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NUR 2206 ( LATEST 2024 / 2025 ) FINAL EXAM | PASSED | A+ RATED GUIDE | NEW FULL EXAM $15.99   Add to cart

Exam (elaborations)

NUR 2206 ( LATEST 2024 / 2025 ) FINAL EXAM | PASSED | A+ RATED GUIDE | NEW FULL EXAM

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  • NUR 2206 FI

NUR 2206 ( LATEST 2024 / 2025 ) FINAL EXAM | PASSED | A+ RATED GUIDE | NEW FULL EXAM

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  • October 29, 2024
  • 60
  • 2024/2025
  • Exam (elaborations)
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  • NUR 2206 FI
  • NUR 2206 FI
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NUR 2206 FINAL EXAM

1. Surgical Asepsis


"Sterile Technique"

Items are free of all microorganisms including spores & viruses When do you use?
*Surgery
*Urinary Catheterization
*Wound Dressings

2. Principles of Surgical Asepsis


-Sterile packages are sealed in a way that they can be opened without contaminating contents
-Edges of wrapper (1 inch) would be considered NOT sterile
-Raise working surface to waist height
-Keep sterile items between your nipple line & waist
-If there is any doubt about sterility than it is considered unsterile
-NEVER turn your back on sterile field; considered contaminated if you do

3. Factors Affecting Skin Integrity

-Developmental Level

*Infants

thinner skin; susceptible to infection; lower immune system

*Older Adults

thinner skin; less subcutaneous fat

-Circulation

,*Mobility

more mobile = more circulation

*Nutrition/Hydration

heal better

-State of Health
*Physical Stature
-Medical Interventions

4. Wound Healing


-Intentional-planned


Surgery

-Unintentional


Accidental

-Open


Skin surface is broken

-Closed


Injury under skin (surface is intact; Ex. Bruise)

-Acute


Short (surgical incision generally)

*Heals as expected

,-Chronic


Non-healing or takes longer time to heal (Ex. Pressure Ulcer)

*Does NOT heal as expected

5. Factors Affecting Wound Healing

-Pressure to wound (decreased blood flow)

-Desiccation (dry wounds do not heal)
-Maceration (over hydrated skin; too wet)
-Trauma to wound (makes problem worse)
-Edema around the wound (slows down healing)
-Infection (body focuses on infection & less on wound healing)

-Necrosis (Dead Tissue


does not ever heal!)

-Age (can effect immunity)
-Circulation & Oxygenation

-Nutritional Status (protein is important)
-Wound Condition
-Medications & Health Status

6. Types of Wound Healing


Primary Secondary

Tertiary

7. Primary Wound Healing


Clean cut wounds Wound edges are well-approximated (close together) Ex. Surgical Cut

, 8. Secondary Wound Healing


Deep wound

Crater & skin fills back in as opposed to growing back together Ex. Pressure Ulcer & Burns

9. Tertiary Wound Healing


Need to delay closing a wound Delayed primary intention

Primary + secondary
*Start healing with secondary & then finishes with primary
*Fills in first & then comes together
Ex. Abdominal Wound kept open for drainage

10. Wound Complications


Infection Hemorrhage

Dehiscence Evisceration

11. Infection


-Bacteria enters the wound

-Can be hospital-acquired
-Sign & symptoms usually occur in 2-7 days
*Redness, warmth, swelling, pain, purulent drainage, increased WBCS, increased body
temperature
-Wound infection can lead to osteomyelitis or sepsis
*Need to treat ASAP

12. Hemorrhage

-Bleeding

*External or internal

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