Exam (elaborations)
Hondros Nursing Nur 150: Exam 2 Questions with Complete Solutions
- Course
- NUR 150 Hondros
- Institution
- Hondros College School Of Nursing
Hondros Nursing Nur 150: Exam 2 Questions with Complete Solutions
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Hondros Nursing Nur 150: Exam 2 Questions with Complete SolutionsStage 1 pressure ulcer Correct Answer-Intact skin with nonblanchable redness
Stage 2 pressure ulcer Correct Answer-Partial loss of dermis. Shallow open ulcer, usually shiny, or dry. Red-pink wound bed without sloughing or bruising.
Stage 3 pressure ulcer Correct Answer-Full thickness tissue loss, subcutaneous fat may be visible. Possible undermining and tunneling.
Stage 4 pressure ulcer Correct Answer-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 Correct Answer-Full thickness tissue loss, wound base covered by slough and eschar therefor dull depth cannot be determined.
Slough Correct Answer-Fibrous tissue in wound bed that can be yellow, tan, gray, green, or brown.
Nursing interventions to prevent pressure unlcers Correct Answer-
Reposition bed bound pt every two hours, instruct pt in wheelchair to
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