NUR210 EXAM 3 questions WITH WELL VERIFIED ANSWERS
Tissue integrity - answer☑️✔️..Structurally intact and functioning skin, subcutaneous tissue,
and mucous membranes
Impaired tissue integrity - answer☑️✔️..Damage to one or more tissue layers
Six categories of impaired tissue integrity - answer☑️✔️..Trauma or injury, loss of perfusion,
immunologic reaction, infection, thermal or radiation, lesions
Skin layers - answer☑️✔️..Epidermis, dermis, subcutaneous
First intention healing - answer☑️✔️..Edges approximated, minimal tissue loss, heals quickly,
minimal scarring
Second intention healing - answer☑️✔️..Open wound, tissue loss, heals from base up, more
scarring, longer healing
Third intention healing - answer☑️✔️..Delayed closure after infection or edema resolves,
deeper scar
Pressure injury - answer☑️✔️..Localized injury to skin or tissue over bony prominence or
device
Primary force of pressure injury - answer☑️✔️..Shearing
Other forces - answer☑️✔️..Pressure and friction
, Risk factors for skin breakdown - answer☑️✔️..Immobility, poor nutrition, moisture, aging,
decreased sensation, chronic illness
Factors affecting wound healing - answer☑️✔️..Infection, necrosis, edema, pressure,
maceration, desiccation, poor hygiene
Promotes wound healing - answer☑️✔️..Nutrition, hydration, clean moist environment,
infection control
Subjective wound data - answer☑️✔️..Pain, history, symptoms
Objective wound data - answer☑️✔️..Size, color, drainage, odor, surrounding skin
Types of drainage - answer☑️✔️..Serous clear, sanguineous bloody, serosanguineous pink,
purulent thick
Stage 1 pressure injury - answer☑️✔️..Non blanchable redness intact skin
Stage 2 - answer☑️✔️..Partial thickness blister or shallow wound
Stage 3 - answer☑️✔️..Full thickness fat visible
Stage 4 - answer☑️✔️..Full thickness bone tendon visible
Prevention interventions - answer☑️✔️..Repositioning, skin care, nutrition, Braden scale use
Tissue integrity - answer☑️✔️..Structurally intact and functioning skin, subcutaneous tissue,
and mucous membranes
Impaired tissue integrity - answer☑️✔️..Damage to one or more tissue layers
Six categories of impaired tissue integrity - answer☑️✔️..Trauma or injury, loss of perfusion,
immunologic reaction, infection, thermal or radiation, lesions
Skin layers - answer☑️✔️..Epidermis, dermis, subcutaneous
First intention healing - answer☑️✔️..Edges approximated, minimal tissue loss, heals quickly,
minimal scarring
Second intention healing - answer☑️✔️..Open wound, tissue loss, heals from base up, more
scarring, longer healing
Third intention healing - answer☑️✔️..Delayed closure after infection or edema resolves,
deeper scar
Pressure injury - answer☑️✔️..Localized injury to skin or tissue over bony prominence or
device
Primary force of pressure injury - answer☑️✔️..Shearing
Other forces - answer☑️✔️..Pressure and friction
, Risk factors for skin breakdown - answer☑️✔️..Immobility, poor nutrition, moisture, aging,
decreased sensation, chronic illness
Factors affecting wound healing - answer☑️✔️..Infection, necrosis, edema, pressure,
maceration, desiccation, poor hygiene
Promotes wound healing - answer☑️✔️..Nutrition, hydration, clean moist environment,
infection control
Subjective wound data - answer☑️✔️..Pain, history, symptoms
Objective wound data - answer☑️✔️..Size, color, drainage, odor, surrounding skin
Types of drainage - answer☑️✔️..Serous clear, sanguineous bloody, serosanguineous pink,
purulent thick
Stage 1 pressure injury - answer☑️✔️..Non blanchable redness intact skin
Stage 2 - answer☑️✔️..Partial thickness blister or shallow wound
Stage 3 - answer☑️✔️..Full thickness fat visible
Stage 4 - answer☑️✔️..Full thickness bone tendon visible
Prevention interventions - answer☑️✔️..Repositioning, skin care, nutrition, Braden scale use
