NSG 3250 EXAM 2 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NSG 3250 EXAM 2 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. Stage 1: non blanchable erythema in a localized area of skin usually over a bony prominence Correct Answer Stage 1: Remove pressure. 2. Stage 2: Partial thickness loss of epidermis and part of the dermis. Looks like a shallow, open ulcer or a fluid- filled blister. Pink or red wound bed Correct Answer Stage 2: Clean with saline solution and cover with semipermeable occlusive, hydrocolloid wafers, or wet saline dressing. 3. Stage 3: Full thickness loss of the skin. Subcutaneous tissue may be visible Correct Answer Stage 3: Debridement (either chemical or mechanical). 4. Stage 4: Full thickness loss of the skin and subcutaneous fat. Muscles, tendons, or bone may be exposed Correct Answer Stage 4: Surgical intervention needed. 5. Preventative measures for pressure ulcers: 1) Active ROM 2) Elevate edematous areas 3) Pressure-relieving devices 4) Turning schedule at bedside (q2 in bed, q1 in chair) 5) Diet high in protein and vitamin C 6. Cellulitis clinical manifestations: 1) Localized pain 2) Redness 3) Warmth 4) Edema 5) Fever 7. Cellulitis 1) Antibiotics 2) Pain control 8. Cellulitis nursing interventions/ pt education Correct Answer 1) Cool packs, then warm soaks. 2) Elevate affected extremity 3-6 inches above heart. 9. Pruritis clinical manifestations Correct Answer Red, raised itchy areas on skin 10. Pruritis Correct Answer 1) Oatmeal (antipruritic) 2) Diphenhydramine (antihistamine)