Inflammation
Pressure Injury Risk/Prevention
Pressure Injury Staging
Pressure Injury Assessments Complications/Treatments
100
Temperature of 101.0 F and pulse of 102
Clinical manifestations of an infection
100
A nursing intervention for a bedridden patient
Turn and reposition every 2 hours
100
Formation of necrosis and ulceration
Clinical manifestations of a stage III pressure injury
100
This treatment draws the wound edges together by negative pressure
A vacuum-assisted closure device (wound vac)
200
A laceration with edges that do not approximate.
A wound that heals by second (secondary) intention
200
Dietary measures to promote wound healing include...
A diet high in protein, carbohydrates, and vitamins
200
A type of pressure injury
Medical device pressure injury
200
A nursing action when a wound dehisces.
Cover the wound with a sterile saline dressing.
300
Infection & Injury
What is the normal response to inflammation
300
Three risk factors for pressure injuries include...
Anemia, diabetes, advanced age, incontinence, poor perfusion, immobility
300
A type of pressure injury
Deep tissue injury
300
Priority nursing actions for yellow-purulent drainage on a post-op wound
Obtain a wound culture
400
High wbc count with immature forms of neutrophils is called...
A "shift to the left"
400
Infection prevention and control includes...
Handwashing, reducing contamination of the wound, astute assessments, obtaining wound cultures, patient/caregiver education
400
A type of pressure injury
Unstageable pressure injury
400
Name 5 complications of wound healing
Adhesions, excessive contraction, dehiscence, evisceration, excessive granulation, fistula formation, infection, hemorrhage, hypertrophic scars, keloid formation.