I have full-thickness loss with no bone, muscle, or tendon exposed. I may have slough but it does not obscure the depth of tissue loss.
What is a stage 3 pressure injury?
I want to ensure the patient takes at least this much fluid intake a day.
What is 2000 - 3000 ml/day
My bed should be no higher than this if I have a pressure injury.
What is 30 degrees?
The number of microorganisms living on a surface.
What is bioburden?
I am the trade/brand name of this medication
What is Vasotec?
My skin is intact with non-blanchable redness.
What is a stage 1 pressure ulcer?
I am a loss of tissue integrity.
What is a pressure injury?
This is the risk assessment nurses are using to determine skin risk.
What is the Braden scale?
A discolored spot on the skin that is not raised above the surface.
What is a macula?
The MD orders 5mg of this medication. How much would you give? Round to the nearest whole or half tablet.
What is 0.5 (1/2) tablet.
I have partial thickness loss that presents as a shallow wound or a clear fluid blister.
What is a stage 2 pressure injury?
Nurses often forget I can get a pressure injury here and the equipment is not often padded. (I need this equipment to help me breathe.)
What is behind the ears and nose?
Four risk factors of pressure injuries.
What is impaired mental status, impaired mobility, inadequate nutrition, and fecal/urine incontinence?
A small, solid elevation of the skin.
What is a papule?
Round 3.44 to the nearest tenth.
What is 3.4?
I usually look like this, but could also be a blood blister.
What is a deep tissue injury?
When you put me on my side, how far over should I be? (angle)
What is a 30 degree tilt?
There are three nursing diagnosis to consider (with a pressure injury).
What is impaired skin/tissue integrity, acute pain, and risk for infection?
Pinpoint red spots on the mucous membranes, palate, conjunctivae, or skin.
What is petechiae?
I am 1000 micrograms (mcg).
What is a milligram (mg)?
I have full thickness tissue loss with exposed bone, tendon, or muscle.
What is a stage 4 pressure injury?
Name 3 out of 7 nursing diagnosis that were in the presentation.
What is risk for: activity intolerance, ineffective gastrointestinal perfusion, ineffective renal perfusion, decreased cardiac output, ineffective cerebral perfusion, ineffective tissue perfusion, disuse syndrome?
I might get a pressure ulcer here if you forget to pad the siderails (or put a pillow between my legs). (2 sites)
What is the elbows and knees?
A mildly bacteriostatic, fat-containing substance produced by the sebaceous gland that lubricates the skin and reduces water loss from the skin surface.
What is sebum?
You need ____ mls to equal 1 tsp (teaspoon) and _____ mls to equal a tbsp (tablespoon).
What is 5 mls and 15 mls?