COURSE:NUR150 NURSING EXAM QUESTION AND ANSWER
SCHOOL: HONDROS COLLEGE OF NURSING
HONDROS NURSING NUR 150: EXAM 2 STUDY
EXAM NEW REVIEW UPDATE
Stage 1 pressure ulcer - Intact skin with nonblanchable redness
Stage 2 pressure ulcer - Partial loss of dermis. Shallow open
ulcer, usually shiny, or dry. Red- pink wound bed without
sloughing or bruising.
Stage 3 pressure ulcer - Full thickness tissue loss, subcutaneous
fat may be visible. Possible undermining and tunneling.
Stage 4 pressure ulcer - Full thickness tissue loss with exposed
bone, tendon,or muscle. Slough or eschar may be present as
well as undermining and tunneling.
Unstageable pressure ulcer - Full thickness tissue loss, wound
base covered by slough and eschar therefor dull depth cannot
be determined.
Slough - Fibrous tissue in wound bed that can be yellow, tan, gray,
green, or brown.
Nursing interventions to prevent pressure unlcers - Reposition
bed bound pt every two hours, instruct pt in wheelchair to shift
their weight every hour. Use of cushions and barrier cream.
Manage moisture, optimize nutrition and hydration.
Cognition - All the processes involved in human thought
SCHOOL: HONDROS COLLEGE OF NURSING
HONDROS NURSING NUR 150: EXAM 2 STUDY
EXAM NEW REVIEW UPDATE
Stage 1 pressure ulcer - Intact skin with nonblanchable redness
Stage 2 pressure ulcer - Partial loss of dermis. Shallow open
ulcer, usually shiny, or dry. Red- pink wound bed without
sloughing or bruising.
Stage 3 pressure ulcer - Full thickness tissue loss, subcutaneous
fat may be visible. Possible undermining and tunneling.
Stage 4 pressure ulcer - Full thickness tissue loss with exposed
bone, tendon,or muscle. Slough or eschar may be present as
well as undermining and tunneling.
Unstageable pressure ulcer - Full thickness tissue loss, wound
base covered by slough and eschar therefor dull depth cannot
be determined.
Slough - Fibrous tissue in wound bed that can be yellow, tan, gray,
green, or brown.
Nursing interventions to prevent pressure unlcers - Reposition
bed bound pt every two hours, instruct pt in wheelchair to shift
their weight every hour. Use of cushions and barrier cream.
Manage moisture, optimize nutrition and hydration.
Cognition - All the processes involved in human thought
