wound certification Exam (2025) UPDATE Verified
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Terms in this set (159)
what are 6 risk factor sensory perception, moisture, mobility, activity,
components of Braden nutrition, and shear/friction
Scale for pressure ulcer?
What is the name of the NPUAP (national pressure ulcer advisory panel)
organization that
developed the pressure
ulcer staging?
pathological effect of tissue tolerance, duration of pressure, and intensity of
excessive pressure on soft pressure
tissue can be attributed by
3 factors? what are they?
what are the extrinsic increase in moisture, friction and shearing
factors that impact
pressure ulcers?
friction alone causes only superfical abrasion, but with
gravity it plays a synergistic effect leading to shearing.
how does friction play a
When gravity pushes down on the body and
role in shearing which
resistance (friction) between the patient and surface is
eventually leads to
exerted, shearing occurs. because skin does not
pressure ulcer?
freely move, primary effect of shearing occurs at the
deeper fascial level.
, what are the intrisinc nutritional debilitation, advanced age, low BP, stress,
factors of pressur ulcers? smoking, elevated body temperature
dermoepidermal junction flattens, less nutrient
exchange occurs, less resistance to shearing, changes
Aging skin undergoes
in sensory perception, loss of dermal thickness,
what elements affecting
increased vascular fragility; ability of soft tisuse to
risk for pressure ulcer?
distribute mechanical load w/out comprosing blood
flow is impaired
when pressure is applied to the erythematic area skin
becomes white (blanched), but once relieved,
What does nonblanching
erythema returns -indicating blood flow; however in
erythema indicate in the
nonblanching erythema, skin does not blanche-
skin r/t PU?
indicating impaired blood flow-suggesting tissue
destructon
why does sitting in a chair deep tissue injury or PU is likely to occur sooner
pose more of a risk in skin sitting down because tissue offloading over boney
break down than lying? prominences is higher
purple or maroon localized area of discolored intact
skin skinor blood filled blister; may be preceded by
Describe what you will
painful, firm, mushy, or boggy; skin may be warmer to
see in deep tissue injury?
cooler in adjacent tissue. In dark skin, thin blister or
eschar over a dark wound bed may bee seen
Intact skin with nonblanchable redness of localized
area. Will not see blanching in dark skin, but changes
Describe stage I pressure
in skin tissue consistency (firm vs boggy when
ulcer?
palpated), sensation (pain), and warmer or cooler
temperature may differ from surrounding area
partial-thickness wound where epidermis and tip of
Describe stage II pressure dermis is lost with red-pink wound bed w/out slough.
ulcer? may also present as intact or open/ruptured serum -
filled blister
Questions And Answers | With 100% Correct
Answers graded A+ Guaranteed Success!!
Save
Terms in this set (159)
what are 6 risk factor sensory perception, moisture, mobility, activity,
components of Braden nutrition, and shear/friction
Scale for pressure ulcer?
What is the name of the NPUAP (national pressure ulcer advisory panel)
organization that
developed the pressure
ulcer staging?
pathological effect of tissue tolerance, duration of pressure, and intensity of
excessive pressure on soft pressure
tissue can be attributed by
3 factors? what are they?
what are the extrinsic increase in moisture, friction and shearing
factors that impact
pressure ulcers?
friction alone causes only superfical abrasion, but with
gravity it plays a synergistic effect leading to shearing.
how does friction play a
When gravity pushes down on the body and
role in shearing which
resistance (friction) between the patient and surface is
eventually leads to
exerted, shearing occurs. because skin does not
pressure ulcer?
freely move, primary effect of shearing occurs at the
deeper fascial level.
, what are the intrisinc nutritional debilitation, advanced age, low BP, stress,
factors of pressur ulcers? smoking, elevated body temperature
dermoepidermal junction flattens, less nutrient
exchange occurs, less resistance to shearing, changes
Aging skin undergoes
in sensory perception, loss of dermal thickness,
what elements affecting
increased vascular fragility; ability of soft tisuse to
risk for pressure ulcer?
distribute mechanical load w/out comprosing blood
flow is impaired
when pressure is applied to the erythematic area skin
becomes white (blanched), but once relieved,
What does nonblanching
erythema returns -indicating blood flow; however in
erythema indicate in the
nonblanching erythema, skin does not blanche-
skin r/t PU?
indicating impaired blood flow-suggesting tissue
destructon
why does sitting in a chair deep tissue injury or PU is likely to occur sooner
pose more of a risk in skin sitting down because tissue offloading over boney
break down than lying? prominences is higher
purple or maroon localized area of discolored intact
skin skinor blood filled blister; may be preceded by
Describe what you will
painful, firm, mushy, or boggy; skin may be warmer to
see in deep tissue injury?
cooler in adjacent tissue. In dark skin, thin blister or
eschar over a dark wound bed may bee seen
Intact skin with nonblanchable redness of localized
area. Will not see blanching in dark skin, but changes
Describe stage I pressure
in skin tissue consistency (firm vs boggy when
ulcer?
palpated), sensation (pain), and warmer or cooler
temperature may differ from surrounding area
partial-thickness wound where epidermis and tip of
Describe stage II pressure dermis is lost with red-pink wound bed w/out slough.
ulcer? may also present as intact or open/ruptured serum -
filled blister