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NSG 3100 wounds Question and answers 100% correct
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NSG 3100 wounds Question and answers 100% correct NSG 3100 wounds How many stages of pressure injuries - correct answer 6 Define stage 1 of pressure injuries - correct answer Nonblanchable erythema of intact skin Intact, nourished skin with nonblanchable erythema or persistent redness ...

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  • October 26, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NSG 3100
  • NSG 3100

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NSG 3100 wounds
How many stages of pressure injuries - correct answer ✔6


Define stage 1 of pressure injuries - correct answer ✔Nonblanchable
erythema of intact skin
Intact, nourished skin with nonblanchable erythema or persistent redness
Abnormal reactive hypervemia= redness, due to excessive vasodilation
caused by pressure, painful and differes in firmness (soft/firm) or in temp
(warm/cold)


define stage 2 pressure injuries - correct answer ✔Partial thickness skin loss
with exposed dermis
Involves epidermis and or dermis but does not extend below
Shallow and superficial with a pink wound bed
Intact or ruptured blisters


define stage 3 pressure injuries - correct answer ✔Full thickness skin loss
extend into the subcutaneous tissue but do not extend through the fascia
Undermining and tunneling


define stage 4 pressure injuries - correct answer ✔Full thickness skin and
tissue loss
Involves exposure to msucle, bone and connective tissue


Define unstagable pressure injuries - correct answer ✔full thickness skin and
tissue loss
amount of necrotic or eschar in the wound bed

, makes it impossible to assess the depth or involvement of underlying
structures


define deep tissure pressure injuries - correct answer ✔persistent,
nonblanchable, deep red/marroon/purple discoloration
area of intact skin that is discolored or a blood filled blister
depth is unknown
can progress quickly
refer stages as healed healed stages


What are the categories of the Braden Scale - correct answer ✔sensory
perception, moisture, activity, mobility, nutrition, friction and shear


How do you evaluate wound assessment? - correct answer ✔Location:
describe using anatomical signs
Size: width, length
Presence of undermining and tunneling
Drainage: note drainage amount, color, consistency and odor
Conditions of wound edges and surrounding tissue
Patient Response
Wound Bed


Define undermining - correct answer ✔tissue destruction underlying intact
skin along wound margins
can be present around the whole wound or part of the wound


Define tunneling - correct answer ✔passageway or opening that may be
visible at skin level, but with most of the tunnel under the surface of the skin

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