Wound classification, dressing selection, and integumentary intervention concepts tested on the NPTAE.
30 cards · basic cards · AI-written, checked twice. Edit anything.
- What are the main categories used to classify pressure injuries?
- Stage 1 through Stage 4, plus unstageable and deep tissue pressure injury
- 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 exposed dermis, presenting as a shallow open ulcer or intact/ruptured blister
- What characterizes a Stage 3 pressure injury?
- Full-thickness skin loss with visible fat, but without exposed bone, tendon, or muscle
- What characterizes a Stage 4 pressure injury?
- Full-thickness skin and tissue loss with exposed or palpable bone, tendon, or muscle
- What term describes a pressure injury whose base is covered by slough or eschar, preventing accurate staging?
- Unstageable pressure injury
- What term describes intact or non-intact skin with a localized area of persistent, non-blanchable deep red, maroon, or purple discoloration?
- Deep tissue pressure injury
- What is the most important intervention for preventing pressure injuries in an immobile patient?
- Frequent repositioning to offload pressure over bony prominences
- What type of wound dressing maintains a moist wound environment and is used for wounds with light to moderate drainage?
- A hydrocolloid dressing
- What type of wound dressing is highly absorbent and used for wounds with heavy exudate?
- An alginate dressing
- What type of wound dressing protects and hydrates a dry, minimally draining wound?
- A hydrogel dressing
- What term describes the removal of dead or necrotic tissue from a wound to promote healing?
- Debridement
- What debridement method uses a whirlpool or pulsed lavage to mechanically remove nonviable tissue?
- Mechanical debridement
- What debridement method uses topical enzymatic agents to break down necrotic tissue?
- Enzymatic (chemical) debridement
- What debridement method allows the body's own processes, such as autolysis under a moist dressing, to break down necrotic tissue?
- Autolytic debridement