CHpt 37: Pressure Ulcers

Question 1

colonized

Answer 1

presence of bacteria on the wound surface or in wound tissue; the person does not have s/s of infection

Question 2

slough

Answer 2

dead tissue that is shed from the skin

Question 3

avoidable ulcer

Answer 3

pressure ucer from improper nursing process

Question 4

bony prominece

Answer 4

an area where the bone sticks out or projects from the flat surface of the body

Question 5

eschar

Answer 5

thick,leathery dead tisue that may be loose or adhered to the skin

Question 6

pressure point

Answer 6

aka bony prominence

Question 7

shear

Answer 7

when layers of skin rub against each other; when the skin remains in place and underlying tissues move and stretch and tear underlying capillaries and bloodv essels, causing damage

Question 8

bedfast

Answer 8

confined to bed

Question 9

friction

Answer 9

rubbing of one surface against another

Question 10

unavoidable pressure ulcer

Answer 10

occurs depite efforts to prevent one through proper use of nursing process

Question 11

chairfast

Answer 11

confined to a chair

Question 12

epidermal stripping

Answer 12

removing epidermis as tape removed from skin

Question 13

skin breakdown

Answer 13

change or damage to intact skin

Question 14

where does a kenney terminal ulcer occur

Answer 14

over a bony prominence 2-3 days before death

Question 15

one way to prevent friction in the bed is to….

Answer 15

lightly power the sheets

Question 16

bed cradles are used to…

Answer 16

prevent pressure on the legs,feet,toes

Question 17

when the person is using some special beds, it allows

Answer 17

re-positioning w/o moving the person

Question 18

infection is present in which stages of pressure ulcers

Answer 18

2,3,4