NURS 101 FINAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |GET IT 100% ACCURATE!! 2025 / 2026 TEST!!

NURS 101 FINAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |GET IT 100% ACCURATE!! 2025 / 2026 TEST!! Four phases of wound healing Correct Answer hemostasis phase, inflammatory phase, proliferation phase, maturation phase What occurs during hemostasis phase of wound healing Correct Answer Blood vessels constrict and blood clotting begins Exudate is formed causing swelling and pain Increased perfusion results in heat and redness Inflammatory phase of wound healing Correct Answer WBCs (macrophages) enter the wound and ingest debris and release growth factors that attract fibroblasts to fill in the wound Proliferation phase of wound healing Correct Answer Fibroblasts help to build new tissue granulation tissue to fill the wound Capillaries grow across the wound Maturation phase of wound healing Correct Answer Collagen is remodeled makes healed wound stronger forming a scar Local factors affecting wound healing Correct Answer Desiccation (dehydration) Maceration (overhydration) Trauma Infection Excessive bleeding Necrosis (death of tissue) Systemic factors affecting wound healing Correct Answer Age: children and healthy adults heal more rapidly Circulation and oxygenation: adequate blood flow is essential Nutritional status: healing requires adequate nutrition Wound condition: specific condition of the wound affects healing Health status: corticosteroid drugs and postoperative radiation therapy delay healing Immunosuppression Medication use Wound complications Correct Answer Infection Hemorrhage Dehiscence evisceration Fistula formation Stage one pressure ulcer Correct Answer intact skin with nonblanchable redness Stage two pressure ulcer Correct Answer partial thickness skin loss involving epidermis, dermis, or both (red pink base) Stage III pressure ulcer Correct Answer full thickness tissue loss with visible fat May have slaugh present stage four pressure ulcer Correct Answer Full thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures. Unstageable pressure ulcers Correct Answer base of ulcer covered by slough and/or eschar in the wound bed- unable to see bottom autolytic debridement Correct Answer using body's enzymes to break down tissue mechanical debridement Correct Answer Physical removal of debris by irrigation, hydrotherapy or wet to-dry dressing application Enzymatic debridement Correct Answer topical application of enzymes to surface of necrotic tissue. can be used on infected and non-infected wounds with necrotic tissue. sharp debridement Correct Answer requires use of scalpel, scissors, and/or forceps to selectively remove devitalized tissues, foreign materials or debris from a wound. surgical debridement Correct Answer Removal of devitalized tissue by using a scalpel, scissors, or other sharp instrument sanguinous wound drainage Correct Answer bloody Serous wound drai