3632 Foundations Question and answers verified to pass
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Course
NURS 3632
Institution
NURS 3632
3632 Foundations Question and answers verified to pass 3632 Foundations - Exam 1 - ATI chapters assigned for Modules 1-4
A wound - correct answer Is a result of injury to the skin
A pressure ulcer is caused by - correct answer Unrelieved pressure that results in ischemia and damage to ...
3632 Foundations - Exam 1 - ATI
chapters assigned for Modules 1-4
A wound - correct answer ✔Is a result of injury to the skin
A pressure ulcer is caused by - correct answer ✔Unrelieved pressure that
results in ischemia and damage to the underlying tissue
Suspected deep tissue injury - correct answer ✔Discolored but intact skin
caused by damage to
underlying tissue
Stage I Pressure Ulcer - correct answer ✔Intact skin with an area of
persistent, nonblanchable redness, typically over
a bony prominence, which may feel warm or cool to touch. The tissue is
swollen and
congested, with possible discomfort at the site. With darker skin tones, the
ulcer may
appear blue or purple.
Stage II Pressure Ulcer - correct answer ✔Partial-thickness skin loss
involving the epidermis and the dermis. The ulcer
is visible and superficial and may appear as an abrasion, blister, or shallow
cavity.
Edema persists, and the ulcer may become infected, possibly with pain and
scant
drainage.
,Stage III Pressure Ulcer - correct answer ✔Full-thickness tissue loss with
damage to or necrosis of subcutaneous tissue.
The ulcer may reach, but not extend thorough the fascia below. The ulcer
appears as
a deep crater with or without undermining of adjacent tissue and without
exposed
muscle or bone. Drainage and infection are common
Stage IV Pressure Ulcer - correct answer ✔Full-thickness tissue loss with
destruction, tissue necrosis, or damage to
muscle, bone, or supporting structures. There may be sinus tracts, deep
pockets of
infection, tunneling, undermining, eschar (black scab-like material), or slough
(tan,
yellow, or green scab-like material).
Unstageable Pressure Ulcer - correct answer ✔Ulcers whose stages cannot
be determined because eschar or slough
obscures the wound.
Intact skin with an area of persistent, nonblanchable redness - correct answer
✔Stage I
may feel warm or cool to touch - correct answer ✔Stage I
The tissue is swollen and
congested - correct answer ✔Stage I
Possible discomfort at the site. - correct answer ✔Stage I
,darker skin tones, may appear blue or purple - correct answer ✔stage I
Partial-thickness skin loss involving the epidermis and the dermis - correct
answer ✔Stage II
is visible and superficial and may appear as an abrasion, blister, or shallow
cavity - correct answer ✔Stage II
Edema persists - correct answer ✔Stage II
possibly with pain and scant
drainage - correct answer ✔Stage II
Full-thickness tissue loss with damage to or necrosis of subcutaneous tissue -
correct answer ✔Stage III
may reach, but not extend thorough the fascia below - correct answer
✔Stage III
appears as
a deep crater with or without undermining of adjacent tissue and without
exposed
muscle or bone - correct answer ✔Stage III
Drainage and infection are common - correct answer ✔Stage III
Full-thickness tissue loss with destruction, tissue necrosis, or damage to
, muscle, bone, or supporting structures - correct answer ✔Stage IV
be sinus tracts, deep pockets of
infection, tunneling, undermining, eschar, or slough. - correct answer ✔Stage
IV
Eschar - correct answer ✔Black scab-like material
Slough - correct answer ✔Tan, yellow, or green scab like material.
The Stages of Wound Healing - correct answer ✔1. Inflammatory stage
2. Proliferative stage
3. The maturation or remodeling stage.
The inflammatory stage - correct answer ✔occurs in the first 3 days after the
initial trauma
Control bleeding with clot formation - correct answer ✔The inflammatory
stage
Deliver oxygen, WBC, and nutrients to the area via the blood supply - correct
answer ✔The inflammatory stage
The proliferative stage - correct answer ✔lasts the next 3 to 24 days
Replacing lost tissue with connective or granulated tissue - correct answer
✔The proliferative stage
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