What principles should be followed in managing a stage 2 skin tear? It is triangular in
shape and has a viable flap of tissue. The surrounding skin appears thin, transparent,
and dry; there is minimal wound exudate. (L3)
1. Hydrocolloid dressing
2. Roll the flap back into place
3. Calcium alginate and bordered foam dressing
4. Noon-adhesive or soft silicone adhesive dressing
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2, 4
Papule
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Elevated, superficial lesion; <0.5cm diameter
Cellular senescence contributes to non-healing wounds because key cells fail to
reproduce and to engage in the activities critical to repair (e.g. fibroblasts fail to
reproduce and to synthesize collagen.) (L1)
True or False
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True
Vesicle
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Superficial, fluid-filled blister; <0.5cm diameter
Bulla
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Superficial, fluid-filled blister; >0.5cm diameter
, Macule
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Flat area clearly defined by a change in skin color; <0.5cm diameter
Match to appropriate category based on the effect of the time required for epidermal
regeneration
A. Reduced Time for Epidermal Regeneration (rate of epidermal mitosis is increased)
B. Increased Time for Epidermal Regeneration (results in thinning of epidermis)
Options:
1. Skin Loss
2. Aging
3. Steroids
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A-1
B - 2,3
J.P. is an 8 year old, 12 kg female with cerebral palsy, developmental delay, and
seizures. She was admitted for hypernatremic dehydration secondary to severe
malnutrition.
- Has a stage 3 pressure injury to her sacrum and a stage 1 to her right ear
- Immobile, incontinent of bladder and bowel, frequently diaphoretic and is unable to
communicate verbally.
- Whimpers with turning.
shape and has a viable flap of tissue. The surrounding skin appears thin, transparent,
and dry; there is minimal wound exudate. (L3)
1. Hydrocolloid dressing
2. Roll the flap back into place
3. Calcium alginate and bordered foam dressing
4. Noon-adhesive or soft silicone adhesive dressing
Give this one a try later!
2, 4
Papule
,Give this one a try later!
Elevated, superficial lesion; <0.5cm diameter
Cellular senescence contributes to non-healing wounds because key cells fail to
reproduce and to engage in the activities critical to repair (e.g. fibroblasts fail to
reproduce and to synthesize collagen.) (L1)
True or False
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True
Vesicle
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Superficial, fluid-filled blister; <0.5cm diameter
Bulla
Give this one a try later!
Superficial, fluid-filled blister; >0.5cm diameter
, Macule
Give this one a try later!
Flat area clearly defined by a change in skin color; <0.5cm diameter
Match to appropriate category based on the effect of the time required for epidermal
regeneration
A. Reduced Time for Epidermal Regeneration (rate of epidermal mitosis is increased)
B. Increased Time for Epidermal Regeneration (results in thinning of epidermis)
Options:
1. Skin Loss
2. Aging
3. Steroids
Give this one a try later!
A-1
B - 2,3
J.P. is an 8 year old, 12 kg female with cerebral palsy, developmental delay, and
seizures. She was admitted for hypernatremic dehydration secondary to severe
malnutrition.
- Has a stage 3 pressure injury to her sacrum and a stage 1 to her right ear
- Immobile, incontinent of bladder and bowel, frequently diaphoretic and is unable to
communicate verbally.
- Whimpers with turning.
