Exam
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@
Provide appropriate nursing and collaborative -Primary Prevention:
interventions to promote optimal tissue integrity -Skin hygiene
-Adequate nutrition and hydration
-Avoidance of excessive sun exposure
-Burn safety precautions
-Dermal ulcer prevention
-Activity restriction
-Pressure ulcers→ inspect skin daily, minimize pressure (change positions),
manage moisture (incontinence care, linens, baths, lotion not over bony
prominences)
-Pharmacotherapy
-Phototherapy
-Surgery
-Wound care
-Nutritional support
Describe the clinical manifestations, collaborative care, PAD has strong correlation to CVD and is a marker of advanced systemic
of peripheral artery disease (PAD) of the lower atherosclerosis
extremities Manifestations→ paresthesia, thin/shiny/taut skin, loss of hair on lower legs,
diminished or absent pedal pulses/popliteal/femoral, intermittent claudication,
pallor of foot with leg elevation, reactive hyperemia (redness) of foot in
dependent position (dependent rubor), rest pain
-Tips of toes/foot/lateral malleolus, rounded & smooth, looks "punched out,"
minimal drainage "dry," black eschar or pale pink granulation
Care→ diet modification, cessation of smoking, wt management, hygiene, BP
control, BG regulation, coagulation, cardiovascular and pulmonary support,
surgery (debridement, angioplasty, bypass), keep in dependent position
Exam
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU MurphyNUR 326 AH Exam 1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&####
,Exam
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@
Describe the clinical manifestations, collaborative care of Manifestations→edema unilateral or bilateral, hemosiderin staining, thickened
patients with chronic venous insufficiency, and venous harden skin "leathery appearance," wounds "weep," skin becomes friable, near
leg ulcers (VLU) medial malleolus, irregularly shaped, moderate to large amount of drainage,
yellow slough or dark red "ruddy" granulation, pain worsens when dependent
Care→ compression (thromboembolic deterrent TED hose), moist environment
dressings, high protein diet, elevation, hyperbaric support: angiogenesis,
underlying medical management support, anticoagulants, cessation of risk factors
Identify safety measures to prevent surgical -informed consent
complications -speak up and time out roles
Discuss potential surgical complications -delirium & cognitive dysfunction
-nausea, ileus, constipation
-respiratory depression, atelectasis, pneumonia
-pulmonary embolism, DVT
-wound complications, infection, dehiscence, evisceration
-oliguria (low urine output)
-safety and fall risk
-pain
Implement interventions to prevent surgical -education
complications -turning
-hygiene
Exam
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU MurphyNUR 326 AH Exam 1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&####
,Exam
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@
Correctly stage pressure injuries Stage 1→ skin intact with non-blanchable erythema
Stage 2→ partial thickness loss including epidermis and dermis
Stage 3→ full thickness loss including subcutaneous
Stage 4→ full thickness loss including muscle, bone, and surrounding tissue
Unstageable→ necrosis is present
Deep tissue pressure injury→ persistent non-blanchable deep red, maroon, or
purple discoloration
Discuss the client education for the client with diabetic -Inspect your feet daily
foot ulcers -Bathe feet in lukewarm, never hot, water
-Be gentle when bathing your feet
-Moisturize your feet but not between your toes
-Cut nails carefully
-Never treat corns or calluses yourself
-Wear clean, dry socks
-Keep warm and dry
-Wear closed toe shoes
Exam
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU MurphyNUR 326 AH Exam 1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&####
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@
Provide appropriate nursing and collaborative -Primary Prevention:
interventions to promote optimal tissue integrity -Skin hygiene
-Adequate nutrition and hydration
-Avoidance of excessive sun exposure
-Burn safety precautions
-Dermal ulcer prevention
-Activity restriction
-Pressure ulcers→ inspect skin daily, minimize pressure (change positions),
manage moisture (incontinence care, linens, baths, lotion not over bony
prominences)
-Pharmacotherapy
-Phototherapy
-Surgery
-Wound care
-Nutritional support
Describe the clinical manifestations, collaborative care, PAD has strong correlation to CVD and is a marker of advanced systemic
of peripheral artery disease (PAD) of the lower atherosclerosis
extremities Manifestations→ paresthesia, thin/shiny/taut skin, loss of hair on lower legs,
diminished or absent pedal pulses/popliteal/femoral, intermittent claudication,
pallor of foot with leg elevation, reactive hyperemia (redness) of foot in
dependent position (dependent rubor), rest pain
-Tips of toes/foot/lateral malleolus, rounded & smooth, looks "punched out,"
minimal drainage "dry," black eschar or pale pink granulation
Care→ diet modification, cessation of smoking, wt management, hygiene, BP
control, BG regulation, coagulation, cardiovascular and pulmonary support,
surgery (debridement, angioplasty, bypass), keep in dependent position
Exam
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU MurphyNUR 326 AH Exam 1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&####
,Exam
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@
Describe the clinical manifestations, collaborative care of Manifestations→edema unilateral or bilateral, hemosiderin staining, thickened
patients with chronic venous insufficiency, and venous harden skin "leathery appearance," wounds "weep," skin becomes friable, near
leg ulcers (VLU) medial malleolus, irregularly shaped, moderate to large amount of drainage,
yellow slough or dark red "ruddy" granulation, pain worsens when dependent
Care→ compression (thromboembolic deterrent TED hose), moist environment
dressings, high protein diet, elevation, hyperbaric support: angiogenesis,
underlying medical management support, anticoagulants, cessation of risk factors
Identify safety measures to prevent surgical -informed consent
complications -speak up and time out roles
Discuss potential surgical complications -delirium & cognitive dysfunction
-nausea, ileus, constipation
-respiratory depression, atelectasis, pneumonia
-pulmonary embolism, DVT
-wound complications, infection, dehiscence, evisceration
-oliguria (low urine output)
-safety and fall risk
-pain
Implement interventions to prevent surgical -education
complications -turning
-hygiene
Exam
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU MurphyNUR 326 AH Exam 1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&####
,Exam
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@
Correctly stage pressure injuries Stage 1→ skin intact with non-blanchable erythema
Stage 2→ partial thickness loss including epidermis and dermis
Stage 3→ full thickness loss including subcutaneous
Stage 4→ full thickness loss including muscle, bone, and surrounding tissue
Unstageable→ necrosis is present
Deep tissue pressure injury→ persistent non-blanchable deep red, maroon, or
purple discoloration
Discuss the client education for the client with diabetic -Inspect your feet daily
foot ulcers -Bathe feet in lukewarm, never hot, water
-Be gentle when bathing your feet
-Moisturize your feet but not between your toes
-Cut nails carefully
-Never treat corns or calluses yourself
-Wear clean, dry socks
-Keep warm and dry
-Wear closed toe shoes
Exam
ASU MurphyNUR
1NUR
Spring
3262023
AH326
Exam
ASU
AH MurphyNUR
Exam
1 Spring
1 Spring
2023
326ASU
2023
AH MurphyNUR
Exam
ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@22/2026//2027
1 Spring
3262023
AH ExamASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&############################@@@@@@@@@@@@@@@@2
1 Spring 2023 ASU MurphyNUR 326 AH Exam 1 Spring 2023 ASU Murphy!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~&&&&&&&&####
