Nur 185 Exam 2 – Accurate Answers To All
Questions
Save
Practice questions for this set
Learn 1 /7 Study using Learn
Rescue
Alarm
Contain fire
Extinguish/evacuate
Choose an answer
1 RACE 2 stage 1 pressure injury
3 sepsis s/s 4 unstageable pressure ulcer
Don't know?
Terms in this set (49)
stage 1 pressure injury intact skin with nonblanchable redness
stage 2 pressure injury partial thickness skin loss with exposed dermis
, stage 3 pressure ulcer full thickness tissue loss
stage 4 pressure ulcer Full-thickness tissue loss with exposed bone, muscle,
or tendon
unstageable pressure ulcer Full thickness tissue loss in which the base of the
ulcer is covered by slough (yellow, tan, gray, green or
brown) and/or eschar (tan, brown or black) in the
wound bed.
acts to prevent pressure ulcer sensory perception
moisture
activity
mobility
nutrition
friction and shear
Infiltration IV solution leaking outside IV catheter into the
surrounding tissue
phelbitis inflammation/infection of a vein
Extravasation vesicant iv med leaking out of IV catheter into tissue
causing severe damage
air embolism air leaking into vein
intervention: lay on left side, trendelenburg position
speed shock iv medication infusing too fast
Sepsis infection in the blood stream
sepsis s/s low BP, tachycardia, elevated temp, tremors,
confusion and elevated WBC
Questions
Save
Practice questions for this set
Learn 1 /7 Study using Learn
Rescue
Alarm
Contain fire
Extinguish/evacuate
Choose an answer
1 RACE 2 stage 1 pressure injury
3 sepsis s/s 4 unstageable pressure ulcer
Don't know?
Terms in this set (49)
stage 1 pressure injury intact skin with nonblanchable redness
stage 2 pressure injury partial thickness skin loss with exposed dermis
, stage 3 pressure ulcer full thickness tissue loss
stage 4 pressure ulcer Full-thickness tissue loss with exposed bone, muscle,
or tendon
unstageable pressure ulcer Full thickness tissue loss in which the base of the
ulcer is covered by slough (yellow, tan, gray, green or
brown) and/or eschar (tan, brown or black) in the
wound bed.
acts to prevent pressure ulcer sensory perception
moisture
activity
mobility
nutrition
friction and shear
Infiltration IV solution leaking outside IV catheter into the
surrounding tissue
phelbitis inflammation/infection of a vein
Extravasation vesicant iv med leaking out of IV catheter into tissue
causing severe damage
air embolism air leaking into vein
intervention: lay on left side, trendelenburg position
speed shock iv medication infusing too fast
Sepsis infection in the blood stream
sepsis s/s low BP, tachycardia, elevated temp, tremors,
confusion and elevated WBC
