GALEN NUR 155 EXAM 3 QUESTIONS WITH ALL
CORRECT & VERIFIED ANSWERS
1.Types of wounds: Intentional or
unintentional Open or closed
Acute or chronic
Partial thickness, full thickness, complex
2.transparent film: autolytic debridement, semi-permeable allows skin to
breathe.
uses: burns, IV sites, stage 1& 2 pressure ulcers, skin tears
3.how do you apply an abdominal binder?: start at typhoid, fasten
from the bottom up
used for support to keep dressing intact
remove every two hours to asses underlying skin and wound
4.Risk factors for pressure ulcers: Fecal and unitary
incontinence Friction and shearing
immobility
inadequate nutrition (decreased protein, Vitamin C, zinc)
Decreased mental status
excessive body heat
(moisture) advanced age
chronic conditions
Diminished sensation
Incorrect positioning
5.Signs of infected pressure ulcer?: Change in color, odor, or drainage.
Sever infections cause fever and increased WBC.
6.During your assessment of a new patient, the nurse notices a Stage I
pressure ulcer, what are the signs that this nurse is correct about this
pressure ulcer being a stage one?: Non-blachable
No opening
7.What do you do for a stage I pressure ulcer?: Apply barrier
creams Reposition patient Q2hr
8.As you assess your new patient you notice a sore on a bony premise that
is blister-like, with partial thickness skin loss, pt is complaining of pain
where the wound is present which stage is this pressure ulcer?: Stage II
9.What type of dressing do you use for a stage II pressure ulcer?:
Mepaplex or Duoderm
10.Full thickness skin loss, involving damage or necrosis of subcutaneous
is what stage pressure ulcer?: Stage III
11.Full thickness skin loss with tissue necrosis, damage to the muscle
and bone, wound goes through nerves and not painful with tunneling
, GALEN NUR 155 EXAM 3 QUESTIONS WITH ALL
CORRECT & VERIFIED ANSWERS
present, which stage is this wound?: Stage IV
, GALEN NUR 155 EXAM 3 QUESTIONS WITH ALL
CORRECT & VERIFIED ANSWERS
12.Treating pressure ulcers: Minimize direct
pressure Reposition Q2hr
Schedule and DOCUMENT position
change use assistive devices
Dressing changes as ordered
Keep sheets dry and wrinkle
free Keep pt dry if incontinent
ROM 3reps 2x daily
13.What is regeneration?: replacement of destroyed tissue by the same
kind of cells
14.Primary intention healing: tissue surfaces are approximated
(closed) and there is minimal or no tissue loss, formation of minimal
granulation tissue and scarring
15.Secondary intention healing: wound in which the tissue surfaces are
not approximated and there is extensive tissue loss; formation of
excessive granulation tissue and scarring and greater risk of infection
16.tertiary intention: Wounds that are left open purposely for 3-5 days
to allow edema and infection to resolve.
17.serous: clear, watery plasma
18.purulent: containing pus, milky like
19.sanguineous: dark bloody drainage
20.Serosanguineous: bright red blood
21.Purosanguineous: pus in the blood
22.When should you use heat therapy?:
Vasodilation Chronic
Increase capillary permeability, cellular metabolism, inflammation
musculoskeletal problems
joint
stiffness
arthritis
contractures and back pain
23.When do you use cold therapy?:
Vasoconstriction acute pain
often used for sport injury (sprains, strains, fractures)
decreased capillary permeability, cellular metabolism, inflammation
24.Factors that affect respiratory function?:
Age Environment
lifestyle
health
, GALEN NUR 155 EXAM 3 QUESTIONS WITH ALL
CORRECT & VERIFIED ANSWERS
status
CORRECT & VERIFIED ANSWERS
1.Types of wounds: Intentional or
unintentional Open or closed
Acute or chronic
Partial thickness, full thickness, complex
2.transparent film: autolytic debridement, semi-permeable allows skin to
breathe.
uses: burns, IV sites, stage 1& 2 pressure ulcers, skin tears
3.how do you apply an abdominal binder?: start at typhoid, fasten
from the bottom up
used for support to keep dressing intact
remove every two hours to asses underlying skin and wound
4.Risk factors for pressure ulcers: Fecal and unitary
incontinence Friction and shearing
immobility
inadequate nutrition (decreased protein, Vitamin C, zinc)
Decreased mental status
excessive body heat
(moisture) advanced age
chronic conditions
Diminished sensation
Incorrect positioning
5.Signs of infected pressure ulcer?: Change in color, odor, or drainage.
Sever infections cause fever and increased WBC.
6.During your assessment of a new patient, the nurse notices a Stage I
pressure ulcer, what are the signs that this nurse is correct about this
pressure ulcer being a stage one?: Non-blachable
No opening
7.What do you do for a stage I pressure ulcer?: Apply barrier
creams Reposition patient Q2hr
8.As you assess your new patient you notice a sore on a bony premise that
is blister-like, with partial thickness skin loss, pt is complaining of pain
where the wound is present which stage is this pressure ulcer?: Stage II
9.What type of dressing do you use for a stage II pressure ulcer?:
Mepaplex or Duoderm
10.Full thickness skin loss, involving damage or necrosis of subcutaneous
is what stage pressure ulcer?: Stage III
11.Full thickness skin loss with tissue necrosis, damage to the muscle
and bone, wound goes through nerves and not painful with tunneling
, GALEN NUR 155 EXAM 3 QUESTIONS WITH ALL
CORRECT & VERIFIED ANSWERS
present, which stage is this wound?: Stage IV
, GALEN NUR 155 EXAM 3 QUESTIONS WITH ALL
CORRECT & VERIFIED ANSWERS
12.Treating pressure ulcers: Minimize direct
pressure Reposition Q2hr
Schedule and DOCUMENT position
change use assistive devices
Dressing changes as ordered
Keep sheets dry and wrinkle
free Keep pt dry if incontinent
ROM 3reps 2x daily
13.What is regeneration?: replacement of destroyed tissue by the same
kind of cells
14.Primary intention healing: tissue surfaces are approximated
(closed) and there is minimal or no tissue loss, formation of minimal
granulation tissue and scarring
15.Secondary intention healing: wound in which the tissue surfaces are
not approximated and there is extensive tissue loss; formation of
excessive granulation tissue and scarring and greater risk of infection
16.tertiary intention: Wounds that are left open purposely for 3-5 days
to allow edema and infection to resolve.
17.serous: clear, watery plasma
18.purulent: containing pus, milky like
19.sanguineous: dark bloody drainage
20.Serosanguineous: bright red blood
21.Purosanguineous: pus in the blood
22.When should you use heat therapy?:
Vasodilation Chronic
Increase capillary permeability, cellular metabolism, inflammation
musculoskeletal problems
joint
stiffness
arthritis
contractures and back pain
23.When do you use cold therapy?:
Vasoconstriction acute pain
often used for sport injury (sprains, strains, fractures)
decreased capillary permeability, cellular metabolism, inflammation
24.Factors that affect respiratory function?:
Age Environment
lifestyle
health
, GALEN NUR 155 EXAM 3 QUESTIONS WITH ALL
CORRECT & VERIFIED ANSWERS
status
