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CHAPTER THREE. Evaluation of the Patient with a Wound

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

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