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NSG 3100 Exam test preparation Questions and Must have marking scheme Updated version 2024/2025 $11.49   Add to cart

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NSG 3100 Exam test preparation Questions and Must have marking scheme Updated version 2024/2025

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  • NSG 3100
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  • NSG 3100

NSG 3100 Exam test preparation Questions and Must have marking scheme Updated version 2024/2025 Pressure Ulcer Phases - correct answer Deep tissue injury: intact skin is purple or maroon; unable to see the wound bed Stage 1: skin intact; usually over a bony prominence; area is red and does no...

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  • August 20, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NSG 3100
  • NSG 3100
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KieranKent55
NSG 3100 Exam test preparation
Questions and Must have marking
scheme Updated version 2024/2025

Pressure Ulcer Phases - correct answer Deep tissue injury:
intact skin is purple or maroon; unable to see the wound bed


Stage 1: skin intact; usually over a bony prominence; area is red
and does not blanch
Abnormal reactive hyperthermia


Stage 2: skin is not intact; superficial - loss of epidermis or
dermis; open or fluid filled
blister; or shallow crater


Stage 3: full thickness; damage extends down to the fascia; bone,
tendon, and muscle
are not exposed
Tunneling present


Stage 4: full thickness with exposed or palpable muscle, tendon,
or bone; often includes
undermining or tunneling; slough and eschar are often present


Unstageable:
base is completely covered with slough or eschar; cannot see the
wound bed

,Treatment for Pressure Ulcers - correct answer
Minimize/reduce pressure


Schedules position changes


Pressure reducing devices


surgical asepsis for wound care


No alcohol or Hydrogen Peroxide


obtain C'S if infected


Educate Client


Range or Motions


RYB color code - correct answer R-RED
-granulation tissue
-needs protected, keep clean, cover, change dressing frequently,
keep moist.
Y-YELLOW
-slough or purulent drainage
-needs yellow removed, specialty dressings or mechanical
removal.
B-BLACK
-necrotic tissue

, -needs removed/debridement. Sharp, mechanical, chemical,
autolytic.


Documenting - correct answer Documenting
Location r/t bony prominences


Size in centimeters: measure greatest length, width and depth.


Measure presence of undermining or sinus tracts (position on a
clock)
Stage


Color of the wound bed


Necrosis or eschar


Wound margins


Surrounding skin integrity


Clinical signs of infection: redness, warmth, swelling, pain, odor,
exudate
Drainage


Drainage - correct answer Purosanguineous (yellowish-red): pus
and blood present. New infected wound


Serosanguineous (pink): clear and blood-tinged drainage

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