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NURS 2160 Simple Wound Care and Cleaning Wounds Questions and Answers 2026

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NURS 2160 Simple Wound Care and Cleaning Wounds Questions and Answers 2026

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NURS 2160 Simple Wound Care and
Cleaning Wounds Questions and
Answers 2026
AbrasionB-BAnswerAbrasion

-BcausedBbyBscrape

-Bsuperficial,BnoBdeeperBthanBepidermalBlayer

-BbleedingBminimal



PunctureB-BAnswerskinBpenetratedBbyBsharpBobject

extendBintoBtheBtissue



lacerationsB-BAnswerskin/tissueBtornBorBcutBopen

jaggedBorBirregularBedge

oftenBcontaminatedBwithBorganismsBorBdebris



dogBbites,BskinBtearsBinBelderly,BcuttingBonBaBfence



Ulcers:BDefBandBcausesB-BAnswerlocalisedBopenBsoresBorBlesions



PressureBulcers:

-B1BinB8Bpatients

-BanyBlesionBcausedBbyBunreleivedBpressure,BresultingBinBdamageBtoBunderlyingBtissue

-
Bpressure,BfrictionB(anyBforceBactingBparallelBtoBskinBsurfaceBexBtooBmanyBblanketsBunderBpa
tientBrubbingBagainstBpatient'sBskin)

-
Bsheering:BcomboBofBpressureBandBfrictionBexBpatientBslidingBdownBinBbed.BCanBpreventBbyB
elevatingBfootBofBtheBbedBinBadditionBtoBheadBsoBpaitentBnotBslidingBdownwards



riskBfactorsBforBpressureBulcersB-
BAnswerimmobility:BrepositionBeverB2BHOURS,BtranserBtoBchairBatBleastB1x/day

inadequateBnutrition:BelderlyBlooseBhungerBsensation

, incontinence:Bmoisture!

poorBcirculation:BespBextremities

diminishedBsensation:BDMBperipheralBneuropathy

decreasedBLOC:Bcan'tBrecognizeBorBrespondBtoBpain

age

otherBfactors:B

-BpoorBlifting,BincorrectBposition,BincorrectBapplicationBofBpressureBreducingBdevices



StageB1BpressureBulcerB-BAnswerintactBskin

non-blanchableBerythema,



StageB2BpressureBulcerB-BAnswerdamageBtoBepidermis

extendsBinto,BbutBnoBdeeperBthanBtheBdermis



StageB3BpressureBulcerB-BAnswer-
BdamageBtoBfullBthicknessBofBskin,BextendingBinto,BbutBnotBthrough,BtheBsubcutaneousBlayer

-BmayBorBmayBnotBhaveBunderminingBorBtunneling



Undermining:BlargerBunderBthanBwhatByouBcanBseeBfromBopening

Tunnelling:BchannelBdevelops,BtunnelsBintoBtheBtissue



StageB4BpressureBulcerB-BAnswer-BdamageBtoBfullBthicknessBofBskinBandBsubcutaneousBtissue

-BdamageBextendsBintoBmuscle,Bbone,BorBtendons



mayBorBmayBnotBbeBunderminingBorBtunnelling



(noteBalsoB'unstageableBpressureBulcers':Bcan'tBseeBtheBwoundBbedBdueBtoBsloughBorBnecroti
cBtissue)



BradenBscaleB-BAnswerCAtegoreis

1.BsensoryBperception

2.Bmoisture

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