nursing 205 exam 2 hondros Questions and Answers(A+ Solution guide)

tissue integrity - Answer-the ability of body tissues to regenerate and/or repair to maintain normal physiological processes interventions to maintain tissue integrity - Answer-reposition turning adequate nutrition skin assessments blanching test - Answer-A test of the rate of capillary refill; blanching means to cause to become pale by applying digital pressure. Non-blanchable - Answer-skins stay very red even with finger pressure; indicates severe skin injury Stage 1 pressure ulcer - Answer-intact skin with nonblanchable redness stage 2 pressure ulcer - Answer-partial thickness skin loss involving epidermis, dermis, or both red/pink noist blister et shallow crater stage 3 pressure ulcer - Answer-full thickness tissue loss with visible fat stage 4 pressure ulcer - Answer-Full-thickness tissue loss with exposed bone, muscle, or tendon debridement - Answer-Removal of foreign matter or dead tissue from a wound promotes healing eschar - Answer-a thick layer of dead tissue and tissue fluid that develops over a deep burn area Types of drainage - Answer-serous, sanguineous, serosanguineous, purulent serous drainage - Answer-clear, watery fluid clear yellowserosanguineous drainage - Answer-thin, watery drainage that is blood-tinged sanguineous drainage - Answer-bloody drainage purulent drainage - Answer-thick green, yellow, or brown drainage Braden Scale - Answer-A tool for predicting pressure ulcer risk lactose intolerance - Answer-The inability to completely digest the milk sugar lactose symptoms of lactose intolerance - Answer-bloating, abdominal discomfort, diarrhea gas clear liquid diet - Answer-a diet that consists of foods that are liquid at room temperature and leave little residue in the intestine. Ex: Water, Sprite, Ginger Ale, all beverages without any residue, broth, Jello iron rich foods - Answer-red Meat, fish, poultry, legumes. spinach, liver or organ meat, tofu anorexia nervosa - Answer-An eating disorder characterized by an obstinate and willful refusal to eat, a distorted body image, and an intense fear of being fat signs of anorexia nervosa - Answer-A refusal to keep one's body weight at or above a normal weight for age and height; extreme weight loss, muscle wasting, eats very little insufficient nutrition excessive nutrition - Answer-common obesity weight gain/ nutritional toxicity excessive calorie intake FICA - Answer-spiritual assessment tool