CONCEPTS FOR NURSING PRACTICE 4TH
EDITION GIDDENS REVIEW QUESTION SET
WITH ACCURATE ANSWERS
◉ maceration
Answer: overhydration
◉ trauma
Answer: physical injury
◉ edema
Answer: swelling caused by excess fluid trapped in your body's
tissues
◉ necrosis
Answer: death of tissue
◉ wound complications
Answer: -infection
-hemorrhage
-dehiscence(wound separates) and evisceration(protrusion)
,-fistula formation
◉ Dehiscence
Answer: Bursting open of a wound, especially a surgical
abdominal wound
◉ stages of pressure ulcers
Answer: -stage1: nonblanchable erythema of intact skin
-stage2: partial-thickness skin loss
-stage3: full-thickness skin loss; not involving underlying fascia(
epidermis and dermis)
-stage4: full-thickness skin loss with extensive destruction
(epidermis, dermis, and subcutaneous)
-unstageable: base of ulcer covered by slough and/or eschar in
wound bed
◉ measurement of pressure ulcer
Answer: -size of wound
-depth of wound
-presence of undermining, tunneling, or sinus tract(all on wound
bed)
◉ when measuring a wound
Answer: measure from left to right and then top to bottom
, ◉ friction
Answer: occurs when two surfaces rub against each other
◉ shear
Answer: results when one layer of tissue slides over another layer
◉ pressure ulcer
Answer: wound with localized area of injury to the skin and/or
underlying tissue
◉ fistula
Answer: and abnormal passage from an internal organ or vessel to
the outside of the body or from one internal organ or vessel to
another
◉ sinus tract
Answer: a cavity or channel underneath the wound that has the
potential for infection
◉ cleaning a pressure ulcer
Answer: clean w/ each dressing change, gentle motions (patting),
use 0.9% normal saline solution to irrigate and clean, report any
drainage or necrotic tissue
◉ serous drainage
EDITION GIDDENS REVIEW QUESTION SET
WITH ACCURATE ANSWERS
◉ maceration
Answer: overhydration
◉ trauma
Answer: physical injury
◉ edema
Answer: swelling caused by excess fluid trapped in your body's
tissues
◉ necrosis
Answer: death of tissue
◉ wound complications
Answer: -infection
-hemorrhage
-dehiscence(wound separates) and evisceration(protrusion)
,-fistula formation
◉ Dehiscence
Answer: Bursting open of a wound, especially a surgical
abdominal wound
◉ stages of pressure ulcers
Answer: -stage1: nonblanchable erythema of intact skin
-stage2: partial-thickness skin loss
-stage3: full-thickness skin loss; not involving underlying fascia(
epidermis and dermis)
-stage4: full-thickness skin loss with extensive destruction
(epidermis, dermis, and subcutaneous)
-unstageable: base of ulcer covered by slough and/or eschar in
wound bed
◉ measurement of pressure ulcer
Answer: -size of wound
-depth of wound
-presence of undermining, tunneling, or sinus tract(all on wound
bed)
◉ when measuring a wound
Answer: measure from left to right and then top to bottom
, ◉ friction
Answer: occurs when two surfaces rub against each other
◉ shear
Answer: results when one layer of tissue slides over another layer
◉ pressure ulcer
Answer: wound with localized area of injury to the skin and/or
underlying tissue
◉ fistula
Answer: and abnormal passage from an internal organ or vessel to
the outside of the body or from one internal organ or vessel to
another
◉ sinus tract
Answer: a cavity or channel underneath the wound that has the
potential for infection
◉ cleaning a pressure ulcer
Answer: clean w/ each dressing change, gentle motions (patting),
use 0.9% normal saline solution to irrigate and clean, report any
drainage or necrotic tissue
◉ serous drainage
