Wound classification, skin integrity, and lymphedema management concepts tested on the NPTE integumentary domain.
35 cards · basic cards · AI-written, checked twice. Edit anything.
- What characterizes a Stage 1 pressure injury?
- Intact skin with non-blanchable redness over a bony prominence.
- What characterizes a Stage 2 pressure injury?
- Partial-thickness skin loss with an exposed pink or red wound bed, or an intact or ruptured blister.
- What characterizes a Stage 3 pressure injury?
- Full-thickness skin loss with visible fat, but bone, tendon, and muscle are not exposed.
- What characterizes a Stage 4 pressure injury?
- Full-thickness skin and tissue loss with exposed bone, tendon, or muscle.
- What defines an unstageable pressure injury?
- Full-thickness skin and tissue loss where the wound bed is covered by slough or eschar, so the true depth cannot be determined.
- What defines a deep tissue pressure injury (DTPI)?
- Intact or non-intact skin with a persistent, non-blanchable deep red, maroon, or purple area from damage to underlying soft tissue.
- What is the Braden Scale used to assess?
- A patient's risk for developing a pressure injury.
- What are the six subscales of the Braden Scale?
- Sensory perception, moisture, activity, mobility, nutrition, and friction/shear.
- On the Braden Scale, a ____ total score indicates a higher risk for pressure injury development.
- lower
- What are the four phases of wound healing, in order?
- Hemostasis, inflammation, proliferation, remodeling.
- When does the hemostasis phase of wound healing begin?
- Immediately after injury, within minutes.
- What are the cardinal signs of the inflammatory phase of wound healing?
- Redness, heat, swelling, and pain.
- What type of tissue is the hallmark of the proliferative phase of wound healing?
- Granulation tissue.
- How long can the remodeling (maturation) phase of wound healing last?
- Up to one to two years.
- What is healing by primary intention?
- Wound edges are surgically closed and approximated, such as with sutures or staples.