Hondros Nursing Nur 150: Exam 2
questions well answered already
passed
Intact skin with nonblanchable redness - ANS✅✅Stage 1 pressure ulcer
Partial loss of dermis. Shallow open ulcer, usually shiny, or dry. Red-pink wound bed without
sloughing or bruising. - ANS✅✅Stage 2 pressure ulcer
Full thickness tissue loss, subcutaneous fat may be visible. Possible undermining and tunneling. -
ANS✅✅Stage 3 pressure ulcer
Full thickness tissue loss with exposed bone, tendon,or muscle. Slough or eschar may be present as
well as undermining and tunneling. - ANS✅✅Stage 4 pressure ulcer
Full thickness tissue loss, wound base covered by slough and eschar therefor dull depth cannot be
determined. - ANS✅✅Unstageable pressure ulcer
Fibrous tissue in wound bed that can be yellow, tan, gray, green, or brown. - ANS✅✅Slough
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. -
ANS✅✅Nursing interventions to prevent pressure unlcers
All the processes involved in human thought - ANS✅✅Cognition
Nutrition support via tube feedings - ANS✅✅External nutrition
Nutrition supplied intravenously - ANS✅✅Parenteral nutrition
Refers to a set of nutritional based values that serve for both assessing and planning diets -
ANS✅✅DRI
questions well answered already
passed
Intact skin with nonblanchable redness - ANS✅✅Stage 1 pressure ulcer
Partial loss of dermis. Shallow open ulcer, usually shiny, or dry. Red-pink wound bed without
sloughing or bruising. - ANS✅✅Stage 2 pressure ulcer
Full thickness tissue loss, subcutaneous fat may be visible. Possible undermining and tunneling. -
ANS✅✅Stage 3 pressure ulcer
Full thickness tissue loss with exposed bone, tendon,or muscle. Slough or eschar may be present as
well as undermining and tunneling. - ANS✅✅Stage 4 pressure ulcer
Full thickness tissue loss, wound base covered by slough and eschar therefor dull depth cannot be
determined. - ANS✅✅Unstageable pressure ulcer
Fibrous tissue in wound bed that can be yellow, tan, gray, green, or brown. - ANS✅✅Slough
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. -
ANS✅✅Nursing interventions to prevent pressure unlcers
All the processes involved in human thought - ANS✅✅Cognition
Nutrition support via tube feedings - ANS✅✅External nutrition
Nutrition supplied intravenously - ANS✅✅Parenteral nutrition
Refers to a set of nutritional based values that serve for both assessing and planning diets -
ANS✅✅DRI
