NSG-300 Exam 2 Questions with 100% Correct Answers | Verified | Updated 2024

what places patients at risk for pressure ulcers/impaired skin integrity - answer-pressure intensity, pressure duration, tissue tolerance, impaired sensory perception, impaired mobility, alteration in LOC, shear, friction, moisture layers of the skin - answer-epidermis, dermis (collagen) body's defenses against infection - answer-normal flora, inflammatory response, immune response comprehensive wound assessment - answer--ongoing assessment from time of injury, wound care, any condition changes, and on scheduled basis -Important to include cause of injury, history of wound, treatment, description, response to therapy -Braden scale: assesses risk for pressure/skin injury every shift Braden Scale - answer-assesses risk for developing pressure ulcers; includes patient's sensory perception, moisture, activity, mobility, nutrition, friction and shear; the lower the number the higher the risk >9= very high risk 10-12= high risk 13-14= moderate risk 15-18= mild risk 19-23= generally no