NURS 3105 Final Review Jeopardy Questions With
Complete Solutions
What are?
Risk factors for pressure injuries, braden scale
Immobility, moisture, decreased sensation, poor nutrition,
friction and shear
How do RF for pressure injuries manifest in a patient?
Immobility (bedbound, unable to reposition, etc)
Moisture (profusely sweating, incontinent,etc)
Decreased sensation (neuropathy, DM, spinal cord injury, etc)
poor nutrition (decreased appetite, % meals consumed, low
albumin level)
friction and shear (unable to lift hips, slides against sheets, slides
down in bed)
What is?
Stage 1 Pressure injury
non-blanchable erythema
Stage 2 pressure injury
partial thickness skin loss with exposed dermis
stage 3 pressure injury
Full-thickness skin loss
stage 4 pressure injury
,Full-thickness skin and tissue loss with exposed or directly
palpable fascia, muscle, tendon, ligament, cartilage or bone in
the ulcer. Slough and/or eschar may be visible.
How do we prevent pressure injuries?
-turning and repositioning
-pressure-reducing mattress
-good nutrtion
-reposition medical devices
-incontinence care
-education
Description of wound tissue that indicates healthy, healing tissue
Granulation tissue
What are terms that describe necrotic tissue?
slough(yellow, cream), eschar(black, hard)
•What are basic principles of wound healing?
•Prevent infection
•Keep wound bed moist
•Debridement if necrotic tissue is present
•Many different cleaning agents (normal saline can be default if
nothing specifically ordered. DO NOT use hydrogen peroxide)
•What are the different types of drainage?
serous, sanguineous, serosanguineous, purulent
serous
, clear, yellow, watery plasma
-normal
sanguineous
bloody drainage; indicates active bleeding
serosanguineous
Pale, red, watery: mixture of clear and red fluid
purulent
containing pus, cream like
Complication of a surgical incision: partial or total separation of
wound layers
Wound dehiscence
Risk factors for dehiscence:
Obesity
DM
Infection
7 Rights of medication administration
DR TIMED
(Dose, route, time, individual, medication, effect/expiration,
documentation)
Medication route with most rapid onset of action
Intravenous
How long does the oral route of administration take
oral ingestion is among the slowest routes of administration
Complete Solutions
What are?
Risk factors for pressure injuries, braden scale
Immobility, moisture, decreased sensation, poor nutrition,
friction and shear
How do RF for pressure injuries manifest in a patient?
Immobility (bedbound, unable to reposition, etc)
Moisture (profusely sweating, incontinent,etc)
Decreased sensation (neuropathy, DM, spinal cord injury, etc)
poor nutrition (decreased appetite, % meals consumed, low
albumin level)
friction and shear (unable to lift hips, slides against sheets, slides
down in bed)
What is?
Stage 1 Pressure injury
non-blanchable erythema
Stage 2 pressure injury
partial thickness skin loss with exposed dermis
stage 3 pressure injury
Full-thickness skin loss
stage 4 pressure injury
,Full-thickness skin and tissue loss with exposed or directly
palpable fascia, muscle, tendon, ligament, cartilage or bone in
the ulcer. Slough and/or eschar may be visible.
How do we prevent pressure injuries?
-turning and repositioning
-pressure-reducing mattress
-good nutrtion
-reposition medical devices
-incontinence care
-education
Description of wound tissue that indicates healthy, healing tissue
Granulation tissue
What are terms that describe necrotic tissue?
slough(yellow, cream), eschar(black, hard)
•What are basic principles of wound healing?
•Prevent infection
•Keep wound bed moist
•Debridement if necrotic tissue is present
•Many different cleaning agents (normal saline can be default if
nothing specifically ordered. DO NOT use hydrogen peroxide)
•What are the different types of drainage?
serous, sanguineous, serosanguineous, purulent
serous
, clear, yellow, watery plasma
-normal
sanguineous
bloody drainage; indicates active bleeding
serosanguineous
Pale, red, watery: mixture of clear and red fluid
purulent
containing pus, cream like
Complication of a surgical incision: partial or total separation of
wound layers
Wound dehiscence
Risk factors for dehiscence:
Obesity
DM
Infection
7 Rights of medication administration
DR TIMED
(Dose, route, time, individual, medication, effect/expiration,
documentation)
Medication route with most rapid onset of action
Intravenous
How long does the oral route of administration take
oral ingestion is among the slowest routes of administration
