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Skin Integrity
Name the nursing interventions for a stage one pressure ulcer.
- ⇨Frequent Turning
- ⇨Keep pressure off of it
- ⇨special mattress
- ⇨frequent inspection
- ⇨pressure relieving devices
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Skin Integrity
Name the nursing interventions for stage two pressure ulcer.
- ⇨Moist healing dressing (sometimes honey)
- ⇨Bandages, cleaned more often
- ⇨ sterile equipment
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Skin Integrity
Name the nursing interventions for a stage three pressure ulcer.
- ⇨Proteolytic enzyme (form of debridement, that eats away dead tissue)
- ⇨requires debridement
- ⇨Possible surgical procedure.
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Skin Integrity
Name the nursing interventions for a stage four pressure ulcer.
- ⇨Pack with iodine goze (is sterile)
- ⇨skin graphing
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Skin Integrity
Name the characteristics of a stage one ulcer.
- ⇨Skin is intact
- ⇨nonblanchable erythema
- ⇨If it goes away after a while it is not a stage one.
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Skin Integrity
Name the characteristics of a stage two ulcer.
- ⇨Partial thickness loss of epidermis or dermis (even if its a little crack)
- ⇨Superficial
- ⇨Clinically as: abrasion blister, or shallow crater.
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