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NUFT - 204: (Exam 2) Skin Integrity & Wound Care Exam Questions and Answers 100% Solved $10.49   Add to cart

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NUFT - 204: (Exam 2) Skin Integrity & Wound Care Exam Questions and Answers 100% Solved

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NUFT - 204: (Exam 2) Skin Integrity & Wound Care Exam Questions and Answers 100% Solved epidermis - top layer of skin dermis - inner layer of skin + collagen dermal-epidermal junction - separates dermis and epidermis names for pressure ulcers - pressure sore, decubitus ulcer, or bed sore ti...

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  • October 5, 2024
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NUFT - 204: (Exam 2) Skin Integrity &

Wound Care Exam Questions and

Answers 100% Solved


epidermis - ✔✔top layer of skin

dermis - ✔✔inner layer of skin + collagen

dermal-epidermal junction - ✔✔separates dermis and epidermis

names for pressure ulcers - ✔✔pressure sore, decubitus ulcer, or bed

sore

tissue ischemia - ✔✔death of skin bc lack of blood flow

blanching - ✔✔skin goes pale when pressed then goes back to pink

when released (think nails)

risk factors for pressure ulcer development - ✔✔Impaired sensory

perception

Impaired mobility

Alteration in LOC

Shear

, Friction

Moisture

friction - ✔✔*superficial / visible injury*

= the mechanical force exerted when skin is dragged across a coarse

surface (such as bed linens)

shear - ✔✔*internal injury*

= affected by the amount of pressure exerted, the coefficient of friction

between the materials contacting each other, and the extent to which the

body makes contact with the support surface

classification of pressure ulcers - ✔✔Stage I

Stage II

Stage III

StageIV

Unstageable

stage I pressure ulcer - ✔✔intact skin with nonblanchable redness

stage II pressure ulcer - ✔✔*partial thickness skin loss* involving

epidermis, dermis, or both (can be a scab, bloody, or blister)

stage III pressure ulcer - ✔✔full thickness tissue loss with *visible fat*

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