The Skinny
PU
Stage it
Defend
Come on now
100
The largest organ of the body
What is the skin
100
The nurse is assessing the patient for skin breakdown. The nurse notices an area of redness on the patient's buttock and should press on the area to detect
What is Blanching
100
Full-thickness wound involving tissue loss into the subcutaneous fat. Exposure of subcutaneous fat. Possibly necrotic tissue, undermining and tunneling. Possibly odor and drainage. No exposure of bone, tendon or muscle.
What is Stage III Pressure Ulcer
100
Ther primary person accountabel for patient skin assessment, pressure ulcer prevention and documentation.
What is the RN.
100
Name of the vitamin that is synthesized in the skin.
What is Vitiman D
200
The outermost skin layer of the skin
What is the epidermis
200
The nurse notices an area of redness on the patient's hip. The nurse presses the area and finds that it is an area of nonreactive erythema and should conclude that this is an indication of
What is Stage I Pressure Ulcer
200
Full-thickness wound with tissue loss through the subcutaneous fat and penetration to deep fascia level, exposing bone tendon or muscle. Possibly necrotic tissue, undermining and tunneling. Possibly odor and drainage.
What is Stage IV
200
The most significant risk factor in pressure ulcer development.
What is Immobility
200
Tiny purple or red spots appearing on the skin as a result of tiny hemorrhages within the dermal or submucosal layers.
What is Petechiae:
300
The inadvertent removal of the epidermis with or without the dermis by mechanical means.
What is skin stripping
300
The patient with an NG tube in place may experience skin breakdown of the
What is Nares
300
Pressure-and/or shear-related soft tissue injury. may appear as purple or maroon discolored intact skin and blood-filled blister. Often difficult to detect in darker skin tones, may be preceded by tissue changes that are painful, firm, mushy, boggy, warmer or cooler than adjacent tissue.
What is Suspected Deep Tissue Injury (DTI)
300
A device to consider for patients with little or no bowel control and liquid or semi-liquid stool.
What is Fecal Management System
300
A hanging apron of excessive abdominal skin.
What is Pannus
400
Protection, thermoregulation, sensation, metabolism and communication are all functions of this organ.
What is the skin.
400
Aggressive prevention measures should be implemented for a patient in the general population with a pressure ulcer score on the Braden scale of
What is 18
400
Partial thickness wound involving tissue loss into the dermis. Shallow-clean open ulcer, red to pink base without slough. Possibly an intact or open serum-filled blister.
What is Stage II
400
Erythematous rash with diffuse borders and satellite lesions.
What is Candida albicans (yeast infection)
400
Hemosiderin staining (hemosiderosis) is another "classic" indicator of
What is Venous Disease
500
Regeneration of epidermis across a wound surface
What is Epithelialization
500
The force that occurs when the skin sticks to a surface and the body slides
What is shear
500
Full thickness wound covered by necrotic tissue, therefore unable to be staged accurately.
What is Unstageable Pressure Ulcer
500
Skin damage caused by trapped perspiration and frictional forces between opposing skin surfaces and typically presents as inflammation and linear lesions occurring at the base of skin folds.
What is Intertriginous Lesion
500
Soft, moist avascular (necrotic/devitalized) tissue: it may be white, yellow, tan, or green: it may be loose, stringy, or firmly adherent.
What is slough
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