Pressure Ulcers Flashcards Preview

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Flashcards in Pressure Ulcers Deck (8)
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1

How would you decribe a stage 1 pressure ulcer?

Red, warm, intact skin that doesn't blanche

2

What is an example of a stage 1 pressure ulcer?

Looks like a sunburn

3

How would you describe a stage 2 pressure ulcer?

Superficial damage to the skin ( epidermis or dermis)
There will be a break in the skin

4

What are some examples of a stage pressure 2 ulcer?

Abrasion, blisters, shallow craters

5

How would you describe a stage 3 pressure ulcer?

Skin deeply damaged, does not extend through fascia

6

What is an example of a stage 3 pressure ulcer?

Deep crater

7

How would you describe a stage 4 pressure ulcer?

Skin is deeply damaged, would shows muscles, tissues, and ligaments

8

What are some nursing interventions to prevent pressure ulcers from developing?

Turn patient q two hours;
keep skin clean and dry;
proper diet and hydration;
inspect skin and document

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