COMPREHENSIVE FUNDAMENTALS OF
NURSING STUDY GUIDE 2026
◉ Stage II Pressure Injury.
Answer: Partial thickness loss of skin, presenting as a shallow open
ulcer with a red-pink wound bed, without slough.
◉ Stage III Pressure Injury.
Answer: Full thickness tissue loss, where subcutaneous fat may be
visible, but bone, tendon, or muscle are not exposed.
◉ Stage IV Pressure Injury.
Answer: Full thickness tissue loss with exposed bone, tendon, or
muscle, and often includes undermining and tunneling.
◉ What are interventions for patients at risk for pressure injuries?.
Answer: Interventions include regular repositioning of the patient,
using pressure-relieving devices (like specialized mattresses),
maintaining skin hygiene, ensuring adequate nutrition and
hydration, and conducting regular skin assessments.
◉ What should be done for patients with active pressure injuries?.
,Answer: For patients with active pressure injuries, treatment
includes cleaning the wound, applying appropriate dressings,
managing pain, ensuring proper nutrition for healing, and possibly
using advanced therapies like negative pressure wound therapy.
◉ What is the role of repositioning in preventing pressure injuries?.
Answer: Repositioning helps to relieve pressure on vulnerable areas
of the skin, reducing the risk of tissue ischemia and subsequent
injury.
◉ What types of pressure-relieving devices are used?.
Answer: Types of pressure-relieving devices include foam
mattresses, air-filled cushions, and specialized beds that alternate
pressure points.
◉ Why is nutrition important in preventing pressure injuries?.
Answer: Adequate nutrition is crucial as it supports skin integrity
and healing processes, helping to prevent the development of
pressure injuries.
◉ Signs of an infected wound.
Answer: Common signs include redness, swelling, warmth, pain, pus
or other drainage, and sometimes fever.
, ◉ Specimens (label).
Answer: Specimens should be properly labeled with the patient's
name, date, time of collection, and type of specimen to ensure
accurate diagnosis and treatment.
◉ Orders expected for patients with infection.
Answer: Orders may include blood cultures, wound cultures,
imaging studies, and prescriptions for antibiotics or other
treatments.
◉ Braden Scale.
Answer: A tool used to assess a patient's risk of developing pressure
ulcers.
◉ Purpose of the Braden Scale.
Answer: To identify individuals at risk for pressure injuries to
implement preventive measures.
◉ When to use the Braden Scale.
Answer: Typically used upon patient admission and periodically
during hospitalization.
◉ Categories of the Braden Scale.