QUESTIONS AND CORRECT
ANSWERS
stage 2 pressure ulcer ✅✅correct answ-partial thickness skin loss involving epidermis, dermis, or
both
red/pink noist
blister et shallow crater
stage 3 pressure ulcer ✅✅correct answ-full thickness tissue loss with visible fat
stage 4 pressure ulcer ✅✅correct answ-Full-thickness tissue loss with exposed bone, muscle, or
tendon
debridement ✅✅correct answ-Removal of foreign matter or dead tissue from a wound
promotes healing
eschar ✅✅correct answ-a thick layer of dead tissue and tissue fluid that develops over a deep
burn area
Types of drainage ✅✅correct answ-serous, sanguineous, serosanguineous, purulent
serous drainage ✅✅correct answ-clear, watery fluid
clear yellow
tissue integrity ✅✅correct answ-the ability of body tissues to regenerate and/or repair to
maintain normal physiological processes
interventions to maintain tissue integrity ✅✅correct answ-reposition turning adequate nutrition
skin assessments
, blanching test ✅✅correct answ-A test of the rate of capillary refill; blanching means to cause to
become pale by applying digital pressure.
Non-blanchable ✅✅correct answ-skins stay very red even with finger pressure; indicates severe
skin injury
Stage 1 pressure ulcer ✅✅correct answ-intact skin with nonblanchable redness
serosanguineous drainage ✅✅correct answ-thin, watery drainage that is blood-tinged
sanguineous drainage ✅✅correct answ-bloody drainage
purulent drainage ✅✅correct answ-thick green, yellow, or brown drainage
Braden Scale ✅✅correct answ-A tool for predicting pressure ulcer risk
lactose intolerance ✅✅correct answ-The inability to completely digest the milk sugar lactose
symptoms of lactose intolerance ✅✅correct answ-bloating, abdominal discomfort, diarrhea gas
clear liquid diet ✅✅correct answ-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 ✅✅correct answ-red Meat, fish, poultry, legumes. spinach, liver or organ meat,
tofu
anorexia nervosa ✅✅correct answ-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 ✅✅correct answ-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