WOCN Wound Exam Questions with 100% Correct Answers | Latest Version 2024 | Verified

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WOCN Wound Exam Questions with 100% Correct Answers | Latest Version 2024 | Verified Goals of wound assessment - ✔✔ 1. Determine etiologic factors 2. Assess systemic factors/comorbidities 3... . Assess wound to determine phase of healing 4. Determine goals of topical therapy Why does hyperglycemia affect wound healing? - ✔✔Impairs leukocyte function and negatively impacts collagen syntehesis, development of tensile strength, epithelial resurfacing What BG parameters should be maintained for wound healing? - ✔✔BG <180 for leukocyte function; <140 for healing A1C <7 for most, <8 if hx of severe hypoglycemia, advanced comorbidities, limited life expectancy Why is nutrition relevant to wound healing? - ✔✔Muscle or SubQ wasting increases risk of pressure/shear damage malnourished pt unable to synthesize and cross-link collagen normally protein deficiency increases risk of infection What effect do low zinc levels have on wound healing? - ✔✔compromise collagen synthesis/crosslinking What amino acids are essential for collagen synthesis? What is the effect of stress on these amino acids? - ✔✔Glutamine and l-arginine Not adequately produced during times of physiologic stressWhat weight trend suggests nutritional deficiency? - ✔✔Unplanned weight loss =>2.5% of usual weight in 30 days or =>10% within 180 days BMI <18.5 What serum albumin level indicates malnutrition? - ✔✔<3.5 g/dl What serum transferrin level indicates malnutrition? - ✔✔<100mg/dl What serum prealbumin level indicates malnutrition? - ✔✔<19.5 What total lymphocyte count level indicates malnutrition? - ✔✔<1500 [Show More]

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