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WorksheetsFoundations - Module 5
Total questions: 24
Worksheet time: 24mins
What is the definition of an acute wound?
A wound that heals in less than 6 months
A wound that heals within an expected time frame
A wound that does not heal
A wound that become infected
What is the definition of a chronic wound?
A wound that is in constant pain
A wound that heals properly
A wound that becomes infected
A wound that does not heal in an orderly and timely process
Classification of a stage 1 pressure injury
Full thickness tissue loss with exposed bone, tendon or muscle
Intact skin with non-blanchable redness
Partial-thickness skin loss involving epidermis, dermis, or both
Purple or maroon localized area of discolored intact skin or blood filled blister due to damaged underlying skin
Stage 4 pressure ulcer
Full thickness tissue loss. SC fat mat be visible, but no other underlying structures exposed
Intact skin with non blanchable redness
Full thickness tissue loss in which the base of the ulcer is covered in slough, eschar or both
Full thickness tissue loss with exposed bone, tendon or muscle
Worst type of pressure ulcer
Unrecognizable
Unstageable
Undetectable
Undefined
Partial-thickness skin loss involving epidermis, dermis or both
Stage 1
Stage 3
Stage 4
Stage 2
Purple or maroon localized area of discolored intact skin or blood filled blister due to damaged underlying skin
Subcutaneous tissue injury
Suspected deep tissue injury
Unstageable
Unidentifiable
What is the difference between a stage 3 and a stage 4 pressure injury?
Stage 3 has exposed bone, tendon or muscle ans stage 4 does not
Stage 4 is covered in eschar, slough or both and stage 3 does not
Stage 3 has partial-thickness skin loss involving epidermis, dermis, or both and stage 4 also has visible SC fat
Stage 4 has exposed bone, tendon or muscle and stage 3 does not
Primary Intention
Secondary Intention
Tertiary Intention
Primary Intention
Secondary Intention
Tertiary Intention
Primary Intention
Secondary Intention
Tertiary Intention
Proliferation phase
1
2
3
4
Remodeling phase
1
2
3
4
Inflammatory phase
1
2
3
4
Maturation phase
1
2
3
4
What does TACO stand for?
Time of assessment, Amount, Consistency, Cdor
Type of drainage, Accessibility, Continuous drainage, Odor
Type of drainage, Amount, Colour and consistency, Odor
Type of injury, Amount, Colour, Odor
Serosanguineous drainage
1
2
3
4
Sanguineous drainage
1
2
3
4
Purulent drainage
1
2
3
4
Serous drainage
1
2
3
4
What does REEDA stand for?
Redness, Eschar, Edema, Drainage, Amount
Redness, Edema, Ecchymosis, drainage, approximation
Redness, Edema, Ecchymosis, Diameter, Amount of drainage
Redness, extraneous drainage, Edema, Diameter, Approximation
What is Dehiscense?
Skin separation around the wound site
Partial or total separation of wound layers
Partial tearing of skin beyond the wound site
Complications of wound healing
What is Evisceration?
Protrusion of visceral organs through wound opening
Total separation of wound layers
Protrusion of underlying dermis through suture site
Wound opening due to poor suturing by physician
A
B
C
D
