Exam 2: NR224/ NR 224 (Latest 2023/ 2024 Update) Fundamentals Skills Exam| Graded A| Questions and Verified Answers - Chamberlain

Exam 2: NR224/ NR 224 (Latest 2023/ 2024 Update) Fundamentals Skills Exam| Graded A| Questions and Verified Answers - Chamberlain QUESTION what is the technique used when obtaining a wound culture for infection? Answer: Cleanse the wound first QUESTION When patient has has dark hard necrotic tissue, how do you stage this? Answer: Unstageable QUESTION What is the priority nursung intervention when a person surgical incision pops open and the intestines spill out? Answer: Notify Physician Cover the organs in sterile gauze with a towel to keep moist QUESTION Which pressure ulcers are reportable? Answer: Stage 3 and 4 QUESTION Factors affecting skin integrity are ? Answer: Shear Moisture Friction nutrition Increased age low blood pressure QUESTION Pressure areas are ? Answer: heels sacrum back of head elbows Scapulae QUESTION What is a stage 1 pressure ulcer? Answer: non blanch able erythema (signals potential ulceration) Defined area of persistent redness, blue or purple hues NO open skin QUESTION What is a stage 2 pressure ulcer? Answer: - Partial thickness skin loss involving epidermis and possibly the dermis - Abrasion, blister, or shallow crater - Serous fluid may be present QUESTION What is a stage 3 pressure ulcer? Answer: - Full thickness skin loss - Damage or necrosis of subcutaneous tissue -May extend down to but not through underlying fascia - Deep crater with or without undermining of adjacent tissue QUESTION What is a stage 4 pressure ulcer? Answer: - Full thickness skin loss - Extensive destruction, tissue necrosis, or damage to muscle, bone or supporting structures - Undermining and sinus tracts or tunneling maybe present QUESTION What does the Braden scale measure for? Answer: Sensory perception Moisture