When evaluating a wound, the clinician is able to slide a cotton tip applicator beneath the wound edge measuring 1.8 cms from 12-3:00 position.  This area should be documented as:

If the examiner cannot pinch the skin of the dorsum of the toe or finger, then this positive finding is associated with lymphedema. This physical examination test is called _________.

You have been asked to evaluate an elderly man in the nursing home who has a leg ulcer that has not healed in several months. During your evaluation, you observe that the wound is free of necrosis, has no odor, and minimal serous drainage.  Your assessment is that the wound is secondary to venous insufficiency, and is stuck in chronic proliferation.  Which of the following interventions is the best choice to use, in addition to the usual compression you would prescribe, in his treatment plan?

Photobiomodulation therapy increases ATP production, collagen production, and cell proliferation

You are evaluating a patient for a plantar diabetic foot ulcer, under the first metatarsal head. He has already seen a vascular surgeon who states that the patient has adequate blood flow for wound healing.  You test the patient’s sensation and he does have a loss of protective sensation.  The wound has minimal drainage, no odor, and is 30%slough and 70% pink granular.  His blood sugar this morning was normal.  What must be included in your plan for this patient in order to treat the underlying cause and allow the wound to close?

Using the “Rule of Nines”, estimate Jacob’s burn size.

A patient with a burn may have different degrees of tissue damage within the same burned area on the body.

25.Your patient fell and broke his right hip 4 weeks ago, requiring a total hip replacement, pain medication, andrehabilitation. His past medical history includes smoking, congestive heart failure (CHF), and chronicobstructive pulmonary disease (COPD). He transfers to a TCU (transitional care unit) for therapies and painmanagement. Unfortunately, his pain medication worked very well, but his staff forgot to put pillows under his calves to offload his heels. He now presents to you with the ulcer pictured below. What is the greatest wound impairment (problem) that you need to address in your wound care plan?

What are the benefits of pressure mapping patients with pelvic wounds?

Surgical                   28.This patient is obese, has maximal edema, and significant clear weeping and drainage from his wound and legs.  He states he works remotely at home for an IT company, and does not like to go out much, does not do much physical activity. What etiology would be the most likely for this patient?