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Wound Management: Acute and Chronic Wounds Q&A, Exams of Nursing

University of Buckingham (UB)Nursing

A question-and-answer format overview of acute and chronic wound management, covering topics such as types of wounds, causes of leg ulcers, diagnostic tests, and patient management strategies. It includes information on venous ulcers, arterial ulcers, diabetic foot ulcers, pressure injuries, and skin tears, as well as the use and management of drain tubes. The content is structured to aid in understanding the key aspects of wound care and treatment protocols, making it a useful resource for students and healthcare professionals.

Typology: Exams

2024/2025

Available from 11/08/2025

whitegiraffe69485
whitegiraffe69485 🇬🇧

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Acute and Chronic Wound
Management (CNUR 203 MIDTERM)
Questions well answered
Is any wound that heals by primary intention, or any traumatic or surgical
wound that heals by secondary intention, and which proceedes through an
orderly and timely repair process. - ANS ✔What is an acute wound?
Occurs when the repair process does not proceed through an orderly and
timely process as anticipated and healing is complicated and delayed by
intrinsic and extrinsic factors that impact on the person, their wound or their
environment. - ANS ✔What is a chronic wound?
is a loss of skin or mucosa integrity. - ANS ✔What is an Ulcer?
- vascular disorders
- neuropathic disorders - ANS ✔What is the most common cause of Leg
Ulcers?
- arterial - involving arteries and arterioles
- venous - involving veins and venules
- mixed arterial / venous
- neuropathic - due to a loss of protective sensation - ANS ✔What are the 4
types of Leg Ulcers?
- venous stasis
- hypertension
- vasculitis - ANS ✔What type of vascular disorders cause chronic leg ulcers
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Acute and Chronic Wound

Management (CNUR 203 MIDTERM)

Questions well answered

Is any wound that heals by primary intention, or any traumatic or surgical wound that heals by secondary intention, and which proceedes through an orderly and timely repair process. - ANS ✔What is an acute wound? Occurs when the repair process does not proceed through an orderly and timely process as anticipated and healing is complicated and delayed by intrinsic and extrinsic factors that impact on the person, their wound or their environment. - ANS ✔What is a chronic wound? is a loss of skin or mucosa integrity. - ANS ✔What is an Ulcer?

  • vascular disorders
  • neuropathic disorders - ANS ✔What is the most common cause of Leg Ulcers?
  • arterial - involving arteries and arterioles
  • venous - involving veins and venules
  • mixed arterial / venous
  • neuropathic - due to a loss of protective sensation - ANS ✔What are the 4 types of Leg Ulcers?
  • venous stasis
  • hypertension
  • vasculitis - ANS ✔What type of vascular disorders cause chronic leg ulcers

Rhuematoid arthritis - ANS ✔What type of autoimmune disorders cause chronic leg ulcers

