NR 224 Skin and Wound Care Worksheet - Chamberlain College of Nursing | NR224 Skin and Wound Care Worksheet

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NR 224 Skin and Wound Care Worksheet - Chamberlain College of Nursing Skin and Wound Care Worksheet What is the difference between a surgical incision and a pressure ulcer? Who is at risk for a... pressure ulcer? What is the difference between partial thickness and full thickness? What is a laceration? –Abrasion? – Avulsion? – Puncture? – What is friction and shear and what damage does it cause to the skin? How do you prevent friction? Shear? What is reactive hyperemia? When does it happen? Describe a Pressure ulcer that is classified as a : Stage I – Stage II – Stage III – Stage IV – Unstageable? – What is a Deep Tissue Injury (DTI)? – What is necrosis? What is tunneling? – Undermining? – Drainage What is Serous Drainage? – Serosangunious? – Sangunious – Purulent? – When describing drainage: What is Scant? Moderate? Copious? Describe how you measure a wound- what order? What are the phases of wound healing? What is a never event? What is Desiccation? Maceration? – Approximated? – What is healing by: and specify the Healing time, healing process and risk for infection for each. Primary intention? – Secondatry intention? – Tertiary intention? – What is Dehiscence? – when a wound fails to heal properly, the layers of skin separate, total or partial separation of wound layers, serosanguineous drainage sign for possible dehiscence Evisceration? – What is a fistula? What is the Braden score? What are the 6 entities of a Braden score? What is granulation tissue? What does it look like? What is: Slough? – Eschar? – What are cultures and when would you suggest the physician order one? What is the main objective during the healing-granulation process of a wound? What kind of dressing would promote this? What kind of dressing would you recommend for a wound with: Copious exudate? – For a desiccated wound? – What do you clean a wound with? Sterile saline Give the reasons why you would place: heat on the skin? – Cold on the skin? – What are the nutritional components of wound healing? What kinds of food would you recommend? Protein – Vitamin C – Vitamin A – [Show More]

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