NDSU NURS 251- Exam 2- Skin/wound care questions and answers graded A+

NDSU NURS 251- Exam 2- Skin/wound care
questions and answers graded A+
1. Skin Assessment -Completes each shift or PRN
-Look under and around all medical devices (remove if
possi- ble)
-Document all wounds and indicate if presented
admission
-Initiate Care Plan (potential diagnoses?)
-Admission skin assessments can NOT be delegated to
nursing assistants

2. Nursing Assistants roles -vitals
-ongoing skin care needs
-surveillance
-prevention

3. Collaborate with... -wound nurse
-dietitian
-dermatologist
-physician
-pharmacy

4. Wound healing requires -proper circulation
-proper nutrition
-properly functioning immune system
-avoidance of negative mechanical forces
-area not too moist or dry

5. Wound healing process inflammation, proliferation, remodeling/maturation

6. Systematic wound healing de- -Age (very young/old)
lays -Body Build (adipose has poor blood supply, thin patients
have little protection for bony prominences)
-Chronic Disease
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, NDSU NURS 251- Exam 2- Skin/wound care
questions and answers graded A+
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