Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

GBCN Skin Integrity

Skin Integrity

QuestionAnswer
Hemostatis when? immediately after the initial injury.blood vessels constrict, blood clotting occurs
Inflammation when? follows hemostasis, lasts about 2 to 3 days. leukocytes and macrophages, move to the wound
Proliferation when? follows inflammation, lasts for several weeks. Tissue is growing (epithelial cells & blood cells)
Maturation when? final stage of healing, begins about 3 weeks after the injury, possibly continuing for months or year. Collagen that was haphazardly deposited in the wound is remodeled
what does the nurse notice during hemostasis? swelling, heat, redness, patient complains of pain
what does the nurse notice during inflammation? redness, swelling, heat, mildly elevated temperature, lab work- elevated WBC's
what does the nurse notice during proliferation? granulation tissue (hamburger)
what does the nurse notice during maturation? closed wound, slowly healing.
Examples of systematic factors affecting wound healing diabetic, age, protein-calorie intake, supressed immune system
Examples of local factors affecting wound healing excessive bleeding, bioburden, pressure, trauma, maseration, adema
serous clear watery
sanguineous bright red
serosanguinous pink to light red.
purulent yellow-green in color. has a foul odor
Hemorrhage External bleeding or internal hematoma
osteomyelitis infection goes to bone
sepsis bacteria in the blood
induration Swelling in and around the wound
Dehiscence Partial or total separation of wound layers as a result of excessive stress on wounds that are not healed.
Evisceration Total separation of wound layers with protrusion of viscera the wound opening
When is a patient at risk for Evisceration days 4 & 5. A sign in the increased serosanguinous drainage
Patients impacted by Evisceration do you feed or avoid? NO FOOD ( NPO- "no food by mouth")
Pressure Injury localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear
Created by: shenderson36
Popular Nursing sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards