Skin Integrity and Wound Care (Exam 6)
Questions and Answers (100% Pass)
Stage 1 pressure ulcer - ✔️✔️Intact skin with nonblanchable redness
Stage II pressure ulcer - ✔️✔️partial-thickness skin loss involving epidermis, dermis, or both
Stage III pressure ulcer - ✔️✔️Full-thickness tissue loss with visible fat
Stage IV pressure ulcer - ✔️✔️Full-thickness tissue loss with exposed bone, muscle, or tendon
Describe partial-thickness wounds - ✔️✔️shallow in depth, moist and painful, and the wound
base generally appears red
Describe full-thickness wounds - ✔️✔️extends into the subcutaneous layer, and the depth and
tissue type will vary depending on body location
Primary intention wound - ✔️✔️wound that is closed, heals quickly by epithelialization, with
little scar
Primary intention wound examples - ✔️✔️Surgical incision, wound that is stapled or sutured
Secondary intention wound - ✔️✔️wound edges not approximated, heal by granulation tissue
formation, wound contraction, and epithelialization
Secondary intention wound examples - ✔️✔️pressure ulcers, surgical wounds that have tissue
loss or contamination
Tertiary intention wound - ✔️✔️Wound that is left open for days, then edges are approximated.
Closure of wound is delayed until risk of infection is resolved
Tertiary intention wound examples - ✔️✔️Wounds that are contaminated and required
observation for signs of inflammation
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