Skin Integrity and Wound Care NP1 Exam 1 Questions And Answers Rated A+ Assured Satisfaction.

Collagen - correct answer tough, fibrous protein pressure ulcer - correct answer Inflammation, sore, or ulcer in the underlying tissue over a bony prominence as a result of pressure with shear or friction tissue ischemia - correct answer point at which tissues receive insufficient oxygen and perfusion blanching - correct answer occurs when the normal red tones of the light-skinned patient are absent blanchable hyperemia - correct answer redness of the skin due to dilation of the superficial capillaries. When pressure is applied to the skin, the area blanches Nonblanchable erythema - correct answer if the erythematous area does not blanch when you apply pressure, deep tissue damage is probable induration - correct answer abnormal hard spots Stage 1 pressure ulcer - correct answer intact skin with nonblanchable redness Stage II pressure ulcer - correct answer partial thickness skin loss Stage III pressure ulcer - correct answer Full-thickness tissue loss with no bone, tendon, or muscle visible Stage IV pressure ulcer - correct answer Full-thickness tissue loss with exposed bone, tendon, or muscle unstageable pressure ulcer - correct answer A full-thickness wound in which the amount of necrotic tissue, or eschar, in the wound bed makes it impossible to assess the depth of the wound or the involvement of underlying structures Fluctuance - correct answer Palpable fluid beneath the skin indicative of infection/pus Granulation tissue - correct answer new tissue that is pink/red in color and composed of fibroblasts and small blood vessels that fill an open wound when it starts to heal slough - correct answer stringy substance attached to wound bed eschar - correct answer black or brown necrotic tissue exudate - correct answer fluid, such as pus, that leaks out of an infected wound wound - correct answer A break in the skin or mucous membrane Primary intention healing - correct answer primary union of the edges of a wound, progressing to complete scar formation without granulation approximated - correct answer closed, with the wound's edges touching each other Secondary intention healing - correct answer wound in which the tissue surfaces are not approximated and there is extensive tissue loss; formation of excessive granulation tissue and scarring hemostasis - correct answer stoppage of bleeding fibrin - correct answer protein that forms the basis of a blood clot epithelialization - correct answer stage of wound healing in which epithelial cells form across the surface of a wound; tissue color ranges from the color of "ground glass" to pink hemorrhage - correct answer Excessive or profuse bleeding hematoma - correct answer a solid swelling of clotted blood within the tissues. Evisceration - correct answer The displacement of organs outside of the body. What is measured in the Braden Scale for Pressure ulcers? - correct answer Sensory perception, Moisture, Activity, Mobility, Nutrition, Friction and Shear What selected nutrients assist in wound healing? - correct answer Calories, Protein, Vitamin C, Vitamin A, Zinc, Fluids Common pressure ulcer sites - correct answer Occipital bone, Scapula, Spinous process, Elbow, Iliac crest, Sacrum, Ischium, Achilles tendon, Heel, Sole, Ear, Shoulder, Anterior iliac spine, Trochanter, Thigh, Medial knee, Lateral knee, Lower leg, Medial malleolus, Lateral malleolus, Lateral edge of foot, Posterior knee abrasion - correct answer Scrape of the skin due to something abrasive laceration - correct answer a cut, tear puncture - correct answer a small hole made by a sharp object Characters of wound drainage - correct answer serous, sanguineous, serosanguineous, and purulent serous drainage - correct answer clear, watery plasma sanguineous drainage - correct answer Bright red; indicates active bleeding serosanguineous drainage - correct answer Pale, pink, watery; mixture of clear and red fluid purulent drainage - correct answer thick green, yellow, or brown drainage shearing force - correct answer combination of friction and pressure reactive hyperemia - correct answer a bright red flush on the skin occurring after pressure is relieved debridement - correct answer removal of foreign material and dead or damaged tissue from a wound Vacuum-assisted closure (V.A.C.) - correct answer device that assists in wound closure by applying localized negative pressure to draw the edges of a wound together sutures - correct answer threads or metal used to sew body tissues together drainage evacuators - correct answer Convenient portable units that connect to tubular drains lying within a wound bed and exert a safe, constant, low-pressure va