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NURSADN 2 Study Guide – Complete Study Set (A+)
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NURSADN 2 Study Guide – Complete Study Set (A+)
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NURSADN 2 Study Guide – Complete Study Set (A+)What are some things we should consider for older people with wounds and
wound healing. (gerontologic considerations) Right Ans - They have
decreased elasticity increasing risk for skin tears/breakdown, thinner skin
and less hair making it difficult to regulate temperature, increased risk for
pressure ulcers, and reduced healing ability.
What would we assess for skin wounds to prevent them? Right Ans - assess
mobility, circulatory status, neurological status, mutrition, hydration, and
braden scale
What are a few ways we can prevention skin wounds? Right Ans - Improve
nutrition, mobility, sensory perception, tissue perfusion, reduce
pressure/friction/shear, reposition pt, and minimize moisture.
What are some skin changes associated with aging? Right Ans - Thinning of
skin (atrophy), uneven pigmentation, wrinkling, skin folds, decreased
elasticity, dry skin, diminished hair
How does aging affect skin fragility and injury risk? Right Ans - Aging leads
to increased fragility and increased potential for injury in the skin and
reduced healing ability.
What are things we want to document when assessing the skin? Right Ans -
Skin color, warmth, tone, scars, lesions, wounds, bruising, hair distribution,
nails.
What is another way we can document skin assessments/finding? Right
Ans - Photographs can be used to document nature and extent of skin
condition as well as to document progress resulting from treatment. Can also
be used to track moles.
How is Vitamin D synthesized? Right Ans - Through the skin
Vitamin D deficiency Right Ans - Can cause osteoporosis and rickets, bone
deformities resulting in deficiency of Vitamin D, calcium, and phosphorus.
, How can we obtain Vitamin D? Right Ans - From a healthy diet and
supplementation rather than intentional sun exposure.
How is contact dermatitis spread? Right Ans - Results from direct contact
with irritants or allergens that stimulate inflammation.
What are some things someone should avoid with contact dermatitis?
Right Ans - Scented soaps, scented detergents, certain clothing material or
dyes, jewelry, and cosemtics.
Those who have contact dermatitis can have a hypersensitivity to what
medications? Right Ans - Topical hydrocortisone, benzocaine, and topical
bacitracin and neomycin but can also cause an allergic reaction
How does the Braden scale work? Right Ans - The higher the score the
lower the risk of developing a pressure injury.
What does the Braden scale Right Ans - sensory perception, moisture,
activity, mobility, nutrition, friction and shear
A wound that is non-blanchable erythema of intact skin. Right Ans - Stage 1
Partial thickness skin loss with exposed dermis. Wound bed is viable, pink or
red, moist and may also present as intact or ruptured serum-filled blister.
Slough and eschar are not present Right Ans - Stage 2
Full thickness skin loss. Adipose tissue is visible in the ulcer and granulation
tissue and epibole is often present. Slough and eschar may be present.
Right Ans - Stage 3
Full thickness skin and tissue loss with exposed or directly palpable fascia,
muscle, tendon, ligament, cartilage, or bone in the ulcer. Slough or eschar may
be visible. Right Ans - Stage 4
Obscure full thickness and tissue loss where the extent of tissue damage
within the ulcer cannot be confirmed because it is obscured by slough or
eschar. Right Ans - Unstageable Pressure Injury
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