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Text and Atlas of Wound Diagnosis and Treatment

CHAPTER THREE: Evaluation of the Patient with a Wound

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?

a. What did you have for dinner last night?

b. What are your goals for therapy?

c. How much will your insurance pay for treatment?

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

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

a. OPTIMAL

b. BWAT

c. Visual Analog Scale

d. Braden Scale

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

a. Sanguineous

b. Serous

c. Purulent

d. Transudate

Pain associated with deep infection is usually described as

a. Tingling

b. Burning

c. Stinging

d. Throbbing

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

a. Fistula

b. Sinus track

c. Tunneling

d. Undermining

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

a. Methicillin-resistant Staphylococcus aureus

b. Pseudomonas aeruginosa

c. Vancomycin-resistant Enterococcus

d. Carbapenem-resistant Klebsiella

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

a. Arterial insufficiency

b. Inflammation as a result of the interstitial inflammation

c. Autolysis of dead red blood cells and hemoglobin

d. Medication that causes chronic edema

Wounds located on the lower 1/3 of the leg, termed the gaiter area, are most likely to be associated with

a. Arterial insufficiency

b. Diabetic neuropathy

c. Pressure

d. Chronic venous insufficiency

You have been treating a patient for a hand wound that resulted from a spider bite. He comes to his appointment with the complaint of severe shortness of breath after walking from the garage to the clinic. Your response is

a. Have him lie down while you perform the routine wound care.

b. Have him return home after his appointment with instructions to rest.

c. Have him go to his primary care physician or emergency room as soon as possible.

d. Recommend that he exercise more so that his endurance increases.

You are treating a patient for a dehisced abdominal surgery and she states that she used to weigh 150 pounds (about 6 weeks ago) but has lost weight and now only weighs 120 pounds. Your response is:

a. This is normal after a surgery and she should heal just fine.

b. This much weight loss will prevent healing from occurring and she should see a registered nutritionist for diet recommendations to build lean body mass.

c. This is a significant amount of weight loss after surgery, but healing should progress normally if she uses a protein supplement.

d. The patient should begin a light exercise program to help build lean body mass.

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CHAPTER THREE: Evaluation of the Patient with a Wound

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CHAPTER THREE. Evaluation of the Patient with a Wound

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