Nsg-300 Exam 2 (252 Questions And Answers) Great Solutions

What factors influence pressure ulcer formation and wound healing? {Ans: ◦Nutrition ◦Tissue perfusion ◦Infection ◦Age ◦Psychosocial impact of wounds}urinary retention {Ans: •An accumulation of urine due to the inability of the bladder to empty}What should the nurse frequently assess for apply applying a bandage? {Ans: Assess, document and immediately report changes in circulation, skin integrity, comfort level, temperature, sensation changes and body function}Digital removal of stool {Ans: Use if enemas fail to remove an impaction. This is the last resort for constipation. A health care provider's order is necessary to remove an impaction}What does pressure duration assess? {Ans: Low and extended pressures - Low pressure over a prolonged time causes tissue damage - Extended pressure occludes blood flow and nutrients causing tissue death}What should the nurse look for when assessing the periwound area? Why is it important? {Ans: Redness, warmth, signs of maceration and pain - presence of any of these factors indicates wound deterioration}