  • lymphoma
  • lymphedema - ANS ✔What type of lymphatic disorders cause chronic leg ulcers
  • sickle cell anemia - ANS ✔What type of haematological disorders cause chronic leg ulcers
  • gout
  • diabetes - ANS ✔What type of metabolic disorders cause chronic leg ulcers
  • basal cell carcinoma
  • squamous cell carcinoma
  • malignant melanoma - ANS ✔What type of tumors cause chronic leg ulcers
  • fungal infections
  • herpes
  • TB
  • HIV/AIDS
  • bacterial infections - ANS ✔What type of infections cause chronic leg ulcers
  • lacerations
  • pressure injuries
  • burns
  • frostbite - ANS ✔What type of trauma can cause chronic leg ulcers
  • the duration of the current leg ulcer
  • previous ulcer and the time they have taken to heal
  • time spent free of ulcers
  • strategies used to manage previous ulcers - ANS ✔Patient leg ulcer history assessment includes?
  • pedal and leg pulses
  • ABPI (indicates venous or arterial ulcer)
  • X-ray
  • wound swab
  • arterial and venous duplex scanning
  • pulse oximetry - ANS ✔Non-invasive diagnostic tests include?
  • blood profiles
  • wound tissue biopsy
  • MRI - ANS ✔Invasive diagnostic tests include?
  • firm "brawny" oedema
  • haemosiderin deposit
  • hard and woody skin (liposclerosis)
  • evidence of healed ulcers
  • hair is evident
  • white areas of intact skin
  • venous eczema
  • altered shape "inverted champagne bottle")
  • leaking oedema
  • limb may be warm - ANS ✔Changes in the leg associated with Venous Ulcers
  • anterior to medial malleolus
  • pretibial area (lower third of leg)
  • shallow ulcer with ragged, irregular areas
  • ruddy granulation tissue on wound bed
  • wound exudate medium to high
  • may be odorous - ANS ✔Venous ulcer locations
  • varying from nil, mild or extreme
  • may be relieved by elevation of the leg - ANS ✔Pain and pain management
  • education
  • psychological
  • elevation and exercise
  • nutrition - ANS ✔Patient management of venous ulcer
  • cleanse the leg
  • maintain skin integrity
  • control eczema
  • daily inspection of the legs and feet
  • debridement - ANS ✔Preparing the leg and wound
  • graduated compression therapy 30-40 mmHg at the ankle - ANS ✔Compression management of a venous ulcer consists of?
  • Nutrition, exercise and weight loss
  • Podiatry care
  • Elevate head of bed
  • Surgery - ANS ✔Management of a patient with an arterial ulcer Impaired inflammatory response
  • Association of atherosclerosis
  • Damaged nerves which diminishes pain sensation
  • Increased risk of infection
  • Peripheral vascular disease
  • Callus formation - ANS ✔People with diabetes and foot ulcers have
  • Complete T.I.M.E assessment
  • Elevation of the affected foot
  • Relief of pressure (Podiatry care)
  • Stop smoking
  • Prevent mechanical trauma (tapes, shaving)
  • Skin hygiene and moisturizing
  • Nutrition, exercise and weight loss
  • Control and maintenance of blood glucose levels - ANS ✔Management of patient with diabetic foot ulcers
  • Stage V is a pressure injury that is not able to be staged
  • This could be due to necrotic tissue. - ANS ✔What is a stage V pressure ulcer?
  • Recently closed wound, Stage I pressure ulcer, denuded or excoriated skin: Encourage adequate perfusion and protect from further tissue damage. - ANS ✔Management of a pressure injury for a stage 1 pressure injury Stage II or PTW (partial thickness wounds) Encourage regeneration of tissue and protect wound surface. - ANS ✔Management of a pressure injury for a stage 2 pressure injury Promote granulation and contraction (epithelialization) - ANS ✔Management of a pressure injury for a stage 3 or 4 pressure injury
  • Common injury amongst the frail elderly, occurring on the extremities
  • Considered a traumatic wound
  • Result of friction and shearing forces
  • Causes separation of the layers of the skin
  • Ageing processes effecting the skin, impaired mobility, impaired vision and use of medications such as anti coagulants and steroids - ANS ✔What is a skin tear
  • Depends on the amount of tissue

Bellova Drains Redivac Drains Jackson-Pratt Drains - ANS ✔what are some examples of active drains and closed wound drains?

  • Provide an exit for fluids, pus, or blood that interfere with wound healing or provide a source for bacterial proliferation
  • The passive drain is usually placed in the incision line - ANS ✔What are passive drains or non suction drains? Silastic Drains Corrugated Drains Penrose Drains - ANS ✔What are some examples of passive drains or non suction drains?
  • Type and purpose of the drain
  • Location of the surgical drain
  • Proper management strategies
  • Potential problems
  • How to troubleshoot complications - ANS ✔When managing a drain
  • If more than one drain, label each with a number for easy identification & accurate

documentation.

  • Monitor drainage for colour, consistency & quantity.
  • Assess for patency regularly
  • Document drainage on FBC
  • Systematic recordings 0600, 1200, 1800 and 2400 hrs - ANS ✔Nursing management of a drain
  • Initially drainage may be sanguineous (dark red, thick from blood around the surgical site)
  • Gradually the output will decrease as the wound heals & will change to serosanguineous(pink)
  • The consistency will be thinner as there is less blood in the drainage.
  • Once the blood is gone it will turn thin and serous, (pale yellow and slow to a trickle)
  • Medical staff will then indicate when drain is to be removed - ANS ✔Normal events associated with drains
  • A sudden change in colour, consistency, or amount may indicate a serious problem for your client.
  • Serous drainage that suddenly turns bloody and profuse may be a sign of haemorrhage
  • A change from thin and pink to thick and brown may indicate there is faecal