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NURSE WISEMAN 2026/2027 MEDICINE
,NURS 120 Exam 2 Nurse Practitioners
Review Exam (Latest 2026/ 2027
Update) 100% Verified Questions &
Answers | Grade A+
tissue integrity
health of skin and tissues, influenced by genetics and
external factors like injuries
what 3 internal things influence tissue integrity?
- age
- genetics
- health
who is at increased risk for poor tissue integrity? (4
things)
- elders
- chronic illness
- poor nutrition
- people on bedrest
what things should be evaluated when assessing skin
integrity?
the patient's skin..
- color & temperature
- texture & moisture
- lesions & integrity (health)
,describe the braden scale:
a scale to assess a patient's risk for pressure injuries, with
scores from 1 to 4
1 = completely limited (↑ risk)
4 = no limitations (↓ risk)
"Silly Monkeys Always Make New Friends"
six categories:
1) sensory perception: can the patient feel pressure or
pain?
1 = unable to feel, 4 = fully aware / can feel pressure
2) moisture: is the skin hydrated or is it dry?
1 = always wet, 4 = always dry
3) activity: how often does the patient move?
1 = immobile (unable to move), 4 = very active
4) mobility: can the patient change positions?
1 = immobile (unable to move), 4 = moves easily
5) nutrition: is the patient eating?
1 = poor intake / nutrition, 4 = good / proper nutrition
6) friction / shear: is the skin rubbing against surfaces?
1 = high risk for friction/shear, 4 = no risk at all
elimination
, removing waste from the body through two main ways:
kidneys (filter waste from blood and produces urine)
intestines (eliminates waste as feces)
polyuria
producing abnormally large amount of urine
risk: loss of electrolytes, dehydration
anuria
absence of urine production, < 100 mL a day (about the
size of a urine cup)
risk: swelling, high blood pressure, kidney failure
oliguria
little urine production < 400 mL a day (about the size of a
small urine jug)
risk: swelling, high blood pressure, kidney failure