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Wound Assessment & Management: Wound Care Fundamentals and OASIS-C

doi: 10.1097/NHH.0b013e318215cf9b
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Wound Assessment & Management: Wound Care Fundamentals and OASIS-C One Home Health Agency's Educational Initiative TEST INSTRUCTIONS

  • To take the test online, go to our secure Web site at http://www.nursingcenter.com/HHN.
  • On the print form, record your answers in the test answer section of the CE enrollment form on page 247. Each question has only one correct answer. You may make copies of these forms.
  • Complete the registration information and course evaluation. Mail the completed form and registration fee of $24.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
  • You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no mini- mum passing grade.
  • Registration deadline is April 30, 2013.
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DISCOUNTS AND CUSTOMER SERVICE

  • Send two or more tests in any nursing journal published by Lippincott, Williams & Wilkins together by mail and deduct $0.95 from the price of each test.
  • We also offer CE accounts for hospitals and other health care facilities on nursingcenter.com. Call 1-800-787-8985 for details.
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PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of Home Healthcare Nurse, will award 2.8 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.8 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. Your certificate is valid in all states.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

CE TEST QUESTIONS

GENERAL PURPOSE:

To describe for registered professional nurses an educational initiative to strengthen skills and documentation related to the OASIS-C M items.

LEARNING OBJECTIVES:

After reading this article and taking this test, you should be able to:

  1. Outline the basic parameters of wound assessment, healing, and management.
  2. Apply the information presented here to OASIS-C documentation of wounds.

1. Stage III pressure ulcers

a. can be closed and fully healed.

b. are not considered newly epithelialized.

c. heal through scar tissue formation.

d. eventually heal to full tensile strength.

2. OASIS-C item M1300 Pressure Ulcer Assessment

a. identifies patients at risk for pressure ulcers.

b. requires the use of a standardized tool.

c. mandates a physician's assessment.

d. incorporates appropriate interventions.

3. M2250 Plan of Care Synopsis indicates the physician's agreement with

a. the assessment process.

b. episode frequency.

c. assessment results.

d. planned interventions.

4. Which OASIS-C item helps to quantify the success of the pressure ulcer interventions implemented?

a. M1300 Pressure Ulcer Assessment

b. M1308 Current Number of Unhealed Pressure Ulcers

c. M2250 Plan of Care Synopsis

d. M2400 Intervention Synopsis

5. One of the parameters evaluated through the use of the Braden scale is

a. continence.

b. fall risk.

c. history.

d. nutrition.

6. A phrase that is especially useful when teaching about head-to-toe skin inspections is, "When you see something,

a. do something."

b. feel it."

c. say something."

d. treat it."

7. Traumatic and surgical wounds that heal by primary intention are classified as

a. acute.

b. open.

c. chronic.

d. closed.

8. Wounds or scars located over a bony prominence are most often caused by

a. surgery.

b. pressure.

c. metabolic disease.

d. arterial disease.

9. A sign that a closed pressure ulcer had full thickness damage is the presence of

a. a scab.

b. exudate.

c. a scar.

d. granulation.

10. Eschar is typically

a. grey.

b. black.

c. green.

d. white.

11. Soft moist avascular (devitalized) tissue is called

a. keratosis.

b. slough.

c. granulation.

d. eschar.

12. A pressure ulcer that has muscle or bone exposure is classified as stage

a. I.

b. II.

c. III.

d. IV.

13. Stage II pressure ulcers heal by

a. scar tissue formation.

b. contraction.

c. regeneration.

d. reapproximation.

14. Partial thickness wounds

a. are confined to the skin layers.

b. result in damage that penetrates below the dermis.

c. when healed, do not regain full tissue tensile strength and function.

d. usually extend to the muscle and bone.

15. For OASIS-C purposes, a surgical incision does not have full epithelial resurfacing if which of the following is noted?

a. a scab

b. erythema

c. a scar

d. edema

16. For OASIS-C purposes, any surgical wound with an area of wound separation should be considered to be healing by

a. primary intention.

b. secondary intention.

c. re-approximation.

d. regeneration.

17. For OASIS-C purposes, which wound status is not applicable to stasis ulcers?

a. early granulation

b. partial granulation

c. fully granulating

d. newly epithelialized

18. Surgical wounds that are healing by primary intention

a. have well approximated wound edges.

b. have visible granulation tissue.

c. with obvious signs of infection, are classified as "healing".

d. are considered as "newly epithelialized" for 60 days once the incision site is observed to be fully covered with epithelium.

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