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NUR 205 EXAM 2 Week 3 - 5 Latest 2024 Actual Questions with Verified Answers, 100% Guarantee Pass
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NUR 205 EXAM 2 Week 3 - 5 Latest 2024 Actual Questions with Verified Answers, 100% Guarantee Pass
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NUR 205 EXAM 2 Week 3-5.pdf file:///C:/Users/HP/Desktop/SSSSSSS/NUR%20205%20EXAM%2NUR 205 EXAM 2
1. Largest Organ of the body
Answer The Skin
2. Two layers of the skin
Answer Epidermis and Dermis
3. Epidermis
Answer top layer of skin
4. Stratum Corneum
Answer Outermost layer of the epidermis, which consists of flattened,keratinized cells
5. Define Pressure Ulcers
Answer Described as impaired skin integrity related to unre-lieved, prolonged pressure,
usually over a boney prominence
6. Pressure Ulcer Risk Factors
Answer -decreased mobility
-decreased sensory perception
-fecal or urinary incontinence
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-poor nutrition
7. Individuals at risk for pressure ulcers
Answer -older adults that have experienced atrauma
-those with spinal cord injuries
-those who have sustained a fractured hip
-those in long-term homes or community care, the acutely ill
-individuals with diabetes
-patients in critical care settings (ICU)
8. Dermis
Answer inner layer of skin, provides tensile strength, mechanical support, andprotection for
the underlying muscles, bones, and organs
9. Tissue Ischemia
Answer Pressure applied over a capillary exceeds the normal capillarypressure, and the vessel is
occluded for a prolonged period of time.
10. dermal-epidermal junction
Answer separates dermis and epidermis
11. 3 pressure related factors that contribute to pressure ulcer development-
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Answer -pressure intensity
-pressure duration
-tissue tolerance
12. Non-blanchable hyperemia
Answer redness that persists after palpation and indicatestissue damage
13. Stage 1 Pressure Ulcer
Answer -intact skin with nonblanchable redness
-warm to touch, edema, can be a hardened area
14. Stage 2 Pressure Ulcer
Answer -partial thickness skin loss
-shallow but open
-no slough or drainage
-red/pink wound bed
15. Stage 3 Pressure ulcer
Answer -full thickness tissue loss with visible underlying fat
-NO bone, muscle or tendon is visible
-can have slough
-underminning/tunneling
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