NUR 225 Exam 3 with precise detailed answers ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
What affects skin structure and function? - correct answer✔✔- perfusion
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- moisture
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- malnutrition
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- medications
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- comornities (lifestyle habits)
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Stage 1 wound: - correct answer✔✔Skin is intact, reddened, and non-blanchable
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Stage 2 wound: - correct answer✔✔Partial thickness skin loss with exposed dermis
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Stage 3 wound: - correct answer✔✔Full thickness goes to subcutaneous layer
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- does NOT go to bone or muscle
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Stage 4 wound: - correct answer✔✔Full thickness and goes to muscle, bone or tendon
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Necrotic tissue: - correct answer✔✔Black, slough and Escher off
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Undermining in a wound: - correct answer✔✔Flap under the skin ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Tunneling in a wound: - correct answer✔✔- passage way in the wound
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unstagable wound: - correct answer✔✔Necrotic tissue present, full thickness and skin loss
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, Deep tissue injuries: - correct answer✔✔Bruise or bleeding under the skin
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- color under the skin
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When u do a wound assessment you are looking for what things?
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LED'S 3 C - correct answer✔✔- location
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- extent of tissue
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- drainage
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- size
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- color
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- conditions
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- cell types/foreign bodies
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Different types of wound drainage: - correct answer✔✔- serous ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
- serosanguinous
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- sanguineous
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- purulent
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Serous drainage in a wound: - correct answer✔✔Clear, watery fluid from plasma
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Seosanguinous drainage in a wound: - correct answer✔✔Pink and pale red ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
- fluid and blood like
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Sanguineous drainage in a wound: - correct answer✔✔Bleeding and bright red ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Purulent drainage in a wound: - correct answer✔✔Thick and infectionous ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
- tan, brown, green & yellow
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What affects skin structure and function? - correct answer✔✔- perfusion
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
- moisture
||//\\|| ||//\\||
- malnutrition
||//\\|| ||//\\||
- medications
||//\\|| ||//\\||
- comornities (lifestyle habits)
||//\\|| ||//\\|| ||//\\||
Stage 1 wound: - correct answer✔✔Skin is intact, reddened, and non-blanchable
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Stage 2 wound: - correct answer✔✔Partial thickness skin loss with exposed dermis
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Stage 3 wound: - correct answer✔✔Full thickness goes to subcutaneous layer
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- does NOT go to bone or muscle
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Stage 4 wound: - correct answer✔✔Full thickness and goes to muscle, bone or tendon
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Necrotic tissue: - correct answer✔✔Black, slough and Escher off
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Undermining in a wound: - correct answer✔✔Flap under the skin ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Tunneling in a wound: - correct answer✔✔- passage way in the wound
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
unstagable wound: - correct answer✔✔Necrotic tissue present, full thickness and skin loss
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, Deep tissue injuries: - correct answer✔✔Bruise or bleeding under the skin
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
- color under the skin
||//\\|| ||//\\|| ||//\\|| ||//\\||
When u do a wound assessment you are looking for what things?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
LED'S 3 C - correct answer✔✔- location
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
- extent of tissue
||//\\|| ||//\\|| ||//\\||
- drainage
||//\\|| ||//\\||
- size
||//\\|| ||//\\||
- color
||//\\|| ||//\\||
- conditions
||//\\|| ||//\\||
- cell types/foreign bodies
||//\\|| ||//\\|| ||//\\||
Different types of wound drainage: - correct answer✔✔- serous ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
- serosanguinous
||//\\|| ||//\\||
- sanguineous
||//\\|| ||//\\||
- purulent
||//\\||
Serous drainage in a wound: - correct answer✔✔Clear, watery fluid from plasma
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Seosanguinous drainage in a wound: - correct answer✔✔Pink and pale red ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
- fluid and blood like
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Sanguineous drainage in a wound: - correct answer✔✔Bleeding and bright red ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Purulent drainage in a wound: - correct answer✔✔Thick and infectionous ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
- tan, brown, green & yellow
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