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NUR 2206 ( LATEST 2024 / 2025 ) EXAM 10 | COMPLETE ANSWERS 100% CORRECT
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NUR 2206 ( LATEST 2024 / 2025 ) EXAM 10 | COMPLETE ANSWERS 100% CORRECT
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NUR 2206 Exam 101. Diaphoresis
Answer
excessive sweating
2. 6 types of wound
Answer
Intentional, unintentional, open, closed, acute, chronic
3. Phases of wound healing
Answer
Hemostasis Inflammatory
Proliferation Maturation
4. During the inflammatory phase of wound healing, capillary permeability increases. This
results in
Answer
c) white blood cells arriving at the site of inflammation
5. Types of wound healing
Answer
primary intention secondary intention
tertiary intention
6. primary intention
Answer
wound edges are well approximated
- edges touch each other
7. secondary intention
,Answer
wound edges are not approximated
- not touching
Hels by granulation tissue formation
- from bottom up
8. tertiary intention
Answer
delayed primary intention
9. A large wound with considerable tissue loss allowed to heal naturally by formation of
granulation tissue would be classified as which of the following categories of wound healing?
Answer
secondary intention
10. No drainage wound
Answer
"wound is dry and intact"
11. necrosis
Answer
dead tissue prohibits wound healing
12. desiccation
Answer
drying up (dehydration) of wound
13. Maceration
Answer
overydration of cells
14. Trauma to wound
Answer
, delays wound healing
15. Which patient is most at risk for impaired wound healing
Answer
An 80-year-old male who is malnourished and dehydrated with a low oxygen level
16. During a dressing change, inspection of the wound reveals what appears to be reddish-pink
tissue in the wound. The nurse interprets this as most likely indicating
Answer
granulation tissue
17. A patient who has a large abdominal would suddenly calls out for help because she feels
as though something is falling out of her incision. Inspection reveals a gaping open wound
with tissue bulging outward. What should the nurse do FIRST?
Answer
Cover the exposed tissue with sterile towels moistened with sterile NSS
18. A patient has a wound caused by exposure to moisture. This wound is considered to be
Answer
an area of maceration
19. External Pressure Occurs over
Answer
bony prominence
20. what position for tube feeding and what can this cause?
Answer
shearing
21. Which of the following patients would most likely develop a pressure ulcer from shearing
forces?
Answer
A patient sitting in a chair who slides down
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