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?
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Intact skin with non-blanchable redness over a bony prominence.- What characterizes a Stage 2 pressure injury?
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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?
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Full-thickness skin loss with visible fat, but bone, tendon, and muscle are not exposed.- What characterizes a Stage 4 pressure injury?
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Full-thickness skin and tissue loss with exposed bone, tendon, or muscle.- What defines an unstageable pressure injury?
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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)?
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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?
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A patient's risk for developing a pressure injury.- What are the six subscales of the Braden Scale?
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Sensory perception, moisture, activity, mobility, nutrition, and friction/shear.- On the Braden Scale, a ____ total score indicates a higher risk for pressure injury development.
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lower- What are the four phases of wound healing, in order?
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Hemostasis, inflammation, proliferation, remodeling.- When does the hemostasis phase of wound healing begin?
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Immediately after injury, within minutes.- What are the cardinal signs of the inflammatory phase of wound healing?
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Redness, heat, swelling, and pain.- What type of tissue is the hallmark of the proliferative phase of wound healing?
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Granulation tissue.- How long can the remodeling (maturation) phase of wound healing last?
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Up to one to two years.- What is healing by primary intention?
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Wound edges are surgically closed and approximated, such as with sutures or staples.
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