HONDROS NUR 150 EXAM 2 FINAL PAPER
COMPLETE QUESTIONS AND ANSWERS
◉ how often should you reposition a chair bound patient.
Answer: every hour
◉ how often should you reposition a patient that is bed bound.
Answer: every 2 hours at a 30 degree angle
◉ whose responsibility is it to properly collect a culture of the
pressure ulcer.
Answer: nurse
◉ how do you properly label a specimen.
Answer: patients name, medical record number, date of birth, date
and time of collection, what the collection is for, your name and
initials. send as quickly as possible to the lab
◉ what are anaerobic collections of.
Answer: inside of body cavities
◉ what are aerobic collections of.
,Answer: wound secretions
◉ occurs when the tissue layers of skin slide on each other , causing
subcutaneous blood vessels to kink or stretch resulting in an
interruption of blood flow to the skin.
Answer: shearing force
◉ the rubbing of skin against another surface produces what.
Answer: friction
◉ what are the 2 mechanical factors that play a common role in the
development of pressure ulcers.
Answer: shearing force and friction
◉ which patients are at risk for pressure ulcers.
Answer: chronically ill, debilitated, older, disabled, or incontinent
patients, patients with spinal cord injuries, circulatory impairment
or poor overall nutrition
◉ how can the nurse assess a patients skin for skin impairment.
Answer: blanching the area
, ◉ a pressure ulcer in a localized area of skin, typically over a bony
prominence , that is intact with nonblanchable redness. Areas may
be painful, firm, soft, warm or cool compared with adjacent tissue.
difficult to detect in patients with dark skin tones.
Answer: Stage 1
◉ partial thickness loss of dermis. shallow open ulcer, usually shiny
or dry, with a red-pink wound bed without slough or bruising. some
may present as serum- filled blisters.
Answer: Stage 2
◉ full tissue thickness loss in which subcutaneous fat is sometimes
visible, but bone, tendon, and muscle are not exposed. if slough is
present it does not obscure the depth of tissue loss. possible
undermining and tunneling.
Answer: Stage 3
◉ full thickness loss with exposed bone, tendon, or muscle.
sometimes slough or eschar is present on some parts of the wound.
Includes undermining and tunneling..
Answer: Stage 4
◉ which stage of pressure ulcer would put a patient at risk for
osteomyelitis.
Answer: stage 4 pressure ulcer
COMPLETE QUESTIONS AND ANSWERS
◉ how often should you reposition a chair bound patient.
Answer: every hour
◉ how often should you reposition a patient that is bed bound.
Answer: every 2 hours at a 30 degree angle
◉ whose responsibility is it to properly collect a culture of the
pressure ulcer.
Answer: nurse
◉ how do you properly label a specimen.
Answer: patients name, medical record number, date of birth, date
and time of collection, what the collection is for, your name and
initials. send as quickly as possible to the lab
◉ what are anaerobic collections of.
Answer: inside of body cavities
◉ what are aerobic collections of.
,Answer: wound secretions
◉ occurs when the tissue layers of skin slide on each other , causing
subcutaneous blood vessels to kink or stretch resulting in an
interruption of blood flow to the skin.
Answer: shearing force
◉ the rubbing of skin against another surface produces what.
Answer: friction
◉ what are the 2 mechanical factors that play a common role in the
development of pressure ulcers.
Answer: shearing force and friction
◉ which patients are at risk for pressure ulcers.
Answer: chronically ill, debilitated, older, disabled, or incontinent
patients, patients with spinal cord injuries, circulatory impairment
or poor overall nutrition
◉ how can the nurse assess a patients skin for skin impairment.
Answer: blanching the area
, ◉ a pressure ulcer in a localized area of skin, typically over a bony
prominence , that is intact with nonblanchable redness. Areas may
be painful, firm, soft, warm or cool compared with adjacent tissue.
difficult to detect in patients with dark skin tones.
Answer: Stage 1
◉ partial thickness loss of dermis. shallow open ulcer, usually shiny
or dry, with a red-pink wound bed without slough or bruising. some
may present as serum- filled blisters.
Answer: Stage 2
◉ full tissue thickness loss in which subcutaneous fat is sometimes
visible, but bone, tendon, and muscle are not exposed. if slough is
present it does not obscure the depth of tissue loss. possible
undermining and tunneling.
Answer: Stage 3
◉ full thickness loss with exposed bone, tendon, or muscle.
sometimes slough or eschar is present on some parts of the wound.
Includes undermining and tunneling..
Answer: Stage 4
◉ which stage of pressure ulcer would put a patient at risk for
osteomyelitis.
Answer: stage 4 pressure ulcer
