nursing 205 exam 2 hondros study guide with complete solutions

nursing 205 exam 2 hondros study guide with complete solutions tissue integrity - Answer️️ -the ability of body tissues to regenerate and/or repair to maintain normal physiological processes interventions to maintain tissue integrity - Answer️️ -reposition turning adequate nutrition skin assessments blanching test - Answer️️ -A test of the rate of capillary refill; blanching means to cause to become pale by applying digital pressure. Non-blanchable - Answer️️ -skins stay very red even with finger pressure; indicates severe skin injury Stage 1 pressure ulcer - Answer️️ -intact skin with nonblanchable redness stage 2 pressure ulcer - Answer️️ -partial thickness skin loss involving epidermis, dermis, or both red/pink noist blister et shallow crater stage 3 pressure ulcer - Answer️️ -full thickness tissue loss with visible fat stage 4 pressure ulcer - Answer️️ -Full-thickness tissue loss with exposed bone, muscle, or tendon ©SOPHIABENNETT@ Sunday, August 25, 2024 2:42 PM 2 debridement - Answer️️ -Removal of foreign matter or dead tissue from a wound promotes healing eschar - Answer️️ -a thick layer of dead tissue and tissue fluid that develops over a deep burn area Types of drainage - Answer️️ -serous, sanguineous, serosanguineous, purulent serous drainage - Answer️️ -clear, watery fluid clear yellow serosanguineous drainage - Answer️️ -thin, watery drainage that is blood-tinged sanguineous drainage - Answer️️ -bloody drainage purulent drainage - Answer️️ -thick green, yellow, or brown drainage Braden Scale - Answer️️ -A tool for predicting pressure ulcer risk lactose intolerance - Answer️️ -The inability to completely digest the milk sugar lactose symptoms of lactose intolerance - Answer️️ -bloating, abdominal discomfort, diarrhea gas ©SOPHIABENNETT@ Sunday, August 25, 2024 2:42 PM 3 clear liquid diet - Answer️️ -a diet that consists of foods that are liquid at room temperature and leave little residue in the intestine. Ex: Water, Sprite, Ginger Ale, all beverages without any residue, broth, Jello iron rich foods - Answer️️ -red Meat, fish, poultry, legumes. spinach, liver or organ meat, tofu anorexia nervosa - Answer️️ -An eating disorder characterized by an obstinate and willful refusal to eat, a distorted body image, and an intense fear of being fat signs of anorexia nervosa - Answer️️ -A refusal to keep one's body weight at or above a normal weight for age and hei