Skin and mobility

Which of the following is an example of an intentional wound?

• hematoma

• contusion

• IV catheter

• GSW

During which phase of wound healing does new tissue build?

• hemostasis

• inflammatory

• proliferation

• maturation

Which type of wound is healing by secondary intention?

• sutured incision

• open wound healing from inside

• old wound with late suturing

• stapled wound

Select all that apply: which of these local factors affect wound healing

• pressure on bony prominences

• repeated trauma

• infection

• super saturated dressing

Which group of patients is expected to have the fastest wound healing?

• children

• adult with comorbid conditions

• elderly adults

Which score on the Braden scale indicates higher risk for skin breakdown?

• 10

• 20

If the patient is not able to independently move their limbs, but they do not have contractures, what type of nursing action should the nurse perform?

• AROM

• physical therapy

• PROM

• nothing

Select all that apply: what are the effects of immobility on the cardiovascular system?

• decreased cardiac workload

• increased risk for orthostatic hypotension

• increased risk for venous thrombosis

• increased blood flow to peripheral tissue

Select all that apply: what are the effects of exercise on psychological well-being?

• energy

• improved sleep

• improved self-concept

• increased powerlessness