NURS 1010 Week 2 Questions with Verified
Solutions 100% Correct
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Terms in this set (435)
The presence of bacteria on the wound surface or in
Colonized wound tissue; the person does not have signs and
symptoms of an infection.
Slough Dead tissue that is shed from the skin
An injury that develops from the improper use of the
Avoidable Pressure Injury
nursing process
an area where the bone sticks out or projects from
Bony prominence
the flat surface of the body.
Thick, leathery dead tissue that may be loose or
Eschar
adhered to the skin.
Occurs when layers of the skin rub against each other
or when the skin remains in place, and underlying
Shear
tissues move and stretch and tear underlying
capillaries and blood vessels, causing tissue damage.
Bedfast Confined to a bed
Friction The rubbing of one surface against another
Unavoidable Pressure An injury that occurs despite efforts to prevent one
Injury through proper use of the nursing process.
A localized injury to the skin and/or underlying tissue,
Pressure Injury usually over a bony prominence that results from
pressure or pressure in combination with shearing.
Chairfast When someone is confined to a chair
, Older and disabled Age-related skin changes 3 multiple choice options
persons are at great risk
for pressure injuries
because of...
Skin color over a bony area is reddened or a different
The first sign of a pressure
color than surrounding tissue
injury in an area would...
3 multiple choice options
Mrs. Greene keeps sliding Shearing 3 multiple choice options
down in bed. The nurse
tells you to raise the head
of the bed no more than
30 degrees. This position
will prevent tissue damage
caused by...
According to the CMS, the The sacrum 3 multiple choice options
most common site of
pressure injuries is...
A stage 3 pressure injury Exposed subcutaneous fat and slough
would have... 3 multiple choice options
When there is a purple or A suspected deep tissue injury 3 multiple choice options
maroon localized area of
discolored intact skin or a
blood-filled blister, this is...
Five functions of the Protection, thermoregulation, sensation,
integumentary system... excretion/secretion, vitamin D synthesis
Intake The amount of fluid taken in
Anorexia The loss of apetite
Output The amount of fluid lost
Dysphagia Difficulty swallowing
The breathing of fluid, food, vomitus, or an object into
Aspiration
the lungs
Solutions 100% Correct
Save
Terms in this set (435)
The presence of bacteria on the wound surface or in
Colonized wound tissue; the person does not have signs and
symptoms of an infection.
Slough Dead tissue that is shed from the skin
An injury that develops from the improper use of the
Avoidable Pressure Injury
nursing process
an area where the bone sticks out or projects from
Bony prominence
the flat surface of the body.
Thick, leathery dead tissue that may be loose or
Eschar
adhered to the skin.
Occurs when layers of the skin rub against each other
or when the skin remains in place, and underlying
Shear
tissues move and stretch and tear underlying
capillaries and blood vessels, causing tissue damage.
Bedfast Confined to a bed
Friction The rubbing of one surface against another
Unavoidable Pressure An injury that occurs despite efforts to prevent one
Injury through proper use of the nursing process.
A localized injury to the skin and/or underlying tissue,
Pressure Injury usually over a bony prominence that results from
pressure or pressure in combination with shearing.
Chairfast When someone is confined to a chair
, Older and disabled Age-related skin changes 3 multiple choice options
persons are at great risk
for pressure injuries
because of...
Skin color over a bony area is reddened or a different
The first sign of a pressure
color than surrounding tissue
injury in an area would...
3 multiple choice options
Mrs. Greene keeps sliding Shearing 3 multiple choice options
down in bed. The nurse
tells you to raise the head
of the bed no more than
30 degrees. This position
will prevent tissue damage
caused by...
According to the CMS, the The sacrum 3 multiple choice options
most common site of
pressure injuries is...
A stage 3 pressure injury Exposed subcutaneous fat and slough
would have... 3 multiple choice options
When there is a purple or A suspected deep tissue injury 3 multiple choice options
maroon localized area of
discolored intact skin or a
blood-filled blister, this is...
Five functions of the Protection, thermoregulation, sensation,
integumentary system... excretion/secretion, vitamin D synthesis
Intake The amount of fluid taken in
Anorexia The loss of apetite
Output The amount of fluid lost
Dysphagia Difficulty swallowing
The breathing of fluid, food, vomitus, or an object into
Aspiration
the lungs
