NU 203 Test 3 Questions with All Correct Answers
Formation of Pressure Injuries - Answer- 1. Pressure: cause decrease waste product build up and blood flow
2. Ischemia: no oxygen
3. Necrosis: tissue death
tissue intolerance - Answer- ability of tissue to endure pressure
--> Normal rea...
Formation of Pressure Injuries - Answer- 1. Pressure: cause decrease waste product
build up and blood flow
2. Ischemia: no oxygen
3. Necrosis: tissue death
tissue intolerance - Answer- ability of tissue to endure pressure
--> Normal reactive hyperemia: turns white and then red again
--> non-blanching erythema: doesn't turn white
Low pressure over a prolonged period and high pressure over short period - Answer-
still cause pressure uclers
Cyanosis (periwound) - Answer- lack of oxygen; poor flow or trauma; blue, dusty, purple
color
stage 1 pressure injury - Answer- non-blanchable erythema of intact skin may see
edema, pain
Darkly pigmented skin may not have visible blanching
stage 2 pressure injury - Answer- *partial thickness skin loss with exposed dermis.
*the wound bed is pink or red and moist, may appear as an intact or ruptured blister.
stage 3 pressure injury - Answer- Full-thickness skin loss (adipose visible); may have
edible (rolled edges) possible slough, eschar, undermining or tunneling
stage 4 pressure injury - Answer- Full-thickness skin and tissue loss (muscle/bone
visible)
Often include epibole, undermining, and tunneling
May include slough
Unstageable/Unclassified (pressure injury) - Answer- full-thickness/tissue loss, unknown
depth, base of wound, when the wound base cannot be visualized d/t slough and
eschar
suspected deep tissue injury - Answer- Depth unknown, purple, or maroon area of intact
skin or blood-filled blister
debridement - Answer- removal of dead non-viable tissue
mechanical debridement - Answer- wet to dry dressing soaked in saline to pull out
tissue never used in granulated wounds (scrubbing)
autolytic debridement - Answer- plastic dressing
chemical debridement - Answer- topical enzymes, dakins solution, maggots
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card for the summaries. There is no membership needed.
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 Scholarsstudyguide. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £10.60. You're not tied to anything after your purchase.
