Answer Guide NSG 100 Final
NSG 100 Final
Study online at https://quizlet.com/_5jnhr6
1. what are the 5 steps to the nursing assessment
process? diagnoses
planning
implementation
evaluation
2. what's the assessment phase? gathering information about pt's psychological,
physiological, sociological, and spiritual status;
gathered in pt interview; physical exams, hx, etc.
3. what's the diagnosing phase? nurse makes an educated judgement about poten-
tial or actual health problem; include actual descrip-
tion and whether or not patient is at risk for further
issues
4. what's the planning phase? patient and nurse agree on diagnoses and plan of
action can be developed; assigned clear, measur-
able goal for expected beneficial outcome
usually use evidence-based nursing outcome clas-
sification
5. what's the evidence-based nursing set of standardized terms and measurements for
outcome classification? tracking patient wellness; may be used as a resource
for planning
6. what's the implementing phase? nurse follows through on decided plan of action'
specific to each patient and focuses on achievable
outcomes; can take place over hours, days, weeks,
or months
7. what's the evaluation phase? nurse determines if all goals for patient wellness
have been met; patient's condition improved, pa-
1 4/16/2026
, Answer Guide NSG 100 Final
NSG 100 Final
Study online at https://quizlet.com/_5jnhr6
tient's condition stablished, and patient's condition
deteriorated, died, or discharged...
8. what are the functions of the skin? protection
temperature regulation
sensation
vitamin d production
immunologic
absorption
elimination
9. what's the epidermis? top layer of skin
helps with h20 production
10. what's the dermis? second layer of skin
nerves, hair follicles, etc.
11. what's the subcutaneous tissue? third layer of skin, below dermis
helps with padding, warmth, etc.
12. lifespan considerations for infants thinner skin with less subcutaneous fat
(tissue) milia on face
risk for dehydration
13. lifespan considerations for children thinner skin
(tissue) larger body surface area than adults
14. lifespan considerations for adoles- increase in sweat and sebaceous glands
cents (tissue) higher incidence of warts and fungal infections
acne, hygiene, etc.
15. lifespan considerations for adults skin thickens to 40-50s
(tissue)
2 4/16/2026
, Answer Guide NSG 100 Final
NSG 100 Final
Study online at https://quizlet.com/_5jnhr6
16. lifespan considerations for pregnant hyper pigmentation
women (tissue) striae (stretch marks)
pruritus (itching)
17. lifespan considerations for elderly decreased skin thickness
(tissue) decreased collagen content (decrease elasticity)
increase wrinkles, sagging skin
decreased subcutaneous tissue
dry sin from decreased swear glands
18. risk factors for press injury develop- -impaired mobility and partial mobility
ment? -inadequate nutrition
-fecal/urinary incontinence
-decreased mental status
-diminished sensation
-excessive body heat
-advanced age
-chronic medical conditions
-shear/friction
19. complications of wound healing? hemorrhage
infection
dehiscence
evisceration
20. what's hemorrhage? excessive bleeding --hold pressure and DO NOT
REMOVE DRESSING until surgeon has been called
& assessed
21. what's noted with infection in a redness
wound? drainage
fever
swelling
3 4/16/2026
, Answer Guide NSG 100 Final
NSG 100 Final
Study online at https://quizlet.com/_5jnhr6
22. what's noted with dehiscence? wound opening unintentionally
often seen with c-section patients
23. what's seen in evisceration? when wound contents burst out of site
24. serous exudate Clear or straw colored
Occurs as a normal part of the healing process
25. purulent exudate thick, milky appearance, green or yellow colored
may be a sign of infection
26. sanguineous exudate bloody drainage
4 4/16/2026
NSG 100 Final
Study online at https://quizlet.com/_5jnhr6
1. what are the 5 steps to the nursing assessment
process? diagnoses
planning
implementation
evaluation
2. what's the assessment phase? gathering information about pt's psychological,
physiological, sociological, and spiritual status;
gathered in pt interview; physical exams, hx, etc.
3. what's the diagnosing phase? nurse makes an educated judgement about poten-
tial or actual health problem; include actual descrip-
tion and whether or not patient is at risk for further
issues
4. what's the planning phase? patient and nurse agree on diagnoses and plan of
action can be developed; assigned clear, measur-
able goal for expected beneficial outcome
usually use evidence-based nursing outcome clas-
sification
5. what's the evidence-based nursing set of standardized terms and measurements for
outcome classification? tracking patient wellness; may be used as a resource
for planning
6. what's the implementing phase? nurse follows through on decided plan of action'
specific to each patient and focuses on achievable
outcomes; can take place over hours, days, weeks,
or months
7. what's the evaluation phase? nurse determines if all goals for patient wellness
have been met; patient's condition improved, pa-
1 4/16/2026
, Answer Guide NSG 100 Final
NSG 100 Final
Study online at https://quizlet.com/_5jnhr6
tient's condition stablished, and patient's condition
deteriorated, died, or discharged...
8. what are the functions of the skin? protection
temperature regulation
sensation
vitamin d production
immunologic
absorption
elimination
9. what's the epidermis? top layer of skin
helps with h20 production
10. what's the dermis? second layer of skin
nerves, hair follicles, etc.
11. what's the subcutaneous tissue? third layer of skin, below dermis
helps with padding, warmth, etc.
12. lifespan considerations for infants thinner skin with less subcutaneous fat
(tissue) milia on face
risk for dehydration
13. lifespan considerations for children thinner skin
(tissue) larger body surface area than adults
14. lifespan considerations for adoles- increase in sweat and sebaceous glands
cents (tissue) higher incidence of warts and fungal infections
acne, hygiene, etc.
15. lifespan considerations for adults skin thickens to 40-50s
(tissue)
2 4/16/2026
, Answer Guide NSG 100 Final
NSG 100 Final
Study online at https://quizlet.com/_5jnhr6
16. lifespan considerations for pregnant hyper pigmentation
women (tissue) striae (stretch marks)
pruritus (itching)
17. lifespan considerations for elderly decreased skin thickness
(tissue) decreased collagen content (decrease elasticity)
increase wrinkles, sagging skin
decreased subcutaneous tissue
dry sin from decreased swear glands
18. risk factors for press injury develop- -impaired mobility and partial mobility
ment? -inadequate nutrition
-fecal/urinary incontinence
-decreased mental status
-diminished sensation
-excessive body heat
-advanced age
-chronic medical conditions
-shear/friction
19. complications of wound healing? hemorrhage
infection
dehiscence
evisceration
20. what's hemorrhage? excessive bleeding --hold pressure and DO NOT
REMOVE DRESSING until surgeon has been called
& assessed
21. what's noted with infection in a redness
wound? drainage
fever
swelling
3 4/16/2026
, Answer Guide NSG 100 Final
NSG 100 Final
Study online at https://quizlet.com/_5jnhr6
22. what's noted with dehiscence? wound opening unintentionally
often seen with c-section patients
23. what's seen in evisceration? when wound contents burst out of site
24. serous exudate Clear or straw colored
Occurs as a normal part of the healing process
25. purulent exudate thick, milky appearance, green or yellow colored
may be a sign of infection
26. sanguineous exudate bloody drainage
4 4/16/2026
