Hondros Nursing- Nur 150: Exam 2, STUDY GUIDE with question and answers (verified)

Hondros Nursing - Nur 150: Exam 2, S TUDY GUIDE with question and answers (verified) Stage 1 pressure ulcer - correct answers ✅Intact skin with nonblanchable redness Stage 2 pressure ulcer - correct answers ✅Partial loss of dermis. Shallow open ulcer, usually shiny, or dry. Red -pink wound bed without sloughing or bruising. Stage 3 pressure ulcer - correct answers ✅Full thickness tissue loss, subcutaneous fat may be visible. Possible undermining and tunneling. Stage 4 pressure ulcer - correct answers ✅Full thickness tissue loss with exposed bone, tendon,or muscle. Slough or eschar may be present as well as undermining and tunneling. Unstageable pressure ulcer - correct answers ✅Full thickness tissue loss, wound base covered by slough and eschar therefor dull depth cannot be determined. Slough - correct answers ✅Fibrous tiss ue in wound bed that can be yellow, tan, gray, green, or brown. Nursing interventions to prevent pressure unlcers - correct answers ✅Reposition bed bound pt every two hours, instruct pt in wheelchair to shift their weight every hour. Use of cushions and b arrier cream. Manage moisture, optimize nutrition and hydration.