Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

j.Don clean disposable gloves. Remove dress-

ing and assess wound and drainage.

k.Record collection of specimen, appearance

of wound, and description of drainage in

chart.

c.Eschar

d. Wound

e.Exudate

f.Granulation tissue

g. Epithelialization

h. Scar

i.Hemorrhage

j.Evisceration

k.Serous wound drainage

l.Sanguineous wound drainage

m.Purulent wound drainage

n. Red wounds

o. Yellow wounds

p. Black wounds

q. Dressing

PART B

1. The partial or total disruption of wound
   layers


2. New tissue, pink-red in color, composed
   of fibroblasts and small blood vessels
   that fill an open wound when it starts
   to heal


3. Used as a protective cover over a wound


4. The protrusion of viscera through the
   incisional area


5. Composed of fluid and cells that escape
   from the blood vessels and are deposited
   in or on tissue surfaces


6. Wounds in the proliferative stage of
   healing that are the color of granulation
   tissue


7. Wound drainage that is composed of the
   clear, serous portion of the blood and
   drainage from serous membranes


8. Wounds that are covered with thick
   eschar, which is usually black but may
   be brown, gray, or tan


9. May occur from a slipped suture, a
   dislodged clot from stress at the suture
   line, infection, or the erosion of a blood
   vessel by a foreign body (such as a
   drain)


10. Wound drainage that is made up of
    white blood cells, liquefied dead tissue
    debris, and both dead and live bacteria

198 UNIT VII PROMOTING HEALTHY PHYSIOLOGIC RESPONSES

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:

DEVELOPING YOUR

KNOWLEDGE BASE

FILL-IN-THE-BLANKS

1.Wounds that result from surgery, intravenous

therapy, and lumbar punctures are commonly

known as.

2.Swelling and pain that occur from an

incision are caused by an accumulation of

.

3.In the inflammatory cellular phase of a

wound, or cells

arrive first to ingest bacteria and cellular

debris.

4.New tissue found in a wound that is highly

vascular, bleeds easily, and is formed in the

proliferative phase is known as

tissue.

5.An abnormal passage from an internal organ

to the skin or from one internal organ to

another is known as a(n).

6.Which antiseptic cleaning agent is usually

used to clean a wound?

7.Anchoring a bandage by wrapping it around

the body part with complete overlapping of

the previous bandage turn is the

method of bandage wrapping.

8.A(n) is a wound with a localized

area of tissue necrosis.

MATCHING EXERCISES

Match the term in Part A with the correct

definition in Part B.

PART A

a. Dehiscence

b. Ischemia

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