Wound Care Quiz

Name a stage of wound healing:

Answer explanation

- Inflammatory Stage

-Proliferative Stage

-Maturation or remodeling stage

What does RYB mean:

Answer explanation

Red (cover)- Healthy regeneration of tissue

Yellow (clean)- Presence of Purulent drainage and slough

Black (debride, removal of necrotic tissue)- Presence of eschar that hinders healing and requires removal

Never use the same gauze to cleanse across an incision or wound more than once.

• True

• False

Name a nursing intervention for Evisceration.

Answer explanation

-Cover wound and any protruding organs with sterile towel or dressing soaked with sterile normal saline solution.

-Notify provider immediately

-Stay with client

-Keep client NPO

Name three manifestation of Infection.

Answer explanation

-purulent drainage

-pain

-redness

-edema

-chills

-fever

-odor

-increased pulse

-increased respiratory rate

-increase in WBC count

Depth of injury is unknown

• Stage I

• Stage IV

• Stage III

• Stage II

• Unstageable

nonblanchable redness, swollen

• Stage I

• Stage IV

• Stage III

• Stage II

• Unstageable

damage to subcutaneous tissue

• Stage I

• Stage IV

• Stage III

• Stage II

• Unstageable

Destruction, tissue necrosis, or damage to muscle, bone, or supporting structures

• Stage I

• Stage IV

• Stage III

• Stage II

• Unstageable

Involves the epidermis and the dermis.

• Stage I

• Stage IV

• Stage III

• Stage II

• Unstageable