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CHAPTER THREE. Evaluation of the Patient with a Wound

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Which of the following questions is inappropriate to ask as part of the subjective history?

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a. What did you have for dinner last night?

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b. What are your goals for therapy?

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c. How much will your insurance pay for treatment?

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d. What kind of assistive device do you use for walking?

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Which of the following tools is recommended for assessing wound progression or degression?

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a. OPTIMAL

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b. BWAT

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c. Visual Analog Scale

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d. Braden Scale

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Drainage that indicates the wound has not achieved hemostasis or that the patient is on anticoagulant medication is termed

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a. Sanguineous

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b. Serous

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c. Purulent

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d. Transudate

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Pain associated with deep infection is usually described as

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a. Tingling

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b. Burning

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c. Stinging

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d. Throbbing

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The subcutaneous extension that results from autolysis of subcutaneous tissue at the edge of the wound bed is termed

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a. Fistula

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b. Sinus track

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c. Tunneling

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d. Undermining

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Greenish drainage on the dressing when removed from a chronic wound is indicative of critical colonization or infection with which of the following microbes?

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a. Methicillin-resistant Staphylococcus aureus

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b. Pseudomonas aeruginosa

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c. Vancomycin-resistant Enterococcus

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d. Carbapenem-resistant Klebsiella

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The dark discoloration seen in the lower leg of a patient with chronic venous insufficiency is a result of

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a. Arterial insufficiency

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b. Inflammation as a result of the interstitial inflammation

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c. Autolysis of dead red blood cells and hemoglobin

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d. Medication that causes chronic edema

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