INSTRUCTIONS. The following exercises are to be answered by marking the lettered response that best answers the question or best completes the incomplete statement or by writing the answer in the space provided.
After you have completed all the exercises, turn to “Solutions to Exercises” at the end of the lesson and check your answers.
1. A wound is ______________________________________________________
_______________________________________________________________.
2. A closed wound caused by a blunt object with damage to underlying tissues or organs is a(n) ___________________________________.
3. The casualty has a bullet wound, a wound with an entrance to his body and an exit from his body. This wound is a(n) _________________________ wound.
4. A(n) _________________________ wound is one which is made by a sharp object.
5. A wound which is cut smooth and straight is a(n) _______________________.
6. A wound which has torn, uneven edges and has been caused by a blunt instrument such as a shell fragment is a(n) __________________________.
7. The patient has been injured in an accident which resulted in disfigurement. This wound is classified as a(n) ______________________________ wound.
8. There is some edema around the wound site and the patient is experiencing some pain. These two conditions are causing him to be rather quiet, resting the wound area. How is the quiet and rest beneficial to the healing process?
________________________________________________________________
________________________________________________________________
9. Anything abnormal in the healing process is referred to as wound ___________.
10. The single most common wound complication is ______________________.
11. What is a keloid? __________________________________________________
12. Increased blood supply to the wound promotes healing. List three causes of restricted blood supply to a wound:
a. ____________________________________________________________.
b. ____________________________________________________________.
c. ____________________________________________________________.
13. List four factors that influence the body’s ability to grow new tissue.
a. ____________________________________________________________.
b. ____________________________________________________________.
c. ____________________________________________________________.
d. ____________________________________________________________.
14. List two reasons why wound healing may be slower in an obese individual.
a. ______________________________________________________________
______________________________________________________________
b. ______________________________________________________________
______________________________________________________________
15. In general wound care, begin by __________________________________, then cover the wound with a sterile dressing.
16. List three steps in the treatment of a contusion.
a. ____________________________________________________________.
b. ____________________________________________________________.
c. ____________________________________________________________.
17. The patient has a wound on his leg. After treating the wound, you elevate his leg. How does elevating the leg help in the healing process?
________________________________________________________________
________________________________________________________________
18. Treat an abrasion in three basic steps.
a. ____________________________________________________________.
b. ____________________________________________________________.
c. ____________________________________________________________.
19. An uncontaminated puncture wound should first be treated by
_______________________________________.
Then,_________________________________.
20. The process of cleaning and dressing a laceration initially, but not closing the wound is called __________________________________ closure.
21. In the inflammation step of wound healing,________________________ rushes to the injured area. Also in this step, injured cells release two substances which promote repair and regrowth of tissues. List these substances.
a. ____________________________________________________________.
b. ____________________________________________________________.
22. White blood cells are drawn to a wound area. List two ways these cells contribute to wound healing.
a. ____________________________________________________________.
b. ____________________________________________________________.
23. Histamines increase the permeability of capillary walls in the wound area. Name three substances which can flow through capillary walls to the injured area.
a. ____________________________________________________________.
b. ____________________________________________________________.
c. ____________________________________________________________.
24. What changes does skin protein collagen go through in the wound healing process?
________________________________________________________________.
Check Your Answers Below.
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SOLUTIONS TO LESSON 1: Self Test
1. A break in the continuity of the skin caused by violence or trauma to the tissue. (para 1-1a)
2. Contusion. (para 1-1a(7))
3. Perforating. (para 1-1a(5))
4. Puncture. (para 1-1a(4))
5. Incision. (para 1-1a(2))
6. Laceration. (para 1-1a(3))
7. Mutilating. (para 1-1a(6))
8. The rest and quiet keeps infection in the injured area from spreading to other parts of the body. (para 1-1b(5))
9. Complication. (para 1-1c)
10. Infection. (para 1-1c)
11. A keloid is excessive scar tissue growth. (para 1-1c(3)(a))
12. Dead or edematous tissue.
Restrictive bandages.
Damaged arteries. (para 1-1g)
13. Age
Malnutrition
Abnormalities in endocrine function
Hormone production and carbohydrate metabolism. (para 1-2a through d)
14. Foreign matter in the wound may not be able to be seen because it is buried in fatty tissue.
The relatively few blood vessels in fatty tissue cause such tissue to separate easily. Tissue which separates easily heals slowly. (para 1-2b)
15. Removing any foreign bodies. (para 1-3c)
16. Apply cold compresses for 12 hours.
Pad the affected area.
Wrap an ace bandage around the area snugly. (para 1-4b(2))
17. Elevating the injured leg increases the flow of blood to the leg. The increased blood promotes healing. (para 1-3d)
18. Cleanse the wound.
Apply ointment such as bacitracin.
Cover the wound with a dry, sterile dressing. (para 1-4a(2))
19. Irrigating with normal saline.
Applying a topical antibiotics. (para 1-4c(2))
20. Secondary. (para 1-4d(3)(b))
21. Blood.
Leukotoxin.
Histamines. (para 1-5a)
22. White blood cells destroy foreign substances.
White blood cells remove foreign substances. (para 1-5a)
23. Fluids.
Proteins.
White blood cells. (para 1-5a)
24. Collagen changes from a liquid to a gel to scar tissue. (para 1-5b)