Skin Integrity and Wound Care
A reddened, painful area of skin that doesn't turn white when pressed
What is a Stage 1 pressure Ulcer?
Excreted from the kidneys via the ureters to the bladder where it is stored and eliminated via the urethra
What is urine
Disruptions in skin and tissue integrity
What are wounds?
The nurse compares the eMAR while drawing up medications?
What is the second medication check?
Common injection site for immunizations in adults
What is the deltoid muscle?
An open sore or blister that occurs when the skin is partially damaged, either in the epidermis or dermis
What is a Stage II pressure ulcer?
a small, pinkish, circular piece of flesh that is sewn to your body
What is a stoma
The body's first line of defense
The skin
An important nursing intervention to prevent pressure injury formation
What is turning patient every 2 hours
Administering injection at 45-90 degree angle
What is a SQ injection?
The most severe type of pressure ulcer and involves full-thickness skin loss that extends into the muscle, bone, tendon, or joint
What is a Stage 4 pressure ulcer?
A shallow container used to collect urine or feces for people who are unable to use a traditional toilet
What is a bedpan
What is erythema
The nurse read the eMAR and compared it to the label while pulling medications
What is the second medication check?
Common vaccine injection site for pediatric patients
What is vastus lateralis?
A full-thickness skin loss that extends into deeper tissue and fat, but not into muscle, tendon, or bone
What is a Stage 3 pressure ulcer?
A thin, flexible tube that drains urine from the bladder into a collection bag outside the body
What is a foley catheter
Assessment of the patient and the wound and staging of pressure injuries
The first most important intervention to prevent a medication error
What is identify your patient (name, DOB, MRN)?
Any preventable event that may cause or lead to inappropriate medication use or patient harm
What is a medication error?
A medical term that refers to the health of the skin, and whether it is whole, intact, and undamaged
What is skin integrity
A wheelchair bound patient with a neurologic disorder may use this type of catheter
suprapubic catheter
Risk factors contributing to pressure ulcer formation
What is immobility, dehydration, altered mental status, moisture, older age, trauma/surgery
What are the 11 medication rights?
A report detailing the drugs administered to a patient by a healthcare professional at a treatment facility
What is a MAR?