Hondros Nursing Nur 150: Exam 2 Questions
Latest 2023 GRADED A+
Stage 1 pressure ulcer - correct answers ✅Intact skin with non blanchable
redness
Stage 2 pressure ulcer - correct answers ✅Partial loss of dermis. Shallow
open ulcer, usually shiny, or dry. Red-pink wound bed without sloughing or
bruising.
Stage 3 pressure ulcer - correct answers ✅Full thickness tissue loss,
subcutaneous fat may be visible. Possible undermining and tunneling.
Stage 4 pressure ulcer - correct answers ✅Full thickness tissue loss with
exposed bone, tendon,or muscle. Slough or eschar may be present as well as
undermining and tunneling.
Unstageable pressure ulcer - correct answers ✅Full thickness tissue loss,
wound base covered by slough and eschar therefor dull depth cannot be
determined.
Slough - correct answers ✅Fibrous tissue in wound bed that can be yellow,
tan, gray, green, or brown.
Nursing interventions to prevent pressure unlcers - correct answers
✅Reposition bed bound pt every two hours, instruct pt in wheelchair to
shift their weight every hour. Use of cushions and barrier cream. Manage
moisture, optimize nutrition and hydration.
Latest 2023 GRADED A+
Stage 1 pressure ulcer - correct answers ✅Intact skin with non blanchable
redness
Stage 2 pressure ulcer - correct answers ✅Partial loss of dermis. Shallow
open ulcer, usually shiny, or dry. Red-pink wound bed without sloughing or
bruising.
Stage 3 pressure ulcer - correct answers ✅Full thickness tissue loss,
subcutaneous fat may be visible. Possible undermining and tunneling.
Stage 4 pressure ulcer - correct answers ✅Full thickness tissue loss with
exposed bone, tendon,or muscle. Slough or eschar may be present as well as
undermining and tunneling.
Unstageable pressure ulcer - correct answers ✅Full thickness tissue loss,
wound base covered by slough and eschar therefor dull depth cannot be
determined.
Slough - correct answers ✅Fibrous tissue in wound bed that can be yellow,
tan, gray, green, or brown.
Nursing interventions to prevent pressure unlcers - correct answers
✅Reposition bed bound pt every two hours, instruct pt in wheelchair to
shift their weight every hour. Use of cushions and barrier cream. Manage
moisture, optimize nutrition and hydration.
