12/27/25, 4:27 PM Galen Nur 155 Exam 3 Flashcards | Quizlet
Science Medicine Nursing
Galen Nur 155 Exam 3 with question and answer 100
%correct
C
Terms in this set (336)
Types of wounds Intentional or unintentional
Open or closed
Acute or chronic
Partial thickness, full thickness, complex
transparent film autolytic debridement, semi-permeable allows skin to
breathe.
uses: burns, IV sites, stage 1& 2 pressure ulcers, skin tears
how do you apply an abdominal binder? start at typhoid, fasten from the bottom up
used for support to keep dressing intact
remove every two hours to asses underlying skin and wound
Risk factors for pressure ulcers Fecal and unitary incontinence
Friction and shearing
immobility
inadequate nutrition (decreased protein, Vitamin C, zinc)
Decreased mental status
excessive body heat (moisture)
advanced age
chronic conditions
Diminished sensation
Incorrect positioning
Signs of infected pressure ulcer? Change in color, odor, or drainage. Sever infections cause
fever and increased WBC.
https://quizlet.com/715898705/galen-nur-155-exam-3-flash-cards/ 1/29
,12/27/25, 4:27 PM Galen Nur 155 Exam 3 Flashcards | Quizlet
During your assessment of a new patient, Non-blachable
the nurse notices a Stage I pressure ulcer, No opening
what are the signs that this nurse is correct
about this pressure ulcer being a stage one?
What do you do for a stage I pressure Apply barrier creams
ulcer? Reposition patient Q2hr
As you assess your new patient you notice a Stage II
sore on a bony premise that is blister-like,
with partial thickness skin loss, pt is
complaining of pain where the wound is
present which stage is this pressure ulcer?
What type of dressing do you use for a Mepaplex or Duoderm
stage II pressure ulcer?
Full thickness skin loss, involving damage or Stage III
necrosis of subcutaneous is what stage
pressure ulcer?
Full thickness skin loss with tissue necrosis, Stage IV
damage to the muscle and bone, wound
goes through nerves and not painful with
tunneling present, which stage is this
wound?
Treating pressure ulcers Minimize direct pressure
Reposition Q2hr
Schedule and DOCUMENT position change
use assistive devices
Dressing changes as ordered
Keep sheets dry and wrinkle free
Keep pt dry if incontinent
ROM 3reps 2x daily
What is regeneration? replacement of destroyed tissue by the same kind of cells
Primary intention healing tissue surfaces are approximated (closed) and there is minimal
or no tissue loss, formation of minimal granulation tissue and
scarring
Secondary intention healing wound in which the tissue surfaces are not approximated and
there is extensive tissue loss; formation of excessive
granulation tissue and scarring and greater risk of infection
tertiary intention Wounds that are left open purposely for 3-5 days to allow
edema and infection to resolve.
serous clear, watery plasma
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, 12/27/25, 4:27 PM Galen Nur 155 Exam 3 Flashcards | Quizlet
purulent containing pus, milky like
sanguineous dark bloody drainage
Serosanguineous bright red blood
Purosanguineous pus in the blood
When should you use heat therapy? Vasodilation
Chronic
Increase capillary permeability, cellular metabolism,
inflammation
musculoskeletal problems
joint stiffness
arthritis
contractures and back pain
When do you use cold therapy? Vasoconstriction
acute pain
often used for sport injury (sprains, strains, fractures)
decreased capillary permeability, cellular metabolism,
inflammation
Factors that affect respiratory function? Age
Environment
lifestyle
health status
medications
stress
eupnea normal breathing
Tachypnea rapid breathing
bradypnea slow breathing
apena absence of breathing
hypoventilation very shallow breathing, may cause increased levels of carbon
dioxide. or high levels of oxygen
Hyperventilation very rapid breathing more CO2 is eliminated than provided.
