Wound Care Flashcards
7 cards from real CWS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Wound Care flashcards as text
Which skin tear classification system uses categories 1, 2, and 3 based on tissue loss?
Answer: ISTAP Skin Tear Classification
The ISTAP (International Skin Tear Advisory Panel) classification categorizes skin tears into Type 1 (no tissue loss), Type 2 (partial tissue loss), and Type 3 (total tissue loss).
What is the MOST common cause of failure in split-thickness skin grafts?
Answer: Hematoma or seroma formation beneath the graft
Hematoma and seroma formation beneath split-thickness skin grafts prevent vascular ingrowth (inosculation), which is the most common cause of graft failure.
A patient with a non-healing diabetic foot ulcer has transcutaneous oxygen measurement (TcPO2) of 25 mmHg at the wound site. This value suggests:
Answer: Impaired healing potential requiring further vascular evaluation
A TcPO2 below 30 mmHg indicates critically impaired tissue oxygenation with poor healing potential, warranting vascular workup and possible revascularization.
Which moist wound healing principle does a hydrogel dressing PRIMARILY provide?
Answer: Donation of moisture to dry wounds
Hydrogels have a high water content (up to 96%) that donates moisture to dry or minimally exudating wounds, facilitating autolytic debridement.
Epibole, also known as 'rolled wound edges' or 'epiboly,' is BEST managed by:
Answer: Mechanical or sharp disruption of the rolled epithelium
Epibole requires disruption of the rolled, non-migrating epithelial edges through sharp debridement, curettage, or chemical cauterization to restore lateral cell migration.
Which type of pain assessment tool is MOST appropriate for evaluating wound-related pain in a cognitively impaired elderly patient?
Answer: PAINAD (Pain Assessment in Advanced Dementia)
The PAINAD scale assesses pain through behavioral observations (breathing, vocalization, facial expression, body language, consolability) in non-verbal or cognitively impaired patients.
A patient develops periwound maceration. Which intervention BEST addresses this problem?
Answer: Switch to a more absorbent dressing and apply a skin protectant
Maceration from excess moisture requires a more absorbent dressing to reduce exudate on periwound skin combined with a skin protectant (barrier cream or film) to protect the compromised skin.