Skin Integrity and Wound Care

Cause: blunt instrument, overlying skin remains intact, with injury to underlying soft tissue; possible resultant bruising and/or hematoma

• Laceration

• Abrasion

• Contusion

• Puncture

Slough is hard, black, necrotic tissue

• True

• False

Skin is the (a)   line of defense

Outermost layer of the skin

• Dermis

• SubQ

• Epidermis

Break or disruption in the normal integrity of skin and tissues

• Burn

• Surgical Incision

• Wound

• Cut

Pink or beefy red tissue

• Serous tissue

• Granulation tissue

• Maceration tissue

• Periwound tissue

Thick, foul smelling drainage, dark yellow or green in color

• Serous

• Purulent

• Serosanguineous

• Sanguineous

Occurs after 3 months of injury, involves strengthening of collagen scar

• Inflammatory

• Proliferative

• Maturation

• Remodeling

Infants have thicker skin than adults

• True

• False

Little to no tissue loss, edges are approximated

• Secondary Intention

• Tertiary Intention

• Primary Intention

• Open Intention