NUR 205: Exam 2 Preparation and Study Notes
hyperlipidemia - correct answer ✔✔excess nutrition
high cholesterol, triglycerides or phospholipids
usually older adults but can affect overweight children
complications: cardiovascular disease (AMI and CVA)
metabolic syndrome - correct answer ✔✔several illness or health conditions
a medical condition associated with obesity, diabetes, high cholesterol, and hypertension
Skin assessment: subjective - correct answer ✔✔self care behaviors, history of skin disease, medications
that are being taken
skin assessment: objective - correct answer ✔✔color, temperature, dryness, moisture, turgor, texture,
excessive bruising, itching, rash, hair loss, nail abnormalities, lesions, scars, birthmarks, edema, capillary
filling time
Cyanosis - correct answer ✔✔mottled, bluish coloration
erythema - correct answer ✔✔redness
pallor - correct answer ✔✔pale, whitish coloration
jaundice - correct answer ✔✔yellow coloration
,dark-skinned patient with cyanosis presents where? - correct answer ✔✔lips, tongue, nail beds, soles of
feet and palms of hand for a blue color
conjunctivae for pallor
dark-skinned patient with jaundice presents where? - correct answer ✔✔oral mucous membrane for a
yellow color; sclera nearest to the iris for a yellow color
dark-skinned patient with bleeding presents where? - correct answer ✔✔look for skin swelling and
darkening; compare affected side with unaffected side
dark-skinned patient with inflammation presents where? - correct answer ✔✔check for warmth or a
shiny, taut, and pitting area
melanoma - correct answer ✔✔worse skin cancer; grows under the skin and goes toward the lymphatic
system; can be genetic
risk factors for skin/tissue integrity - correct answer ✔✔sensory perception; loss of feeling
moisture; dry skin
activity; immobility
mobility; risk of pressure ulcers
nutrition; lack of skin elasticity
friction and shear;
can you determine stage of wound with eschar? - correct answer ✔✔no
stage 1 pressure ulcer - correct answer ✔✔
stage 2 pressure ulcer - correct answer ✔✔
, stage 3 pressure ulcer - correct answer ✔✔
stage 4 pressure ulcer - correct answer ✔✔
stage 1 pressure ulcer - correct answer ✔✔
stage 2 pressure ulcer - correct answer ✔✔
stage 3 pressure ulcer - correct answer ✔✔
stage 4 pressure ulcer - correct answer ✔✔
stage 1 pressure ulcer description - correct answer ✔✔red, non-blanching
stage 2 pressure ulcer description - correct answer ✔✔partial thickness; red; open
stage 3 pressure ulcer description - correct answer ✔✔full thickness; see adipose tissue; no blood supply
stage 4 pressure ulcer description - correct answer ✔✔full thickness tissue loss with exposed bone,
tendons or muscle; no blood supply
unstageable - correct answer ✔✔full thickness tissue loss in which actual depth of the ulcer is
completely obscured by slough or eschar in the wound bed, until removed to expose the base of the
wound, stage cannot be determined
DTI - correct answer ✔✔Purple or maroon localized area of discolored intact skin or blood-filled blister
due to damage of underlying soft tissue from pressure and/or shear.
treatment of pressure ulcer - correct answer ✔✔identify at risk pts and institute precautions and
assessments
hyperlipidemia - correct answer ✔✔excess nutrition
high cholesterol, triglycerides or phospholipids
usually older adults but can affect overweight children
complications: cardiovascular disease (AMI and CVA)
metabolic syndrome - correct answer ✔✔several illness or health conditions
a medical condition associated with obesity, diabetes, high cholesterol, and hypertension
Skin assessment: subjective - correct answer ✔✔self care behaviors, history of skin disease, medications
that are being taken
skin assessment: objective - correct answer ✔✔color, temperature, dryness, moisture, turgor, texture,
excessive bruising, itching, rash, hair loss, nail abnormalities, lesions, scars, birthmarks, edema, capillary
filling time
Cyanosis - correct answer ✔✔mottled, bluish coloration
erythema - correct answer ✔✔redness
pallor - correct answer ✔✔pale, whitish coloration
jaundice - correct answer ✔✔yellow coloration
,dark-skinned patient with cyanosis presents where? - correct answer ✔✔lips, tongue, nail beds, soles of
feet and palms of hand for a blue color
conjunctivae for pallor
dark-skinned patient with jaundice presents where? - correct answer ✔✔oral mucous membrane for a
yellow color; sclera nearest to the iris for a yellow color
dark-skinned patient with bleeding presents where? - correct answer ✔✔look for skin swelling and
darkening; compare affected side with unaffected side
dark-skinned patient with inflammation presents where? - correct answer ✔✔check for warmth or a
shiny, taut, and pitting area
melanoma - correct answer ✔✔worse skin cancer; grows under the skin and goes toward the lymphatic
system; can be genetic
risk factors for skin/tissue integrity - correct answer ✔✔sensory perception; loss of feeling
moisture; dry skin
activity; immobility
mobility; risk of pressure ulcers
nutrition; lack of skin elasticity
friction and shear;
can you determine stage of wound with eschar? - correct answer ✔✔no
stage 1 pressure ulcer - correct answer ✔✔
stage 2 pressure ulcer - correct answer ✔✔
, stage 3 pressure ulcer - correct answer ✔✔
stage 4 pressure ulcer - correct answer ✔✔
stage 1 pressure ulcer - correct answer ✔✔
stage 2 pressure ulcer - correct answer ✔✔
stage 3 pressure ulcer - correct answer ✔✔
stage 4 pressure ulcer - correct answer ✔✔
stage 1 pressure ulcer description - correct answer ✔✔red, non-blanching
stage 2 pressure ulcer description - correct answer ✔✔partial thickness; red; open
stage 3 pressure ulcer description - correct answer ✔✔full thickness; see adipose tissue; no blood supply
stage 4 pressure ulcer description - correct answer ✔✔full thickness tissue loss with exposed bone,
tendons or muscle; no blood supply
unstageable - correct answer ✔✔full thickness tissue loss in which actual depth of the ulcer is
completely obscured by slough or eschar in the wound bed, until removed to expose the base of the
wound, stage cannot be determined
DTI - correct answer ✔✔Purple or maroon localized area of discolored intact skin or blood-filled blister
due to damage of underlying soft tissue from pressure and/or shear.
treatment of pressure ulcer - correct answer ✔✔identify at risk pts and institute precautions and
assessments
