NUFT-204 EXAM 2 REVIEW QUESTIONS WITH CORRECT DETAILED ANSWERS GRADED A+
Pressure intensity can lead to - Answer-Tissue Ischemia- when the pressure applied over a capillary exceeds normal capillary pressure and vessel is occluded for a prolonged period of time
Blanching- occurs when the norma...
NUFT-204 EXAM 2 REVIEW QUESTIONS
WITH CORRECT DETAILED ANSWERS
GRADED A+
Pressure intensity can lead to - Answer-Tissue Ischemia- when the pressure applied
over a capillary exceeds normal capillary pressure and vessel is occluded for a
prolonged period of time
Blanching- occurs when the normal red tones are absent in light skin tones, darker skin
tones may not show blanching
Stages of pressure ulcers - Answer--stage1: nonblanchable erythema of intact skin
-stage2: partial-thickness skin loss
-stage3: full-thickness skin loss; visible fat
-stage4: full-thickness skin loss with extensive destruction (epidermis, dermis, and
subcutaneous) exposed bone, muscle or tendon
-unstageable: base of ulcer covered by slough and/or eschar in wound bed
Risk Factors for pressure ulcer development - Answer-impaired sensory perception,
impaired mobility, altered level of consciousness, shear, friction, moisture
Complications of wound healing - Answer-hemorrhage, infection, dehiscence,
evisceration
How does the Braden Scale work? - Answer-The higher the number, the lower the risk
for skin impairment (6-23 scale)
(must assess patient every shift using the scale)
What are economic consequences of pressure ulcers? - Answer-medicare & medicaid
will not reimbursement for care related to stage III and IV pressure ulcers that occur
during the hospitalization
Factors influencing pressure ulcer formation and wound healing - Answer-Nutrition
Tissue Perfusion
Infection
Age
Psychosocial impact of wounds
Different types of wound drainage - Answer-Serous- clear watery plasma
Purulent- Thick, yellow, green, tan, or brown
Serosanguineous- pale, pink, watery mixture of clear and red fluid
Sanguineous- bright red, active bleeding
Benefits of physical activity - Answer--Elevates mood and attitude.
-Enables physical fitness.
-Helps one to quit smoking and stay tobacco-free.
-Boosts energy levels.
-Helps in the management of stress.
-Promotes a better quality of sleep.
-Improves self-image and self-confidence.
center of gravity - Answer-the point around which an object's weight is evenly distributed
55% to 57% of standing height and are in the midline
Factors Influencing activity and exercise - Answer-Cultural Background
Environmental Issues
Family and Social Support
Important critical thinking attitudes - Answer-encouragement, support, commitment, and
perseverance
Readiness to exercise - Answer-socioeconomic factors
physical health
body alignment
mobility
How do you assist a falling patient? - Answer-stand with feet apart to provide a broad
base of support
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