Wound staging - Study guides, Class notes & Summaries

The nurse is admitting an older patient from a nursing home. During the assessment, the nurse notes a shallow open reddish, pink ulcer without slough on the right heel of the patient. How will the nurse stage this pressure ulcer? a. Stage I b. Stage II c. Stage III d. Stage IV ANS: B This would be a Stage II pressure ulcer because it presents as partial-thickness skin loss involving epidermis and dermis. The ulcer presents clinically as an abrasion, blister, or shallow crater. Stage I ...

what places patients at risk for pressure ulcers/impaired skin integrity -ANSWER pressure intensity, pressure duration, tissue tolerance, impaired sensory perception, impaired mobility, alteration in LOC, shear, friction, moisture layers of the skin -ANSWER epidermis, dermis (collagen) body's defenses against infection -ANSWER normal flora, inflammatory response, immune response comprehensive wound assessment -ANSWER -ongoing assessment from time of injury, wound care, any condition ch...

NSG 300 Exam 2 Questions With Complete Solution what places patients at risk for pressure ulcers/impaired skin integrity - answerpressure intensity, pressure duration, tissue tolerance, impaired sensory perception, impaired mobility, alteration in LOC, shear, friction, moisture layers of the skin - answerepidermis, dermis (collagen) body's defenses against infection - answernormal flora, inflammatory response, immune response comprehensive wound assessment - answer-ongoing assessment fr...

NSG 300 Exam 2 Questions With Complete Solution what places patients at risk for pressure ulcers/impaired skin integrity - answerpressure intensity, pressure duration, tissue tolerance, impaired sensory perception, impaired mobility, alteration in LOC, shear, friction, moisture layers of the skin - answerepidermis, dermis (collagen) body's defenses against infection - answernormal flora, inflammatory response, immune response comprehensive wound assessment - answer-ongoing assessment fr...

NSG-300 Exam 2 Questions And Answers (Verified And Updated) What are 3 pressure related factors that contribute to pressure ulcer development? - answer1. Pressure Intensity 2. Pressure Duration 3. Tissue Tolerance How does pressure lead to tissue ischemia? - answerIf pressure applied over a capillary exceeds normal capillary pressure and the vessel is occluded for a prolonged time What occurs is tissue ischemia is left untreated? - answertissue death Does blanching occur in dark skinned...

NSG-300 Exam 2 Questions And Answers (Verified And Updated) what places patients at risk for pressure ulcers/impaired skin integrity - answerpressure intensity, pressure duration, tissue tolerance, impaired sensory perception, impaired mobility, alteration in LOC, shear, friction, moisture layers of the skin - answerepidermis, dermis (collagen) body's defenses against infection - answernormal flora, inflammatory response, immune response comprehensive wound assessment - answer-ongoing a...

NCLEX-PN NGN EXAM 2023/2024 Question No : 1 - Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of: A. primary prevention. B. secondary prevention. C. tertiary prevention. D. primary health care prevention. Answer: B Explanation: Secondary prevention targets the reduction of disease prevalence and disease morbidity through early diagnosis and treatment. Physiological Adaptation Question No : 2 - Which of the following foods is ...

what are 6 risk factor components of Braden Scale for pressure ulcer? - ANSWERsensory perception, moisture, mobility, activity, nutrition, and shear/friction What is the name of the organization that developed the pressure ulcer staging? - ANSWERNPUAP (national pressure ulcer advisory panel) pathological effect of excessive pressure on soft tissue can be attributed by 3 factors? what are they? - ANSWERtissue tolerance, duration of pressure, and intensity of pressure what are the extrins...

NSG-300 Exam 2 Questions And Answers (Verified And Updated) What are 3 pressure related factors that contribute to pressure ulcer development? - answer1. Pressure Intensity 2. Pressure Duration 3. Tissue Tolerance How does pressure lead to tissue ischemia? - answerIf pressure applied over a capillary exceeds normal capillary pressure and the vessel is occluded for a prolonged time What occurs is tissue ischemia is left untreated? - answertissue death Does blanching occur in dark skinned...

NSG-300 Exam 2 Questions & Answers(Graded A)what places patients at risk for pressure ulcers/impaired skin integrity -ANSWER pressure intensity, pressure duration, tissue tolerance, impaired sensory perception, impaired mobility, alteration in LOC, shear, friction, moisture layers of the skin -ANSWER epidermis, dermis (collagen) body's defenses against infection -ANSWER normal flora, inflammatory response, immune response comprehensive wound assessment -ANSWER -ongoing assessment from ...