NURSING 205 EXAM 2 HONDRO QUESTIONS AND ANSWERS 100% CORRECT COMPLETE AND WELL EXPLAINED BY EXPERTS GRADED A+ WITH RATIONALES WELL ELABORATED LATEST UPDATE 2024 GUARANTEED SUCCESS[ALL YOU NEED TO PASS YOUR EXAMS] tissue integrity the ability of body tissues to regenerate and/or repair to maintain normal physiological processes interventions to maintain tissue integrity reposition turning adequate nutrition skin assessments blanching test A test of the rate of capillary refill; blanching means to cause to become pale by applying digital pressure. Non-blanchable skins stay very red even with finger pressure; indicates severe skin injury Stage 1 pressure ulcer intact skin with nonblanchable redness stage 2 pressure ulcer partial thickness skin loss involving epidermis, dermis, or both red/pink noist blister et shallow crater stage 3 pressure ulcer full thickness tissue loss with visible fat stage 4 pressure ulcer Full-thickness tissue loss with exposed bone, muscle, or tendon debridement Removal of foreign matter or dead tissue from a wound promotes healing eschar a thick layer of dead tissue and tissue fluid that develops over a deep burn area Types of drainage serous, sanguineous, serosanguineous, purulent serous drainage clear, watery fluid clear yellow serosanguineous drainage thin, w
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