NUR 101 Test 10
- pressure injury
Answer a localized injury to the skin and underlying prolonged or intense pressure. A pressure injury occurs over bony prominences or on areas where an object or device comes in contact with the skin.
- Erythema
Answer redness of the skin
- Blanching
Answer loss of color when pressing on the area
- slough
Answer white/yellow, connected to wound.
- granulation tissue
Answer pink, moist
- Eschar
Answer black, brown, tan
- Periwound
Answer 1 / 2
skin around the wound
- Epibole
Answer wound edges appear rolled under.
- serous
Answer clear, watery plasma
- purulent
Answer thick, yellow, green, tan or brown
- serosanguineous
Answer pale, red, watery mixture of serous and sanguineous
- sanguineous
Answer Bright red; indicates active bleeding
- deep tissure pressure injury
Answer persistent non-blanchable deep red, maroon, or purple discoloration
discoloration of non-intact or intact skin from damage following prolonged or intense pressure or shear.intact skin-deep red, maroon, or purple discoloration non-intact- dark wound be or blood blister.pain and temperature changes can be detected earlier than color changes
- Stage 1
- / 2