NUR 205 EXAM 2 Updates 2026
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Largest Organ of the body -- Verified--Solution----The Skin
Two layers of the skin -- Verified--Solution----Epidermis and Dermis
Epidermis -- Verified--Solution----top layer of skin
Stratum Corneum -- Verified--Solution----Outermost layer of the
epidermis, which consists of flattened, keratinized cells
Define Pressure Ulcers -- Verified--Solution----Described as impaired
skin integrity related to unrelieved, prolonged pressure, usually over a
boney prominence
Pressure Ulcer Risk Factors -- Verified--Solution-----decreased mobility
-decreased sensory perception
-fecal or urinary incontinence
-poor nutrition
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Individuals at risk for pressure ulcers -- Verified--Solution-----older
adults that have experienced a trauma
-those with spinal cord injuries
-those who have sustained a fractured hip
-those in long-term homes or community care, the acutely ill
-individuals with diabetes
-patients in critical care settings (ICU)
Dermis -- Verified--Solution----inner layer of skin, provides tensile
strength, mechanical support, and protection for the underlying muscles,
bones, and organs
Tissue Ischemia -- Verified--Solution----Pressure applied over a capillary
exceeds the normal capillary pressure, and the vessel is occluded for a
prolonged period of time.
dermal-epidermal junction -- Verified--Solution----separates dermis and
epidermis
3 pressure related factors that contribute to pressure ulcer development -
- Verified--Solution-----pressure intensity
-pressure duration
-tissue tolerance
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Non-blanchable hyperemia -- Verified--Solution----redness that persists
after palpation and indicates tissue damage
Stage 1 Pressure Ulcer -- Verified--Solution-----intact skin with
nonblanchable redness
-warm to touch, edema, can be a hardened area
Stage 2 Pressure Ulcer -- Verified--Solution-----partial thickness skin
loss
-shallow but open
-no slough or drainage
-red/pink wound bed
Stage 3 Pressure ulcer -- Verified--Solution-----full thickness tissue loss
with visible underlying fat
-NO bone, muscle or tendon is visible
-can have slough
-underminning/tunneling
Stage 4 Pressure ulcer -- Verified--Solution-----full thickness tissue loss
WITH visible muscle, bone or tendon
-tunneling/underminning