Staging Pressure Injuries
An intact area of non-blanchable erythema.
What is a stage 1 Pressure Injury?
The area of the sterile drape can the nurse touch prior to applying sterile gloves.
What is the outer 1 inch border of the drape?
The type of diet you can see through.
What is a clear liquid diet?
The nurse should not use this when a patient is diagnosed with C.Diff.
What is alcohol-based hand rubs?
This is used to treat fungal infections.
What is antifungal?
It is deep red, maroon, or purple in color and does not blanch, may include a blood-filled blister.
What is a deep tissue pressure injury (DTPI)?
When opening a sterile drape, the flap that the nurse should unfold first.
What is the flap farthest from the body?
The type of diet that would be ordered to assist in wound healing.
What is a high protein diet?
Antibiotics are used to treat this.
What is a bacterial infection?
Above the waist level, below eye level, and in front of your body.
What is the sterile safety zone?
A full thickness tissue loss that involves muscle, fascia, tendon, joint capsule or bone.
What is a stage 4 pressure injury?
The technique that the nurse uses when emptying a catheter bag.
What is medical asepsis (clean technique)?
This is how often should residual gastric volume be checked during continuous tube feedings.
What is every 4 hours?
The microorganism that causes ringworm, athlete's foot and yeast infections.
What is fungi (fungal)?
The body temperature rises to create a hostile environment for microorganisms.
What is a fever?
Pressure injury that includes partial-thickness loss and exposed dermis. This includes intact serum filled blisters and broken blisters.
What is a stage 2 pressure injury?
The technique that the nurse uses when starting an IV.
What is surgical asepsis (sterile technique)?
This represents the amount of glucose present in the blood over a 2 to 3 month period.
What is Hemoglobin A1c?
A condition in which microorganisms are present and multiplying in the blood.
What is septicemia (systemic infection)?
Autoclaving is a type of this.
What is sterilization?
This pressure injury is a full-thickness loss involving damage to the epidermis, dermis, and subcutaneous tissue.
What is a stage 3 pressure injury?
The number one priority to prevent infections.
What is hand washing?
Elevation of the head of the bed during tube feeding.
What is 30 to 45 degrees?
The microorganism that causes influenza and chickenpox.
What are viruses?
Appearance of emesis containing blood from the esophagus or stomach has mixed with stomach acid.
What is coffee ground emesis?