NURS 205 EXAM 2 HONDROS STUDY GUIDE
tissue integrity - Answers -the ability of body tissues to regenerate and/or repair to
maintain normal physiological processes
interventions to maintain tissue integrity - Answers -reposition turning adequate
nutrition skin assessments
blanching test - Answers -A test of the rate of capillary refill; blanching means to cause
to become pale by applying digital pressure.
Non-blanchable - Answers -skins stay very red even with finger pressure; indicates
severe skin injury
Stage 1 pressure ulcer - Answers -intact skin with nonblanchable redness
stage 2 pressure ulcer - Answers -partial thickness skin loss involving epidermis,
dermis, or both
red/pink noist
blister et shallow crater
stage 3 pressure ulcer - Answers -full thickness tissue loss with visible fat
stage 4 pressure ulcer - Answers -Full-thickness tissue loss with exposed bone,
muscle, or tendon
debridement - Answers -Removal of foreign matter or dead tissue from a wound
promotes healing
eschar - Answers -a thick layer of dead tissue and tissue fluid that develops over a
deep burn area
Types of drainage - Answers -serous, sanguineous, serosanguineous, purulent
serous drainage - Answers -clear, watery fluid
clear yellow
serosanguineous drainage - Answers -thin, watery drainage that is blood-tinged
sanguineous drainage - Answers -bloody drainage
purulent drainage - Answers -thick green, yellow, or brown drainage
, Braden Scale - Answers -A tool for predicting pressure ulcer risk
lactose intolerance - Answers -The inability to completely digest the milk sugar lactose
symptoms of lactose intolerance - Answers -bloating, abdominal discomfort, diarrhea
gas
clear liquid diet - Answers -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 - Answers -red Meat, fish, poultry, legumes. spinach, liver or organ
meat, tofu
anorexia nervosa - Answers -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 - Answers -A refusal to keep one's body weight at or above a
normal weight for age and height; extreme weight loss, muscle wasting, eats very little
insufficient nutrition
excessive nutrition - Answers -common obesity
weight gain/ nutritional toxicity
excessive calorie intake
FICA - Answers -spiritual assessment tool
F in FICA - Answers -faith
I in FICA - Answers -importance
C in FICA - Answers -community
A in FICA - Answers -address
questions to assess spiritual needs - Answers -do you attend religious regularly
do you have Any spiritual needs we should discuss
in need of spiritual intervention call chaplain
Prayer - Answers -An attempt to contact God, usually through words
Faith - Answers -Belief in God
dietary needs food can only come from? - Answers -facility no outside food
tissue integrity - Answers -the ability of body tissues to regenerate and/or repair to
maintain normal physiological processes
interventions to maintain tissue integrity - Answers -reposition turning adequate
nutrition skin assessments
blanching test - Answers -A test of the rate of capillary refill; blanching means to cause
to become pale by applying digital pressure.
Non-blanchable - Answers -skins stay very red even with finger pressure; indicates
severe skin injury
Stage 1 pressure ulcer - Answers -intact skin with nonblanchable redness
stage 2 pressure ulcer - Answers -partial thickness skin loss involving epidermis,
dermis, or both
red/pink noist
blister et shallow crater
stage 3 pressure ulcer - Answers -full thickness tissue loss with visible fat
stage 4 pressure ulcer - Answers -Full-thickness tissue loss with exposed bone,
muscle, or tendon
debridement - Answers -Removal of foreign matter or dead tissue from a wound
promotes healing
eschar - Answers -a thick layer of dead tissue and tissue fluid that develops over a
deep burn area
Types of drainage - Answers -serous, sanguineous, serosanguineous, purulent
serous drainage - Answers -clear, watery fluid
clear yellow
serosanguineous drainage - Answers -thin, watery drainage that is blood-tinged
sanguineous drainage - Answers -bloody drainage
purulent drainage - Answers -thick green, yellow, or brown drainage
, Braden Scale - Answers -A tool for predicting pressure ulcer risk
lactose intolerance - Answers -The inability to completely digest the milk sugar lactose
symptoms of lactose intolerance - Answers -bloating, abdominal discomfort, diarrhea
gas
clear liquid diet - Answers -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 - Answers -red Meat, fish, poultry, legumes. spinach, liver or organ
meat, tofu
anorexia nervosa - Answers -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 - Answers -A refusal to keep one's body weight at or above a
normal weight for age and height; extreme weight loss, muscle wasting, eats very little
insufficient nutrition
excessive nutrition - Answers -common obesity
weight gain/ nutritional toxicity
excessive calorie intake
FICA - Answers -spiritual assessment tool
F in FICA - Answers -faith
I in FICA - Answers -importance
C in FICA - Answers -community
A in FICA - Answers -address
questions to assess spiritual needs - Answers -do you attend religious regularly
do you have Any spiritual needs we should discuss
in need of spiritual intervention call chaplain
Prayer - Answers -An attempt to contact God, usually through words
Faith - Answers -Belief in God
dietary needs food can only come from? - Answers -facility no outside food
