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Nursing

ABWM-CWS

ABWM Certified Wound Specialist

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Question: 387

What is the primary function of the lymphatic system in relation to wound healing?

Transporting oxygen
Removing cellular debris and excess fluid
Synthesizing collagen

wer: B

anation: The lymphatic system plays a critical role in removing cellul s, pathogens, and excess interstitial fluid from the wound site, facilita ng.

stion: 388
is a common misconception about the management of burns?

ll burns require surgical intervention. oist wound healing is beneficial. fection is a major complication.
ain management is unnecessary. wer: A
anation: Not all burns require surgical intervention; many can be man
Regulating blood pressure Ans

Que

A
M
In
P

conservatively. However, proper assessment is crucial to determine the appropriate treatment plan.

Question: 389

Which lymphatic disorder is characterized by a high risk of cellulitis due to compromised lymphatic drainage?

Lymphedema
Lipedema
Hemophilia
Thrombosis Answer: A

asing the risk of cellulitis due to stagnant fluid that can harbor bacteri

stion: 390

ound care setting, what does "exudate" refer to?

uid that leaks from blood vessels acterial growth

ranulation tissue wer: B

anation: Exudate refers to the fluid that leaks from blood vessels into nd, containing proteins, nutrients, and cells important for the healing ess.

stion: 391

ch respiratory condition is most likely to lead to hypoxemia, adversely

Explanation: Lymphedema leads to compromised lymphatic drainage,

Que

D
Fl
B
G

Que

affecting wound healing?

Asthma
Pulmonary fibrosis
Chronic obstructive pulmonary disease (COPD)
All of the above

Explanation: All these conditions can lead to hypoxemia, reducing oxygen availability to tissues and impairing the wound healing process.

Question: 392

ssessing blood glucose levels. onitoring for signs of local infection.

valuating the wound for changes in appearance and healing progress. hecking vital signs regularly.

anation: Evaluating the wound for changes in appearance and healing ress after starting a new medication is crucial to identify any potential rse effects related to the medication.

stion: 393

is a common use of stereophotogrammetry in research studies?

valuating patient satisfaction

ssessing economic outcomes of treatment

In a patient with a long-standing leg ulcer who begins taking a new medication, which assessment is most critical?

A
M
E
C

Que

E
A
Measuring the effects of different dressings on wound healing
Monitoring vital signs Answer: C

Explanation: Stereophotogrammetry is commonly used in research studies to measure the effects of different dressings and treatments on wound healing,

Question: 394

Which of the following pharmacological treatments is most beneficial for managing pain in chronic wound patients?

Que Whi contr

F
S
D
F

Explanation: Full-thickness burns can lead to significant scarring and contractures due to the destruction of skin layers, necessitating careful management and rehabilitation.

Question: 396

What is the primary reason for increased risk of infection in patients with renal

Increased urine output
Decreased blood urea nitrogen
Impaired immune response

anation: Impaired immune response due to renal failure increases eptibility to infections, which is critical in the context of wound healin

stion: 397
ch of the following is a characteristic of a first-degree burn?

edness and swelling listers and severe pain hite, leathery appearance harred and blackened skin

wer: A

anation: First-degree burns are characterized by redness, minor swelli ain limited to the epidermis without blisters.

stion: 398
Enhanced skin barrier function Answer: C

Que

R
B
W
C

Que

What is the primary purpose of a Doppler ultrasound in wound assessment?

To evaluate wound depth
To assess blood flow and vascular status
To determine the presence of infection
To measure exudate levels

Explanation: Doppler ultrasound is used to assess blood flow and vascular status, helping to identify arterial insufficiency or venous reflux that may affect wound healing.

Question: 399

ation of a hypertrophic scar?

rolonged inflammation.

creased tension on the wound edges. xcessive moisture in the wound environment. enetic predisposition.

anation: While excessive moisture can affect healing, prolonged mmation and tension on wound edges are more directly related to the lopment of hypertrophic scars.

stion: 400

patient with arterial insufficiency, what is the most appropriate initia vention?

ompression therapy

In patients with chronic wounds, which factor is least likely to contribute to the form

P
In
E
G

Que

C
Surgical intervention
Offloading pressure
Moist wound healing Answer: B

Explanation: In cases of arterial insufficiency, addressing the underlying arterial

problem through surgical intervention may be necessary to restore adequate blood flow and promote healing.

Question: 401

In the context of wound healing, what does the term "dehiscence" refer to?

The formation of new granulation tissue
he presence of necrotic tissue
he development of a chronic wound wer: B
anation: Dehiscence refers to the reopening or separation of wound ed occurring after surgical procedures, and can be influenced by factors tion or insufficient healing.

stion: 402
context of wound healing, what role do macrophages primarily play

hey promote vascularization.
hey remove debris and pathogens. hey produce collagen.
hey provide a barrier against pathogens.

wer: B
The separation of wound edges
T
T

Que

T
T
T
T

Explanation: Macrophages play a critical role in wound healing by removing debris and pathogens, thus facilitating the healing process and promoting tissue repair.

Question: 403

Which of the following best describes the term "dehiscence"?

Formation of new tissue
Separation of wound edges
Development of a chronic wound
anation: Dehiscence refers to the separation of wound edges, often rring after surgical procedures, and can impede healing and increase tion risk.

stion: 404
is the most effective method for managing a wound with biofilm?

pplication of occlusive dressings harp debridement
se of topical antibiotics egular cleansing with saline

wer: B

anation: Sharp debridement is the most effective method for managin nds with biofilm, as it removes the biofilm and promotes healing.

stion: 405
Presence of infection Answer: B

Expl occu infec

Que

A
S
U
R

Que

In the context of renal function, which condition is most likely to lead to mineral and bone disorder, affecting wound healing?

Chronic kidney disease
Acute kidney injury
Nephrotic syndrome
Glomerulonephritis

Explanation: Chronic kidney disease often leads to mineral and bone disorders due to imbalances in calcium and phosphate metabolism, which can negatively impact overall health and wound healing.

stion: 406

is the main disadvantage of mechanical debridement?

is time-consuming.

can cause damage to healthy tissue. requires specialized training.

does not remove necrotic tissue effectively. wer: B

anation: Mechanical debridement can damage healthy tissue during th ess, which may impede healing and contribute to further complication

stion: 407

hat scenario is enzymatic debridement particularly beneficial?

cute traumatic wounds hronic wounds with eschar

It
It
It
It

Que

A
C
Wounds with active infection
Superficial burns

Explanation: Enzymatic debridement is beneficial for chronic wounds with eschar, as it can effectively break down necrotic tissue without the need for surgical intervention.