Hondros 205 exam 2 complete with answers.
Tissues - ANS group of cells with common functions
Four types of tissue - ANS muscle, nervous, epithelial, connective
What is the largest organ in the body? - ANS skin
What is consider skin impaired tissue integrity? - ANS Trauma/injury, loss of profusion,
immunological reaction, infections & infestations, thermal /radiation, & lesions
Erikison's 3 Psychosocial Stages starting with young to older adult? - ANS 1.) intimacy
vs isolation (18-25)2.) generativity vs self-absorption & stagnation (25-65)3.)integrity vs
despair (65-death)
what is Piaget's Theory ? - ANS Cognitive development;;(sensorimotor(B-2),
preoperational, concrete operational (7-11), formal operational(11-adult)
what is Kohlberg's Theory? - ANS Moral development; expand on piagets ;;
(preconventional (18mon-5)conventional(6-12)postconventional( 12-19)
What are risk recognition in development progress? - ANS Prenatal, birth risk,
individual, family risk, situational risk, social determinants of health , toxic stress, health
status
Examples of developmental delay/disorder categories? - ANS Physical/physiological,
motoric , social/emotional , cognitive , speech & communication, & adaptive
developmental delay/disorders
Pressure injury stages - ANS Stage 1: non-blanchable erythema of intact skin
Stage 2: partial thickness skin loss with exposed dermis. wound bed is pink and moist
Stage 3: full thickness skin loss in which adipose and granulation tissue is visible
Stage 4: full thickness and tissue loss with exposed palpable fascia, muscle, tendon, or
bone.
unstageable pressure ulcer - ANS base of ulcer covered by slough and/or eschar in the
wound bed.
Deep Tissue Pressure Injury (DTPI) - ANS Intact or no intact noblanchable deep red,
maroon, &/purple
, Primary prevention to prevent disrupted skin integrity - ANS Hygiene, nutrition , sun
exposure , burn prevention, & pressure injury & dermal ulcer prevention
Secondary prevention (screening ) to prevent disrupted skin integrity - ANS ABCDE
( asymmetry, border, color, diameter, & evolving
Clinical nursing skills for tissue integrity - ANS Assessment , skin hygiene , wound care,
meds admin.,& pt. Teaching
Adequate nutrition for tissue maintain & repair requires what vitamins ? - ANS Protein ,
vitamin A& C
Psoriasis - ANS chronic skin condition producing red lesions covered with silvery scales
Ecchymosis - ANS bruising
scleroderma - ANS Chronic hardening and tightening of the skin and connective tissues.
Stevens-Johnson Syndrome - ANS dry, crusty rash , r/t med's /infection
slough - ANS Yellowish or tan thick fibrosis dead skin
eshcar - ANS wound covering of dried plasma proteins Black/brown (present
unstageable)
Braden Scale - ANS sensory perception, moisture, activity, mobility, nutrition, friction
and shear (lower the score higher the risk ) 9-18 (9 bad)
adventitious breath sounds - ANS Abnormal breath sounds such as wheezing, stridor,
rhonchi, and crackles.
crackles (rales) - ANS fine, crackling sounds made as air moves through wet secretions
in the lungs
Wheezing breath sounds - ANS These suggest an obstruction or narrowing of the lower
airways high-pitched whistling prominent on expiration.
stridor - ANS Harsh or high-pitched , caused by an obstruction of the air passages
Rhonchi - ANS loud rumbling sounds heard on auscultation of bronchi obstructed by
sputum
What is the order of assessment? - ANS 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
