NURS 300 WOUNDS AND SKIN INTEGRITY QUESTIONS AND
ANSWERS ELABORATIONS!!
Prophylactic
Answers:A dressing to help prevent against getting pressure wounds
Wound
Answers:disruption of the integrity and function of tissues in the body resulting
from trauma or surgical intervention
Pressure injury
Answers:impaired skin integrity related to unrelieved, prolonged pressure
NPUAP
Answers:National pressure ulcer advisory panel
decifer the stages of an ulcer.
An RN must confirm the stage not an lpn.
Pressure intensity
Answers:pressure occludes blood flow causing tissue ischemia
blanchable/non-blanchable
Pressure duration
Answers:low pressure over prolonged period or high pressure over short period
are both concerning
Tissue tolerance
, Answers:The ability of the tissue to endure pressure
shear, friction, and moisture affect the ability of the skin to tolerate pressure
poor nutrition, aging, hydration status and low blood pressure affect tissue
tolerance
Primary intention wound healing
Answers:The skin edges are approximated, or closed, and the risk of infection is
low. Healing occurs quickly, with minimal scar formation, as long as infection and
secondary breakdown are prevented
Secondary intention wound healing
Answers:wound left open until it fills with scar tissue-higher chance of infection
Best environment of wound healing
Answers:moist and free of necrotic tissue and infection
necrotic tissue
Answers:dead tissue or cells
Serous drainage
Answers:clear, watery plasma
bring nutrients to wound
purulent drainage
Answers:thick green, yellow, or brown drainage
typically indicates infection
ANSWERS ELABORATIONS!!
Prophylactic
Answers:A dressing to help prevent against getting pressure wounds
Wound
Answers:disruption of the integrity and function of tissues in the body resulting
from trauma or surgical intervention
Pressure injury
Answers:impaired skin integrity related to unrelieved, prolonged pressure
NPUAP
Answers:National pressure ulcer advisory panel
decifer the stages of an ulcer.
An RN must confirm the stage not an lpn.
Pressure intensity
Answers:pressure occludes blood flow causing tissue ischemia
blanchable/non-blanchable
Pressure duration
Answers:low pressure over prolonged period or high pressure over short period
are both concerning
Tissue tolerance
, Answers:The ability of the tissue to endure pressure
shear, friction, and moisture affect the ability of the skin to tolerate pressure
poor nutrition, aging, hydration status and low blood pressure affect tissue
tolerance
Primary intention wound healing
Answers:The skin edges are approximated, or closed, and the risk of infection is
low. Healing occurs quickly, with minimal scar formation, as long as infection and
secondary breakdown are prevented
Secondary intention wound healing
Answers:wound left open until it fills with scar tissue-higher chance of infection
Best environment of wound healing
Answers:moist and free of necrotic tissue and infection
necrotic tissue
Answers:dead tissue or cells
Serous drainage
Answers:clear, watery plasma
bring nutrients to wound
purulent drainage
Answers:thick green, yellow, or brown drainage
typically indicates infection