Deck 17: Vascular,lymphatic,and Integumentary Disorders

Question 1

Which of the following is a characteristic of arteries?

A)Valves control the blood flow.
B)They have contractile abilities.
C)The walls are thin and elastic.
D)Blood pressure is very low.

Answer 1

B

Question 2

Which of the following is a characteristic of veins?

A)Valves control the blood flow.
B)They have contractile abilities.
C)The walls are thick and elastic.
D)Heart function controls flow.

Answer 2

A

Question 3

What might be a clinical sign that there is a disruption in normal wound healing during the remodeling phase?

A)Keratinocytes do not migrate in the wound.
B)Newly formed skin breaks down very easily.
C)Inflammation continues to be present at the site.
D)Evidence of initiation of re-epithelialization is present.

Answer 3

B

Question 4

What would be an appropriate intervention to increase wound perfusion in any individual?

A)Keep the temperature of the wound cool.
B)Limit the fluid intake of the individual.
C)Decrease the patient's caloric intake.
D)Control for pain and anxiety levels.

Question 5

A patient has a wound closed by the physician using sutures.What type of wound closure is this considered?

A)Closure by primary intention
B)Closure by secondary intention
C)Closure by wound contraction
D)Closure by contact inhibition

Question 6

What process is facilitated by the use of a dressing that maintains moisture in the wound?

A)Supratypic débridement
B)Autolytic débridement
C)Confined débridement
D)Moisture débridement

Question 7

Your patient presents with significant edema and necrotic tissue in the wound.How might this effect healing?

A)It will inhibit adequate oxygenation.
B)It will improve removal of infection.
C)It will maintain appropriate moisture.
D)It will prevent venous return of blood.

Question 8

Which of the following patients would be at the highest risk for developing a pressure ulcer?

A)A 35-year-old patient with a spinal cord injury
B)An 88-year-old patient who is living at home
C)A 67-year-old patient who is independently mobile
D)A 33-year-old patient who has been hospitalized

Question 9

Which of the following effects lymphangion contraction to move lymph fluid through the system?

A)REM portion of the sleep cycle
B)Weightbearing in the extremities
C)Muscle contraction near a vessel
D)Head position during standing

Question 10

The patient presents with a wound that is painful,with skin that is cool to the touch,and no observable granulation tissue present.What is the most likely cause of this wound?

A)Peripheral neuropathy
B)Lymphatic disease
C)Venous insufficiency
D)Arterial insufficiency

Question 11

During which phase of the normal wound healing does angiogenesis occur?

A)Phase 1
B)Phase 2
C)Phase 3

Question 12

Which of the following wounds would tend to close more slowly by secondary intention?

A)A full-thickness surgical incision
B)A superficial wound on the heel
C)A partial-thickness wound on the face
D)A full-thickness pressure ulcer

Question 13

What can affect the rate of all three phases of the normal wound healing process?

A)Fibrous tissue formation and available nutrients
B)The individual's age and amount of damage to vessels
C)The extrinsic environment and amount of fatty tissue
D)The available nutrients and the extrinsic environment

Question 14

Why is it important for a patient to have a diet rich in vitamin C and zinc in her diet during wound healing?

A)They stimulate collagen cross-linking.
B)They help bring oxygen to the site.
C)They are essential for tissue repair.
D)They enhance immune function.

Question 15

A patient presents with a wound in the lower extremity.The skin temperature is elevated and pitting edema immediately surrounding the wound is present.The Ankle-Brachial Index is normal,with strong distal pulses palpated.What is the most likely cause of this wound?

A)Peripheral neuropathy
B)Lymphatic disease
C)Venous insufficiency
D)Arterial insufficiency

Question 16

What would be the most important intervention for a patient with venous insufficiency?

A)Compression therapy
B)Improved nutrition
C)Decreasing pressure
D)Limiting movement

Question 17

A patient presents with a wound that is draining exudate,has significant granulation tissue present,with little reported pain.What is the most likely cause of this wound?

