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Questions and Answers
A grade of 4 on the Wagner Ulcer Grade Classification System is most indicative of:
A grade of 4 on the Wagner Ulcer Grade Classification System is most indicative of:
- Pre-ulcerative lesion
- Penetration through the subcutaneous tissue
- Gangrene of a digit (correct)
- Osteomyelitis
A pressure injury that is covered with devitalized necrotic tissue would best be classified as:
A pressure injury that is covered with devitalized necrotic tissue would best be classified as:
- Stage 2
- Stage 4
- Stage 3
- Unstageable (correct)
Which description is not associated with a wound classified as 'yellow' using the Red-Yellow-Black System?
Which description is not associated with a wound classified as 'yellow' using the Red-Yellow-Black System?
- Dry (correct)
- Exudate
- Slough
- Debris
A pressure injury that includes damage to the muscle and joint capsule would be classified as:
A pressure injury that includes damage to the muscle and joint capsule would be classified as:
Which scale would most likely be utilized to grade a diabetic foot ulcer based on wound depth and the presence of infection?
Which scale would most likely be utilized to grade a diabetic foot ulcer based on wound depth and the presence of infection?
According to the Red-Yellow-Black Wound Classification System, a red appearance would most likely be attributed to:
According to the Red-Yellow-Black Wound Classification System, a red appearance would most likely be attributed to:
According to the Wagner Ulcer Grade Classification Scale, an area that reveals a pre-ulcerative lesion without an actual open lesion would be most accurately classified as:
According to the Wagner Ulcer Grade Classification Scale, an area that reveals a pre-ulcerative lesion without an actual open lesion would be most accurately classified as:
The primary goal for managing a stage 1 pressure injury would be to:
The primary goal for managing a stage 1 pressure injury would be to:
A nonblanchable red area of intact skin over the sacrum is best described as:
A nonblanchable red area of intact skin over the sacrum is best described as:
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Study Notes
Wagner Ulcer Grade Classification System
- Grade 4 indicates gangrene of a digit.
- Grade 0 is classified as a pre-ulcerative lesion without an open sore.
- The system is used primarily for diabetic foot ulcers, assessing wound depth and infection.
Pressure Injury Classification
- A pressure injury with devitalized necrotic tissue is categorized as unstageable.
- A stage 4 pressure injury includes damage to muscle and joint capsule.
- A stage 1 pressure injury is characterized by a nonblanchable red area of intact skin.
Red-Yellow-Black Wound Classification System
- A "yellow" wound is associated with exudate, debris, and slough, but not dry conditions.
- The red appearance in wounds indicates the growth of vascularized tissue.
Management of Pressure Injuries
- The main goal for stage 1 pressure injuries is to remove or relieve pressure on the affected area.
- Surrounding tissue should be protected by managing exudate in more advanced stages.
Additional Classification Systems
- The Braden Scale assesses the risk of pressure injury formation but is not specifically used for grading ulcers based on depth and infection.
- The National Pressure Ulcer Advisory Panel system also provides a framework for grading pressure ulcers.
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