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National University: Nursing Theory Jan 2014

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Abrasion   scraping, rubbing away of epidermis - may result localized bleeding/weeping of serous fluid  
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Blanching   1.Skin whitening due to: 2.Pressure 3.Vasoconstriction Hypotension  
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Debridement   removal of dead tissue from wound  
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Dehiscence   separation of wound's edges revealing the underlying tissue  
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Eschar   scab/dry crust from skin excoriation (skin scored)  
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Excoriation   abrasion of skin surface (scored)  
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Evisceration   protrusion of visceral organs through wound  
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Fistula   1. abnormal passage from internal organ to body surface 2. abnormal passage between two internal organs  
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Granulation tissue   soft/pink/fleshy projections of tissue that form during the healing process in a wound that is not healing by primary intention  
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Primary intention   initial union of wound edges that progress to complete scar formulation without granulation  
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Hematoma   collection of blood trapped in tissues of skin/organ  
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Hemostasis   termination of bleeding 1. by mechanical 2. chemical means 3. coagulation process of the body (blood stays = stops)  
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Induration   hardening of tissue, particularly skin, because of edema/inflammation  
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Laceration   torn/jagged wound  
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Pressure ulcer   inflammation/sore/ulcer in skin over bony prominence  
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Decubitus   pressure sore from laying down  
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Purulent   producing/containing pus  
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Suppurative   generation of pus  
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Sanguineous   fluid containing RBCs  
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Secondary Intention   wound closure with separated edges causing granulation to fill the gaps epithelium grows over granulation forming a larger scar than if healed by primary intention  
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Serosanguineous   RBC containing fluid WITH SERUM  
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Serous   clear (plasma like) fluid forming exudate at the site of inflammation  
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Exudates   fluid/cells/other substances that have been slowly discharged from cells or blood vessels through small pores or breaks in cell membrane  
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Shearing force   FRICTION exerted when a person is moved/repositioned in bed by being pulled or allowed to slide down in bed  
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Slough   shedding of dead tissue cells  
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Sutures   wound closing similar to sewing  
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Tertiary Intention   delayed wound healing  
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Tissue ischemia   point at which tissue receive insufficient oxygen and perfusion  
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Vacuum assisted closure   treatment for surgical wounds where a pump applies negative pressure to a wound space via tube inserted into wound. Pump is secured in place with disposable sponge covered by a vapor-permeable dressing  
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Erythema   redness/inflammation of skin/mucous membranes resulting from dilation/congestion of superficial capillaries (AKA sunburn)  
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Excoriation   skin injury due to abrasion  
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indurated   hardened tissue (sink) due to edema, inflammation, or infiltration by a tumor  
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Integument   skin (DEC - dermis, epidermis, and 4 appendages 1.hair 2.nails 3.sweat glands 4.sebaceous glands  
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Turgor   normal resiliency of skin cause by outward pressure of cells and interstitial fluid  
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Edema   abnormal accumulation of fluid in interstitial spaces of tissue (AKA swelling)  
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Exudates   fluid/cells/other substances that have slowly been discharged from cells or blood vessels through small pores/breaks in cell membranes (CELLULAR LEVEL)  
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Hyperlipidemia   excessive lipid blood level  
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Hyperglycemia   abnormally high blood sugar levels,resulting in: 1.decreased wound healing 2.decreased ability to fight infection 3.worsens neurological deficits 4.increased risk of death in critically ill patients  
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Hyperglycemia damages which organs?   1.kidneys 2.peripheral nerves 3.retinae 4.blood vessels 5.heart  
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Glucagon is found where?   polypeptide hormone secreted by alpha cells of pancreas  
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What does Glucagon do?   Increases blood glucose level by stimulating LIVER to change store glycogen into glucose  
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Why is Glucagon important?   1. Opposes action of insulin 2. DM pts inject to reverse a. hypoglycemic reactions b. insulin shock 3. Increases use of fats & excess amino acids (proteins) for energy production (Atkins?)  
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Polyuria   abnormally high volume of urine  
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what is polydipsia?   excessive thirst  
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What are the s/s of Polydipsia   1. dehydration 2. hyperglycemia 3. hypovolemia  
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Polyphagia   gluttony  
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Microvascular   smallest arterioles & venules capillary network  
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Macrovascular   largest arteries and veins 1. Aorta, 2. coronary arteries 3. inferior/superior vena cava  
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Neuropathy   inflammation/degeneration of peripheral nerves altering sensory/motor function  
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Retinopathy definition?   noninflammatory retinal damage or disease  
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Retinopathy left untreated causes?   Gradual loss of vision and eventual blindness  
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Retinopathy results from?   Caused by systemic illnesses: 1. hypertension 2. Diabetes Millitus  
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Nephropathy definition   kidney disease  
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Nephropathy causes which diseases   1. nephritis (inflammation of kidney) 2. nephrosis (degeneration of kidney) 3. sclerotic lesions (kidney scaring  
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Preparandial   before a meal  
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