NUR 2206 Midterm terms
- friction
Answer two surfaces rub together damaging superficial blood vessels
- shearing
Answer one layer of tissue slides over another separating skin from underlying layers; skin can stick to sheets and when pulled up in bed/lifted, you can have a tear
- risk factors for pressure ulcer/injury
Answer immobility, nutrition and hydration, mois- ture, mental status, age
- reactive hyperemia
Answer blanchable reddening of skin that occurs when pressure is removed
- pressure
Answer want to decrease pressure and increase blood flow
- desiccation
Answer want wounds moist
- maceration
Answer over hydration of cells can impair skin integrity (don't be TOO moist)
- trauma to wound 1 / 2
Answer scab falling off
- necrosis
Answer dead tissue that inhibits wound healing
- chemo, steroids
Answer what meds inhibit wound healing
- Osteomyelitis
Answer inflammation of bone and bone marrow
- hemorrhage
Answer can occur from slipped suture or dislodged clot; internal or exter- nal; check wounds for bleeding frequently, changes in vital signs
- dehiscence
Answer partial or total separation of wound layers
- evisceration
Answer complete separation of wound with protrusion of viscera through incision (med emergency)
- stage 1 pressure ulcer
Answer non blanchable erythema,
- stage 2 pressure ulcer
- / 2
Answer