Final Exam: NSG300 / NSG 300 (Latest Update) Foundations of Nursing Exam | Questions and Verified Answers | 100% Correct | Grade A - GCU Question: examples of proper nutrition that promotes wound healing Answer: - protein: chicken, eggs, fish, beef - calories: protein smoothies, whole milk, beans, nuts, salmon fluids zinc, vitamin A and C Question: skin-associated issues in the older adult Answer: decreased cell turnover (healing takes more time), decreased fat means bony prominences that can lead to ulcers, decreased barrier function Question: who is at risk for pressure injuries? Answer: older adults, spinal cord injury, trauma, hip fracture, acutely ill or hospice, diabetes, critical care settings Question: medical device related pressure injury Answer: nasal cannula, foley, tubing, cervical collars can all irritate skin and cause breakdown. be sure to frequently assess these areas of skin for breakdown Question: how to assess for pressure injuries in patient with darker skin Answer: assess skin temperature and moisture, edema, know baseline color and areas of redness Question: stage 1 pressure ulcer Answer: Presence of blanchable erythema or changes in sensation, temperature, or firmness may precede visual changes. Color changes do not include purple or maroon discoloration; these may indicate deep tissue pressure injury. Question: stage 2 pressure ulcer Answer: Partial -thickness skin loss with exposed dermis Question: stage 3 pressure ulcer Answer: full-thickness skin loss with exposed adipose tissue Question: stage 4 pressure ulcer Answer: full-thickness skin loss with exposed muscle, tendon, bone or fascia. if covered in slough and eschar, it may be unstageable Question: Deep -tissue pressure injury Answer: Intact or nonintact skin with localized area of persistent nonblanchable deep red, maroon, purple discoloration, or epidermal separation revealing a dark wound bed or blood -filled blister Question: surgical incision that is healing by primary intention Answer: wound that is closed Question: Secondary intention healing Answer: wounds are not approximated, may have tissue loss or contamination good amount of scar tissue Question: serous fluid Answer: clear, watery plasma
