NUR 150 Exam 2 Questions With Correct Answers

NUR /




150 Exam 2 Questions With Correct Answers
/ // // // // // //




What /
/is //a //wound? //- //CORRECT //ANSWERS(S)✔✔Injuries //that //break //the //skin //or //other //body //tissues




pressure /
/injuries //- /


/CORRECT /


/ANSWERS(S)✔✔tissue /


/injuries /


/that /


/form /


/from //prolonged //pressure //to //one //area //(usually //more //common //with //bony //prominences)




Who /
/is /


/at /


/risk /


/for /


/pressure /


/injuries? //- /


/CORRECT /


/ANSWERS(S)✔✔Elderly, /


/Obese, /


/Incontinent //persons, //Disabled/ //people //who //cannot //ambulate //individually, //poor //nutrition




Wound //Stage //1 //- //CORRECT //ANSWERS(S)✔✔-Skin //still //intact, //reddened, //non-
blanchable //(pressed //area //doesn't //turn //white, //which //it //should)

-Commonly //a //superficial //skin //injury

, Interventions /
/for /


/Wound /


/stage /


/1: //- /


/CORRECT /


/ANSWERS(S)✔✔Reposition /


/every //2 //hours //or //as //needed, //turn //off/away //from //the //area //of //concern, //use //cream




Wound /
/Stage //2: //- //CORRECT //ANSWERS(S)✔✔Partial //thickness, //skin //loss //with //serous //drainage




What //is //Serous //drainage? //- //CORRECT //ANSWERS(S)✔✔clear, //watery //plasma //(normal)



Serosanguinous //Drainage //- //CORRECT //ANSWERS(S)✔✔Light //Pink //drainage



Sanguineous //- //CORRECT //ANSWERS(S)✔✔bright //red, //active //bleeding



Purulent //- //CORRECT //ANSWERS(S)✔✔Yellow //green, //brown //"PUS"



Wound /
/Stage //3: //- //CORRECT //ANSWERS(S)✔✔Full //thickness //skin //loss //down //to //subcutaneous //layer //



Slough //(dead //tissue, //black) //visible //fat //may //present



Wound //Stage //4: //- //CORRECT //ANSWERS(S)✔✔Full //thickness //skin //loss //down //to //muscle/bone



Tunneling //- /
/CORRECT /


/ANSWERS(S)✔✔narrow /


/passageway //in //the //soft //tissue //of //an //open //wound, //extends //into //other //tissue //layers