Wound Care pt. 2

Question 1

Stage one pressure ulcer

Answer 1

Defined as intact skin that is red and non-blancheable

Question 2

Stage 2 pressure ulcer

Answer 2

Defined as intact skin that is red and non-blancheable

Question 3

Stage 3 pressure ulcer

Answer 3

Damage to the epidermis,dermis and subcutaneous tissue
Epidermis gone
Depth to the wound

Question 4

Stage 4 ulcer

Answer 4

Damage to epidermis, dermis, subcutaneous tissue and now involves fascia,muscle, tendon, and bone
Very deep

Question 5

Deep tissue ulcer

Answer 5

Purple area on the skin
Signifies deep injury to tissue-this is the result of intense pressure over a short amount of time or a lower pressure for an extended period of time

Question 6

Unstageable ulcer

Answer 6

If a wound has eschar, which is a dry brown or black leather type covering on a wound, then it is said to be unstageable because the base of the wound is not visible.

Question 7

Rule of 9’s for burn pt.’s

Answer 7

9% head and neck
9% each arm
18% each leg
18% front of torso
18% back of torso
1% perineum