A)Peripheral neuropathy
B)Lymphatic disease
C)Venous insufficiency
D)Arterial insufficiency

Question 18

What might be a clinical sign that an infection is developing in a wound in the inflammatory phase?

A)A significant decrease in swelling around the wound
B)Closure of the wound through contraction of the edges
C)An increase in the amount of drainage from the wound
D)Evidence of the beginning of re-epithelialization

Question 19

What would be an example of a cause of secondary lymphedema?

A)Hypoplasia causing fewer than normal vessels
B)Congential malformation of the lymph vessels
C)Trauma to the lymph nodes from breast surgery
D)Increased levels of lymphatic fluid present

Question 20

A patient presents with pitting edema present in the lower extremity and reports feelings of tightness and discomfort in the leg.The edema is not improved with elevation,and the patient has a history of radiation therapy to the groin.What is the most likely cause of these symptoms?

A)Peripheral neuropathy
B)Lymphatic disease
C)Venous insufficiency
D)Arterial insufficiency

Question 21

What would be considered a contraindication for the use of sharp débridement?

A)Large amounts of necrotic tissue
B)Adequate arterial flow in the area
C)Wounds without eschar formation
D)A patient who is on anticoagulants

Question 22

A patient who recently sustained a spinal cord injury has developed a partial-thickness pressure ulcer on the right greater trochanter.What would be an important intervention for treatment of the pressure ulcer on this patient?

A)A positioning and turning schedule
B)Facilitation of independent transfers
C)ROM of the right lower extremity
D)Limiting mobility during healing

Question 23

What is a disadvantage of using pulsatile lavage with suction for cleaning of a wound?

A)It will not provide as adequate cleaning as nonforceful irrigation.
B)It may be very painful for the patient during the intervention.
C)It does not allow for the delivery of any type of topical solutions.
D)A family member must be present during the treatment intervention.

Question 24

For what type of wound or edema are compression garments typically contraindicated?

A)Arterial wounds
B)Venous wounds
C)Neuropathic wounds
D)Lymphedema

Question 25

Use of a wet-to-dry dressing is an example of what type of débridement?

A)Selective
B)Nonselective
C)Intentional
D)Nonintentional

Question 26

When evaluating the edema present in a patient's lower extremity,the therapist notes that an indentation occurs that returns to normal after approximately 30 seconds.How should the therapist grade this level of pitting?

A)1+
B)2+
C)3+
D)4+

Question 27

When using monofilaments to examine sensation,what indicates normal sensation?

A)A patient report of sensation with the 6.25 monofilament
B)A patient report of sensation with the 5.07 monofilament
C)A patient report of sensation with the 4.17 monofilament
D)A patient report of sensation with the 2.23 monofilament

Question 28

A patient with diabetes presents with a wound on the fifth metatarsal head.The patient was unaware that the wound developed and reports no pain.Sensory testing reveals impaired sensation of the foot.What is the most likely cause of these symptoms?

A)Peripheral neuropathy
B)Lymphatic disease
C)Venous insufficiency
D)Arterial insufficiency

Question 29

What interventions should be included for a patient with lymphedema?

A)Compression glove and range of motion
B)Strengthening and elevation of the limb
C)Stretching and lymphedema bandaging
D)Manual lymph drainage and elevation

Question 30

How is electrical stimulation thought to facilitate wound healing?

A)It increases the amount of inflammation present in the initial phase.
B)It decreases the bacterial load and promotes granulation of the wound.
C)It facilitates movement of the involved extremity and prevents pressure.
D)It changes the flow of electrolytes between the cells in the second phase.

Question 31

At which of the following sites would a patient be most likely to develop a pressure ulcer?

A)The posterior aspect of the head
B)The medial aspect of the elbow
C)The anterior superior iliac spine
D)The lateral malleolus of the ankle