Deck 11: Basic Wound Care and Specialized Interventions

Question 1

Which of the following is an aspect of chest physical therapy (CPT)?

A) Postural drainage
B) Percussion and vibration
C) Airway clearance
D) All of the above

Answer 1

D
In some facilities,a physical therapist will be responsible for all aspects of CPT,including postural drainage,percussion and vibration,and airway clearance (e.g.,suctioning and cough techniques).

Question 2

At which site is a pressure ulcer most likely to develop?

A) Anterior thigh
B) Heels
C) Abdomen
D) Biceps

Answer 2

B
A pressure ulcer is a localized injury to the skin or underlying tissue.It usually occurs over a bony prominence such as the heel or ischial tuberosity.

Question 3

What percentage tensile strength does scar tissue possess compared with the tissue that it replaces?

A) 50 percent
B) 80 percent
C) 100 percent
D) 125 percent

Answer 3

B
Scar tissue typically has only 80 percent of the tensile strength of the tissue that it replaces.The tensile strength of the tissue covering a wound is created by the collagen tissue organized during the remodeling phase of tissue healing.

Question 4

According to the rule of nines,what percentage of the total body area is each upper extremity assigned?

A) 9 percent
B) 18 percent
C) 27 percent
D) 36 percent

Question 5

Which of the following is used to for the most accurate measurement of hand edema or muscle atrophy?

A) Girth measurement with plastic measuring tape
B) Measurement with a metal ruler
C) Goniometric measurement
D) Volumetric measurement

Question 6

Which type of debridement uses an occlusive dressing in conjunction with self-produced enzymes?

A) Sharp
B) Mechanical
C) Chemical
D) Autolysis

Question 7

Which is not a contraindication for lymphedema treatment?

A) Acute infection
B) Recent trauma or a burn
C) Active cancer
D) Congestive heart or kidney failure

Question 8

Which layer of the skin is damaged with a first-degree burn?

A) Epidermis
B) Dermis
C) Subcutaneous fat layer
D) All of the above

Question 9

Which type of amputation denotes the removal of the entire pelvis and distal structures?

A) Hemicorpectomy
B) Hemipelvectomy
C) Hip disarticulation
D) Symes disarticulation

Question 10

What are the goals for an infected wound?

A) Maintain a moist wound bed, and soften and remove eschar.
B) Protect the surrounding tissue, absorb exudate, and contain infection.
C) Maintain a moist wound bed, and protect surrounding tissue.
D) Maintain a moist wound bed, and absorb exudates.

Question 11

The vascular,exudates,and reparative phases occur in which stage of wound healing?

A) Inflammatory
B) Proliferative
C) Remodeling
D) Maturation

Question 12

What circulation test uses a treadmill to check for arterial insufficiency?

A) Rubor of dependency test
B) Ankle-brachial test
C) Venous filling time test
D) Claudication test

Question 13

How often should "wet to wet" dressings be changed?

A) Every 4 hours
B) Every 8 hours
C) Every 12 hours
D) Daily

Question 14

Which type of debridement uses a scalpel or scissors to remove necrotic tissue?

A) Sharp
B) Mechanical
C) Chemical
D) Autolysis

Question 15

What stage of pressure ulcer may present as an intact serum-filled blister?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Question 16

Which of the following is most closely associated with lymphedema?

A) Rough, dry skin
B) Weak immune system function
C) Respiratory distress
D) Excessive eschar

Question 17

Which phase of wound healing serves as the body's initial local defense response to injury or trauma?

A) Inflammatory
B) Proliferative
C) Remodeling
D) Maturation

Question 18

Which term describes redness of the skin caused by congestion of the capillaries in the lower layers of the skin?

A) Eschar
B) Erythema
C) Maceration
D) Slough

Question 19

What factors affect wound healing time?

A) Nutritional status
B) Hydration
C) Age
D) All of the above

Question 20

What stage of pressure ulcer involves exposed bone,tendon,or muscle?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV