100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NUFT 204 Exam #2- Skin Integrity/Wound Care, Activity/Immobility, Assessment Techniques, Head/Neck/Neuro Assessment & Respiratory CA$33.67   Add to cart
Quickly navigate to
Preview
  2.  
  3. NUFT 204
  4.  
  5. NUFT 204
  6.  
  7. NUFT 204

Exam (elaborations)

NUFT 204 Exam #2- Skin Integrity/Wound Care, Activity/Immobility, Assessment Techniques, Head/Neck/Neuro Assessment & Respiratory

1 review
 42 views  1 purchase

NUFT 204 Exam #2- Skin Integrity/Wound Care, Activity/Immobility, Assessment Techniques, Head/Neck/Neuro Assessment & Respiratory

Preview 3 out of 28  pages

Document information

  • February 3, 2024
  • 28
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nuft 204 exam 2 skin integritywound care activ

Written for

All documents for this subject (309)

1  review

review-writer-avatar

By: brownmarvette • 5 months ago

Seller

avatar-seller
Studyhall

Reviews received

Content preview

NUFT 204 Exam #2- Skin Integrity/Wound Care, Activity/Immobility,
Assessment Techniques, Head/Neck/Neuro Assessment & Respiratory
1.define blanching:: pressure is placed on the skin to determine if
coloration returns

*blanch= become pale under applied pressure
2.3 factors that influence pathogenesis of pressure:: - pressure intensity
(in- creased pressure)
- pressure duration (length of pressure)
- tissue tolerance (nutrition, age, hydration status)
3.3 layers of skin:: - epidermis (top layer)
- dermis (inner layer)
- epidermal junction (separates dermis/epidermis)
4.what does blanchable mean?
non-blanachable?: - skin turns pale when pressure is applied (indicates
tissue perfusion)
- skin remains red when pressure is applied (indicates high risk for
ulcers)
5.how can hydration be tested?
what areas can be tested?: - pinching the skin; if it returns quickly,
hydration is indicated
- hand/clavicle
6. is the mechanical force exerted when skin is dragged across a
coarse surface, such as bed linens: friction
7.define shear:: force exerted parallel to skin
8. is pulling the bones of the pelvis in one direction and the skin in the
opposite direction: shear
9.can shear injury be examined? why?: no; happens beneath the skin
10.stage 1 pressure ulcer:: intact skin with nonblanchable redness

may include changes in skin temperature, tissue consistency, and/or
sensation
11.stage 2 pressure ulcer:: partial-thickness skin loss involving epidermis,
dermis, or both
12.stage 3 pressure ulcer:: full-thickness skin loss with visible fat

(*with or without undermining and tunneling; drainage and infection
common)
13.stage 4 pressure ulcer:: full-thickness tissue loss with exposed bone,
muscle, or tendon



, NUFT 204 Exam #2- Skin Integrity/Wound Care, Activity/Immobility,
Assessment Techniques, Head/Neck/Neuro Assessment & Respiratory
(*there can be tunneling, undermining, eschar, or slough)
14.how could a blister be classified?: stage II






, NUFT 204 Exam #2- Skin Integrity/Wound Care, Activity/Immobility,
Assessment Techniques, Head/Neck/Neuro Assessment & Respiratory
(*stage II: "skin can be peeled off, or the skin can be intact via a blister
with exudates in it")
15.classify the stage:

- loss of subcutaneous tissue
- bones/tendons NOT visible
- can have slough
- can have tunneling: stage III
16.classify the stage:

- full tissue loss
- can see bone/tendon
- slough/eschar present: stage IV
17.red:
yellow:
black:: - cover
- clean
- debride
18.what does the presence of granulation tissue indicate?: healing process
is taking place; there are new cells forming
19. intention requires a granulation tissue matrix to be built to fill
the wound defect: secondary

(* secondary closure requires more time & energy than primary wound
closure, & creates more scar tissue)
20.describe primary intention:: edges are approximated (healing
should take place quickly)
21.describe secondary intention (3):: - wound open, edges NOT
approximated
- takes longer to heal, higher risk for infection
- significant scarring

(*examples: pressure ulcers, burns, severe lacerations)
22.describe tertiary intention:: wound remains open for a long time;
edges are approximated eventually (lengthy healing process)

*REMEMBER, THIS IS DELAYED PRIMARY INTENTION- combination of
healing by primary and secondary intention and is usually instigated by
the wound care specialist to reduce the risk of infection

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$33.67. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

83100 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$33.67  1x  sold
  • (1)
  Add to cart