orthopnea ability to breathe only in an upright position
Dyspena difficulty breathing
Hypoxia Low oxygen saturation of the body, not enough oxygen in the
blood
https://quizlet.com/715898705/galen-nur-155-exam-3-flash-cards/ 3/29
Science Medicine Nursing
Galen Nur 155 Exam 3 with question and answer 100
%correct
C
Terms in this set (336)
Types of wounds Intentional or unintentional
Open or closed
Acute or chronic
Partial thickness, full thickness, complex
transparent film autolytic debridement, semi-permeable allows skin to
breathe.
uses: burns, IV sites, stage 1& 2 pressure ulcers, skin tears
how do you apply an abdominal binder? start at typhoid, fasten from the bottom up
used for support to keep dressing intact
remove every two hours to asses underlying skin and wound
Risk factors for pressure ulcers Fecal and unitary incontinence
Friction and shearing
immobility
inadequate nutrition (decreased protein, Vitamin C, zinc)
Decreased mental status
excessive body heat (moisture)
advanced age
chronic conditions
Diminished sensation
Incorrect positioning
Signs of infected pressure ulcer? Change in color, odor, or drainage. Sever infections cause
fever and increased WBC.
https://quizlet.com/715898705/galen-nur-155-exam-3-flash-cards/ 1/29
,12/27/25, 4:27 PM Galen Nur 155 Exam 3 Flashcards | Quizlet
During your assessment of a new patient, Non-blachable
the nurse notices a Stage I pressure ulcer, No opening
what are the signs that this nurse is correct
about this pressure ulcer being a stage one?
What do you do for a stage I pressure Apply barrier creams
ulcer? Reposition patient Q2hr
As you assess your new patient you notice a Stage II
sore on a bony premise that is blister-like,
with partial thickness skin loss, pt is
complaining of pain where the wound is
present which stage is this pressure ulcer?
What type of dressing do you use for a Mepaplex or Duoderm
stage II pressure ulcer?
Full thickness skin loss, involving damage or Stage III
necrosis of subcutaneous is what stage
pressure ulcer?
Full thickness skin loss with tissue necrosis, Stage IV
damage to the muscle and bone, wound
goes through nerves and not painful with
tunneling present, which stage is this
wound?
Treating pressure ulcers Minimize direct pressure
Reposition Q2hr
Schedule and DOCUMENT position change
use assistive devices
Dressing changes as ordered
Keep sheets dry and wrinkle free
Keep pt dry if incontinent
ROM 3reps 2x daily
What is regeneration? replacement of destroyed tissue by the same kind of cells
Primary intention healing tissue surfaces are approximated (closed) and there is minimal
or no tissue loss, formation of minimal granulation tissue and
scarring
Secondary intention healing wound in which the tissue surfaces are not approximated and
there is extensive tissue loss; formation of excessive
granulation tissue and scarring and greater risk of infection
tertiary intention Wounds that are left open purposely for 3-5 days to allow
edema and infection to resolve.
serous clear, watery plasma
https://quizlet.com/715898705/galen-nur-155-exam-3-flash-cards/ 2/29
, 12/27/25, 4:27 PM Galen Nur 155 Exam 3 Flashcards | Quizlet
purulent containing pus, milky like
sanguineous dark bloody drainage
Serosanguineous bright red blood
Purosanguineous pus in the blood
When should you use heat therapy? Vasodilation
Chronic
Increase capillary permeability, cellular metabolism,
inflammation
musculoskeletal problems
joint stiffness
arthritis
contractures and back pain
When do you use cold therapy? Vasoconstriction
acute pain
often used for sport injury (sprains, strains, fractures)
decreased capillary permeability, cellular metabolism,
inflammation
Factors that affect respiratory function? Age
Environment
lifestyle
health status
medications
stress
eupnea normal breathing
Tachypnea rapid breathing
bradypnea slow breathing
apena absence of breathing
hypoventilation very shallow breathing, may cause increased levels of carbon
dioxide. or high levels of oxygen
Hyperventilation very rapid breathing more CO2 is eliminated than provided.
orthopnea ability to breathe only in an upright position
Dyspena difficulty breathing
Hypoxia Low oxygen saturation of the body, not enough oxygen in the
blood
https://quizlet.com/715898705/galen-nur-155-exam-3-flash-cards/ 3/29
