HONDROS NUR 205 EXAM 2 COMPREHENSIVE
QUESTIONS AND CORRECT ANSWERS
◉ Two layers of the skin.
Answer: Epidermis and Dermis
◉ Epidermis.
Answer: top layer of skin
◉ Stratum Corneum.
Answer: Outermost layer of the epidermis, which consists of
flattened, keratinized cells
◉ Define Pressure Ulcers.
Answer: Described as impaired skin integrity related to unrelieved,
prolonged pressure, usually over a boney prominence
◉ Pressure Ulcer Risk Factors.
Answer: -decreased mobility
-decreased sensory perception
-fecal or urinary incontinence
-poor nutrition
,◉ Individuals at risk for pressure ulcers.
Answer: -older adults that have experienced a trauma
-those with spinal cord injuries
-those who have sustained a fractured hip
-those in long-term homes or community care, the acutely ill
-individuals with diabetes
-patients in critical care settings (ICU)
◉ Dermis.
Answer: inner layer of skin, provides tensile strength, mechanical
support, and protection for the underlying muscles, bones, and
organs
◉ Tissue Ischemia.
Answer: Pressure applied over a capillary exceeds the normal
capillary pressure, and the vessel is occluded for a prolonged period
of time.
◉ dermal-epidermal junction.
Answer: separates dermis and epidermis
, ◉ 3 pressure related factors that contribute to pressure ulcer
development.
Answer: -pressure intensity
-pressure duration
-tissue tolerance
◉ Non-blanchable hyperemia.
Answer: redness that persists after palpation and indicates tissue
damage
◉ Stage 1 Pressure Ulcer.
Answer: -intact skin with nonblanchable redness
-warm to touch, edema, can be a hardened area
◉ Stage 2 Pressure Ulcer.
Answer: -partial thickness skin loss
-shallow but open
-no slough or drainage
-red/pink wound bed
◉ Stage 3 Pressure ulcer.
Answer: -full thickness tissue loss with visible underlying fat
QUESTIONS AND CORRECT ANSWERS
◉ Two layers of the skin.
Answer: Epidermis and Dermis
◉ Epidermis.
Answer: top layer of skin
◉ Stratum Corneum.
Answer: Outermost layer of the epidermis, which consists of
flattened, keratinized cells
◉ Define Pressure Ulcers.
Answer: Described as impaired skin integrity related to unrelieved,
prolonged pressure, usually over a boney prominence
◉ Pressure Ulcer Risk Factors.
Answer: -decreased mobility
-decreased sensory perception
-fecal or urinary incontinence
-poor nutrition
,◉ Individuals at risk for pressure ulcers.
Answer: -older adults that have experienced a trauma
-those with spinal cord injuries
-those who have sustained a fractured hip
-those in long-term homes or community care, the acutely ill
-individuals with diabetes
-patients in critical care settings (ICU)
◉ Dermis.
Answer: inner layer of skin, provides tensile strength, mechanical
support, and protection for the underlying muscles, bones, and
organs
◉ Tissue Ischemia.
Answer: Pressure applied over a capillary exceeds the normal
capillary pressure, and the vessel is occluded for a prolonged period
of time.
◉ dermal-epidermal junction.
Answer: separates dermis and epidermis
, ◉ 3 pressure related factors that contribute to pressure ulcer
development.
Answer: -pressure intensity
-pressure duration
-tissue tolerance
◉ Non-blanchable hyperemia.
Answer: redness that persists after palpation and indicates tissue
damage
◉ Stage 1 Pressure Ulcer.
Answer: -intact skin with nonblanchable redness
-warm to touch, edema, can be a hardened area
◉ Stage 2 Pressure Ulcer.
Answer: -partial thickness skin loss
-shallow but open
-no slough or drainage
-red/pink wound bed
◉ Stage 3 Pressure ulcer.
Answer: -full thickness tissue loss with visible underlying fat
