Full thickness wounds - Study guides, Class notes & Summaries

A nurse is providing nutritional teaching to the patents of a child who has acute glomerulonephritis with pitting edema. Which of the following foods should the nurse recommend be eliminated from the child's diet? - ANSWER- Hot dogs Rationale: -Results in edema, HTN, hematuria and proteinuria. Dietary changes requires limit foods high in sodium because of the edema and HTN. (Hot dogs, or other processed meats) A nurse in an emergency department is assessing a 5-year-old child who has a c...

Nursing Process - -Assess: Encounter problem -Diagnoses: Collect Data -Identify Outcome: Analyze Data -Plan: Determine plan of action -Implement: Execute action plan -Evaluate: effectiveness of problem resolution Problem Solving - Assessment and analysis of a problem Decision Making - Choosing between options Qualities of a decision maker - -Self confident -Proactive -Flexible -Focused Accountable for actions -Current knowledge -Works with resources Priority Setting - Firs...

What cells are found in the dermis? correct answers Macrophages, Mast Cells, Fibroblasts, Nerves, Langerhans What are the function of the proteins collagen and elastin? correct answers Providing the skin with tensile strength and elastic recoil? What lab test measures the percentage of blood made up of red blood cells? correct answers Hematocrit What protein is produced by stem cells that give red blood cells the red color and give them the ability to transport oxygen? correct answers H...

Dehiscence The partial or total separation of wound layers as a result of excessive stress on wounds that are not healed Factors in developing pressure injuries immobility poor eating moist skin altered mental status sensory limits increased age Stage 1 pressure ulcer non-blanchable redness of intact skin stage 2 pressure ulcer partial thickness skin loss, exposed dermis stage 3 pressure ulcer full thickness loss, no underlying fascia involved stage 4 pressure ulcer f...

VATI Care of children 2022 Questions And Answers A nurse is providing nutritional teaching to the patents of a child who has acute glomerulonephritis with pitting edema. Which of the following foods should the nurse recommend be eliminated from the child's diet? - ANS-Hot dogs -Results in edema, HTN, hematuria and proteinuria. Dietary changes requires limit foods high in sodium because of the edema and HTN. (Hot dogs, or other processed meats) A nurse in an emergency department is as...

Clean wounds are uninfected wounds with minimal inflammation Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered, such wounds show no evidence of infection Contaminated wounds are a wound with bacteria present resulting from trauma, a break in sterile technique during surgery or spillage of bowel contents or other bacteria-laden material during surgery Dirty or infected wounds are wounds containing dead tissue a...

Which clinical manifestations would the nurse anticipate while caring for a patient with third-degree burns? Select all that apply. 1 Erythema 2 Fluid-filled vesicles 3 Hard, leathery skin 4 Insensitivity to pain 5 Mild to moderate edema - Correct Ans-3 Hard, leathery skin 4 Insensitivity to pain Third-degree burns cause full-thickness skin destruction. Clinical manifestations include hard, leathery skin and insensitivity to pain due to nerve destruction. Erythema is observed in first...

Layers of skin epidermis Dermal-epidermal junction Dermis Subcutaneous layer Pressure injuries pathogenesis pressure intensity (tissue ischemia, blanching), pressure duration, tissue tolerance Pressure injuries risk factors impaired sensory perception, impaired mobility, alteration in loc, shear, friction, moisture Inability to perceive pressure, incontinence/moisture, decreased activity level, inability to reposition, poor nutritional intake, friction and shear Stage 1 pressure injury non-b...

fibroblast correct answers The cell responsible for building new granulation tissue keratinocytes correct answers Cells involved in epithelialization macrophages and polymorphonuclear neutrophils correct answers Cells which can kill bacteria lightly fill the wound base with gauze to prevent premature epithelialization correct answers To assist with managing a wound that is hypogranular: high levels of MMPs and low levels of TIMPs correct answers Chronic wounds contain insufficient...

Which cells located in the dermis produce collagen (dermal building blocks) and elastin (tensile strength)? Select one: a. Leukotrienes. b. Mast cells. c. Macrophages. d. Fibroblasts. - answer-d. Fibroblasts. Fibroblasts' main function is to make connective tissue and the extracellular matrix, specifically the production of collagen (dermal building blocks) and elastin (tensile strength) and fibronectin, which binds extracellular matrix proteins. A patient has an acute full-thickness ...