HONDROS NUR 150 - EXAM 1 Questions and Correct Answers/ Latest Update / Already Graded

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Hondros Nursing Nur 150: Exam 2
Questions and Correct Answers/ Latest
Update / Already Graded
Stage 1 pressure ulcer

Ans: Intact skin with nonblanchable redness


Stage 2 pressure ulcer

Ans: Partial loss of dermis. Shallow open ulcer, usually shiny,
or dry. Red-pink wound bed without sloughing or bruising.


Stage 3 pressure ulcer

Ans: Full thickness tissue loss, subcutaneous fat may be visible.
Possible undermining and tunneling.


Stage 4 pressure ulcer

Ans: 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



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Ans: Full thickness tissue loss, wound base covered by slough
and eschar therefor dull depth cannot be determined.


Slough

Ans: Fibrous tissue in wound bed that can be yellow, tan, gray,
green, or brown.


Nursing interventions to prevent pressure unlcers

Ans: 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

Ans: All the processes involved in human thought


External nutrition

Ans: Nutrition support via tube feedings


Parenteral nutrition

Ans: Nutrition supplied intravenously

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