Questions
Define stage 1 pressure ulcer - ANS✔✔ non-blanchable, erythema of intact skin
Define stage 2 pressure ulcer - ANS✔✔ Partial thickness
Define stage 3 pressure ulcer - ANS✔✔ full thickness skin loss - involves sub tissue
Define stage 4 pressure ulcer - ANS✔✔ Full-thickness tissue loss with exposed bone, muscle, or
tendon
Define serous drainage - ANS✔✔ Clear, liquify, yellow drainage
Define sanguineous drainage - ANS✔✔ red, bloody drainage
Define serosanguineous drainage - ANS✔✔ Both blood and clear drainage present, resembling
a pink color
Define purulent drainage - ANS✔✔ Thick yellow/green drainage and is a sign of infection
Define Airborne Precautions - ANS✔✔ For diseases/very small germs spread through air from
one person to another
Examples of airborne diseases - ANS✔✔ TB, measles, chicken pox
,Interventions for airborne infections - ANS✔✔ Patient placed in negative air pressure room
Wear a fit-tested N-95 respirator while in patient's room Hand hygiene
Patients and visitors - surgical mask when leaving room
Define Droplet Precautions - ANS✔✔ Used for diseases/germs spread in tiny droplets
caused by coughing, sneezing
examples of droplet diseases - ANS✔✔ Pneumonia, strep throat, meningitis, influenza, cold,
whooping cough, small pox, mumps
Interventions for droplet diseases - ANS✔✔ ◦Wear a surgical mask while in the room
◦Hand hygiene
Define contact precautions - ANS✔✔ Used for infections/diseases/germs spread by touching
patient or items in room
examples of contact diseases - ANS✔✔ MRSA, VRE, C. Diff, open wounds, RSV
Interventions for contact diseases - ANS✔✔ ◦Wear gown and gloves while in patient's room
◦Remove gown and gloves before leaving room
◦Hand hygiene
◦visitors must check with nurse before taking anything in/out of patient's room
Stages of infection in order - ANS✔✔ Incubation, prodromal, full stage (illness), convalescence
Define incubation period - ANS✔✔ the period between exposure to an infection and the
appearance of the first symptoms
, Define prodromal period - ANS✔✔ short period after incubation; early, mild symptoms
*People can also transmit infections during the prodromal stage*
Define full stage (illness) period - ANS✔✔ is an illness or clinical disease.
This stage includes the time when a person shows apparent symptoms of an infectious disease.
define convalescence stage - ANS✔✔ During this stage, symptoms resolve, and a person can
return to their normal functions.
Define subjective pain - ANS✔✔ WHATEVER the patient say the pain is
Define objective pain - ANS✔✔ Observed through vital signs, test, seeing grimacing, sweating,
moaning
Define acute pain - ANS✔✔ Temporary and short duration pain
*can lead to chronic pain*
Define chronic pain - ANS✔✔ Last longer than 6 months
Define idiopathic pain - ANS✔✔ Chronic pain without a cause
Define breakthrough pain - ANS✔✔ temporary flare ups of moderate to severe pain that occurs
even in patients on around the clock medications for consistent/well controlled background
pain, can be caused from movement or spontaneous, common with cancer
Define neuropathic pain - ANS✔✔ abnormal or damaged pain nerves, pain feel intense,
shooting and burning "pins and needles" feeling.