Localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear.
What is a pressure ulcer?
100
The amount of dressing that should extend beyond the wound edge into the periwound skin of Hydrocolloid and foam dressings.
Hint: measured in inches.
What is 1 inch?
100
A pressure ulcer risk assessment completed on hospital admission, every 24 hours, and with each change in condition.
What is the Braden Scale?
100
Number of times hands should be washed while performing a dressing change.
What is 3 times (before, after removing the old dressing, and at completion of dressing change)
100
Caused by poor blood perfusion to the lower extremities, usually located on the outer ankle or toes and have Minimal drainage.
What is an arterial ulcer?
200
A force that is applied to the surface of the skin. This compresses underlying tissue and small blood vessels hindering blod flow and nutrient supply.
What is a Stage I pressure ulpressure?
200
allows for visual assessment and are often utilized as secondary dressings.
What is a transparent or occlusive dressing?
200
Measurements to assess and include when documenting wounds.
What is length, width and depth?
200
This is a dry, black area on a pressure ulcer that often impairs staging of pressure ulcers.
What is Eschar?
200
An area of unrelieved pressure over a defined area, usually over a bony prominence, resulting in ischemia, cell death, and tissue necrosis.
What is a pressure ulcer?
300
Pressure ulcers can develop on any skin surface subject to excess pressure such as under oxygen tubing, drainage tubing, casts, cervical collars or other medical devices.
What is a device related pressure ulcer?
300
Absorbs exudate and form a gel that contains and wicks away excess moisture into the secondary dressing.
What is calcium alginate?
300
This type of drainage is creamy, viscous, pale yellow thicker than serous.
What is purulent?
300
An inexpensive, efficient technique used by nursing staff every 2 to 3 hours to reduce the incidence of pressure ulcers.
What is turning and repositioning?
300
Develops in an area where venous return is poor, usually on the lower legs and ankles and present with heavy drainage.
What is a venous stasis ulcer?
400
This occurs when one layer of tissue slides horizontally over another, deforming adipose and muscle tissue, and disrupting blood flow.
What is shear?
400
Used to fill dead space with a small amounts of depth and creates maceration on direct contact with normal tissue.
What is hydrogel?
400
Pressure Ulcers that have been identified and classified should be treated utilizing ...
What is the ConvaTec Algorithm for Wound Care?
400
Nurses should encourage patients to stop this activity to help improve the amount of functional hemoglobin/oxygen carrying capacity of the blood to all areas of the body prone to breakdown.
What is smoking?
400
Related to the loss of protective sensation in the feet and legs, usually located on weight bearing surfaces including the plantar surface of the foot and heel with or without undermining.
What is a neuropathic (diabetic) foot ulcer
500
Process by which the hospital determines the Prevalence and Incidence of pressure ulcers in the hospital.
What is a pevelance and incidence study?
500
Comes in paste form or as wafers with adhesive backing that conforms well to different body contours.
Hint: appearance of dressing should not be misinterpreted as evidence of infection.
What is a hydrocolloid dressing?
500
For any wound caused by pressure, which was not present at admission this must be created in Quantros.
What is an Occurrence Report?
500
The writing you should see on each wound dressing to communicate when the dressing was last changed.
What is the date, time and initials of the person changing the wound dressing.
500
Purple or maroon localized area or discolored intact skin or blood filled blister due to damage to underlying soft tissue from pressure and/or shearing.