RISK FACTORS
ASSESSMENT
Pressure ulcer staging
WOUND CARE
interventions
100

The intensity and duration off this is associated with vascular occlusion.

What is pressure?

100

Creamy, viscous, pale yellow exudate is this.

What is purulent?

100

A type of pressure ulcer that is Nonblanching. 

What is a Stage 1 ulcer?

100

Calcium alginates are the best choice for this type of wound inflammation. 

What is heavy exudate?

100

A correct lateral postural alignment is.

What is 30 degrees lateral/side lying? 

(avoid placement on trochanter)

200

Disposable adult briefs Are designed to Protect the skin from this.

What is moisture?

200

The frequency of Risk assessment following admission in a nursing facility.

What is once a week for four weeks?

200

Level of tissue injury.

What are stages 1, 2, 3, and 4?

200

A stage 2 lesion with minimal exudate should be treated with this.

What is hydrocolloid or hydrogel?

200

This technique may damage underlying tissue in a Stage 1 ulcer.

What is massage over a bony prominence?

300

Shear injuries can be prevented with this intervention.

What is lowering head of bed to less than 30 degrees?

300

This is caused by an excess moisture, which is characterized by softening and wrinkling of the skin surrounding a wound bed.

What is maceration?

300

Persistent red, blue Or purple hues.

What is a Stage 1 Pressure Ulcer?

300

Unless infected, debridement is not indicated for this pressure ulcer location.

What are the heels?

300

The frequency of repositioning the patient to prevent skin breakdown. 

What is every 2 hours? 

400

Using this intervention prevents injury due to friction.

What is using lift sheet or an overhead trapeze?

400

Accesses often form in this area of the wound.  

What is dead space?

400

10 mm irregular black eschar over the heel is this type of ulcer. 

What is an unstageable ulcer?

(an ulcer that cannot be staged)

400

The purpose of cleaning a wound is to remove this.

What is debris or dead tissue or eschar?

400

A type of device that producing an ischemic ring around a pressure ulcer.

What is a donut device?

500

Meat and dairy products are good sources of this nutrient.

What is protein?

500

This environment best supports tissue growth.

What is a moist wound bed and dry surrounding tissue?

500

A type of pressure that involves the dermis. 

What is stage 2 pressure ulcer? 

500

A type of solution that is appropriate for wound irrigation.

What is normal saline or non-cytotoxic solution?

500

A level of glycosylated Hemoglobin HgA1C indicated to promote healing of pressure ulcers.

What is less than 7?

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