage of total body surface area (TBSA) affected by a burn

The Rule of Nines divides the body surface into regions representing approximately 9% each to calculate total body surface area involved in a burn.

Which finding is MOST indicative of wound infection rather than normal healing?

Answer: Increasing wound pain, erythema, and purulent drainage

Increasing pain, erythema, warmth, swelling, and purulent drainage are classic signs of wound infection requiring immediate clinical attention.

Which type of wound dressing is MOST appropriate for a wound with heavy exudate?

Answer: Calcium alginate dressing

Calcium alginate dressings are highly absorbent, derived from seaweed, and ideal for heavily exuding wounds as they can absorb many times their weight in fluid.

Using the Wagner Grading System for diabetic foot ulcers, a Grade 2 ulcer is defined as:

Answer: A deep ulcer extending to tendon, capsule, or bone without osteomyelitis

Wagner Grade 2 describes a deep ulcer that penetrates to tendon, joint capsule, or bone but without evidence of osteomyelitis or abscess.