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CHAPTER ELEVEN. Factors That Impede Wound Healing

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A wound has pathogens on the surface that are replicating and interfering with the normal healing response. The wound is said to be

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a. Contaminated

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b. Colonized

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c. Critically colonized

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d. Infected

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Which of the following disorders is most likely to result in a wound that bleeds easily with resulting loss of growth factors and failure to progress from inflammation to proliferation?

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a. Abnormally low platelets

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b. Protein energy malnutrition

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c. Increased neutrophil count

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d. Hyperglycemia

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Which of the following conditions will require the highest calorie count for effective healing?

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a. Diabetic foot wound

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b. Post-operative incision with infection

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c. Protein energy malnutrition

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d. 30% total body surface of burns

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Which of the following symptoms is most likely to occur 6 weeks after initiation of radiation on the chest for a recurrent squamous cell carcinoma?

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a. Superficial erythema

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b. Wet desquamation

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c. Dyspigmentation

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d. Nonhealing traumatic wound

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Chemotherapy affects healing by which of the following mechanisms?

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a. Destruction of the DNA of the affected tissue

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b. Lack of available neutrophils to migrate to the wound

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c. Myelosuppression, or decreased production of red blood cells in the bone marrow

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d. Dehydration as a side effect of the chemotherapy

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Of the following factors that can impede wound healing, which one has effects that are reversible?

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a. Smoking

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b. Chemotherapy

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c. Radiation

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d. Autoimmune disorders

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One of the primary reasons that obese patients have higher rates of surgical site infections is

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a. Higher rates of drug resistance.

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b. Adipose is poorly vascularized ...

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