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HONDROS NUR205 EXAM 2 | Q&A
LATEST UPDATE | 100% PASS
Question : tissue integrity
CORRECT ANSWER : the ability of body tissues to
regenerate and/or repair to maintain normal physiological processes
Question : interventions to maintain tissue integrity
CORRECT ANSWER : reposition turning adequate
nutrition skin assessments
Question : blanching test
CORRECT ANSWER : A test of the rate of capillary
refill; blanching means to cause to become pale by applying digital pressure.
Question : Non-blanchable
CORRECT ANSWER : skins stay very red even with
finger pressure; indicates severe skin injury
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Question : Stage 1 pressure ulcer
CORRECT ANSWER : intact skin with nonblanchable
redness
Question : stage 2 pressure ulcer
CORRECT ANSWER : partial thickness skin loss
involving epidermis, dermis, or bothred/pink noist blister et shallow crater
Question : stage 3 pressure ulcer
CORRECT ANSWER : full thickness tissue loss with
visible fat
Question : stage 4 pressure ulcer
CORRECT ANSWER : Full-thickness tissue loss with
exposed bone, muscle, or tendon
Question : debridement
CORRECT ANSWER : Removal of foreign matter or
dead tissue from a woundpromotes healing
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Question : eschar
CORRECT ANSWER : a thick layer of dead tissue and
tissue fluid that develops over a deep burn area
Question : Types of drainage
CORRECT ANSWER : serous, sanguineous,
serosanguineous, purulent
Question : serous drainage
CORRECT ANSWER : clear, watery fluidclear yellow
Question : serosanguineous drainage
CORRECT ANSWER : thin, watery drainage that is
blood-tinged
Question : sanguineous drainage
CORRECT ANSWER : bloody drainage
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Question : purulent drainage
CORRECT ANSWER : thick green, yellow, or brown
drainage
Question : Braden Scale
CORRECT ANSWER : A tool for predicting pressure
ulcer risk
Question : lactose intolerance
CORRECT ANSWER: The inability to completely
digest the milk sugar lactose
Question : symptoms of lactose intolerance
CORRECT ANSWER : bloating, abdominal discomfort,
diarrhea gas
Question : clear liquid diet
CORRECT ANSWER : a diet that consists of foods that
are liquid at room temperature and leave little residue in