压疮风险识别

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Questions and Answers

哪些是导致内在因素所致的压疮的因素?

  • 局部潮湿
  • 力学因素
  • 活动受限
  • 营养不良和水肿 (correct)

造成压疮的力学机制中,哪种因素会导致皮肤受压、缺血、缺氧?

  • 摩擦力
  • 压力 (correct)
  • 剪切力
  • 活动受限

哪种姿势容易导致压疮好发部位?

  • 坐位
  • 仰卧位 (correct)
  • 俯卧位
  • 侧卧位

哪种姿势容易导致耳廓、肩峰、肋骨等部位出现压疮?

<p>侧卧位 (B)</p> Signup and view all the answers

引起局部潮湿的因素包括?

<p>大小便失禁 (D)</p> Signup and view all the answers

以下哪个因素会导致皮肤变薄,抵抗力下降,易导致压疮的发生?

<p>营养不良和水肿 (C)</p> Signup and view all the answers

在哪种姿势下容易导致耳廓、肩峰、肋骨等部位出现压疮?

<p>俯卧位 (A)</p> Signup and view all the answers

哪种因素会因两层组织相邻表面间的滑行而导致压疮?

<p>剪切力 (C)</p> Signup and view all the answers

什么因素会导致局部组织长时间受压,影响局部组织的微循环,限制血液流动,引起软组织局部缺血?

<p>力学因素 (C)</p> Signup and view all the answers

哪种姿势容易导致面颊部、耳廓、女性乳房等部位出现压疮?

<p>俯卧位 (B)</p> Signup and view all the answers

以下哪个因素是导致皮肤变薄,抵抗力下降,易导致压疮发生的内在因素?

<p>水肿 (A)</p> Signup and view all the answers

哪种姿势容易导致压疮好发部位如枕骨粗隆、肩胛部等部位出现?

<p>仰卧位 (C)</p> Signup and view all the answers

哪些是导致外在危险因素所致的压疮的因素?

<p>活动受限和力学因素 (C)</p> Signup and view all the answers

造成压疮的力学机制中,哪种因素会导致皮肤受压、缺血、缺氧?

<p>压力 (D)</p> Signup and view all the answers

引起局部潮湿的因素包括?

<p>大小便失禁和出汗 (C)</p> Signup and view all the answers

内在因素所致的压疮是由于局部潮湿导致的。

<p>False (B)</p> Signup and view all the answers

外在危险因素所致的压疮包括活动受限和力学因素。

<p>True (A)</p> Signup and view all the answers

摩擦力是导致压疮的第一大原因。

<p>False (B)</p> Signup and view all the answers

压力、剪切力和摩擦力共同作用会导致皮肤受压、缺血、缺氧。

<p>True (A)</p> Signup and view all the answers

俯卧位是导致压疮好发部位的姿势之一。

<p>True (A)</p> Signup and view all the answers

压疮是因为局部潮湿导致的。

<p>False (B)</p> Signup and view all the answers

剪切力是造成压疮的第二大原因。

<p>True (A)</p> Signup and view all the answers

压力、剪切力和摩擦力共同作用会导致皮肤受压、缺血、缺氧。

<p>True (A)</p> Signup and view all the answers

俯卧位是导致压疮好发部位的姿势之一。

<p>True (A)</p> Signup and view all the answers

外在危险因素所致的压疮包括力学因素。

<p>True (A)</p> Signup and view all the answers

内在因素所致的压疮是由于活动受限和力学因素导致的。

<p>False (B)</p> Signup and view all the answers

剪切力是导致压疮的第二大原因。

<p>True (A)</p> Signup and view all the answers

局部潮湿会导致皮肤弹性和抵抗力增加,降低压疮发生的危险性。

<p>False (B)</p> Signup and view all the answers

压力、剪切力和摩擦力共同作用会导致皮肤受压、缺血、缺氧。

<p>True (A)</p> Signup and view all the answers

侧卧位是导致压疮好发部位的姿势之一。

<p>True (A)</p> Signup and view all the answers

压疮是由于皮肤变薄、抵抗力下降而易发生的。

<p>True (A)</p> Signup and view all the answers

外在危险因素所致的压疮包括局部潮湿和剪切力。

<p>False (B)</p> Signup and view all the answers

压力、剪切力和摩擦力共同作用会导致皮肤受压、缺血、缺氧。

<p>True (A)</p> Signup and view all the answers

内在因素所致的压疮是由于活动受限和力学因素导致的。

<p>False (B)</p> Signup and view all the answers

俯卧位是导致压疮好发部位的姿势之一。

<p>True (A)</p> Signup and view all the answers

What is the clinical manifestation of a stage III pressure ulcer?

<p>Full-thickness skin tissue loss with visible subcutaneous fat (A)</p> Signup and view all the answers

Which position is known to predispose certain areas to pressure ulcers?

<p>Supine position (B)</p> Signup and view all the answers

What is the main cause of pressure ulcers according to the mechanical mechanism of formation?

<p>Skin under pressure, ischemia, and hypoxia (C)</p> Signup and view all the answers

What are the clinical manifestations of a stage III pressure ulcer?

<p>Full-thickness skin tissue loss with visible subcutaneous fat (B)</p> Signup and view all the answers

Which position is known to predispose certain areas to pressure ulcers?

<p>Side-lying position (A)</p> Signup and view all the answers

What is a significant internal factor that leads to thinning of the skin and decreased resistance, making pressure ulcers more likely to occur?

<p>Diminished blood supply and oxygen to the skin (D)</p> Signup and view all the answers

Ⅲ度压疮的临床表现是什么?

<p>完全皮肤组织缺损,但未显露骨骼、肌腱或肌肉 (C)</p> Signup and view all the answers

压疮的力学机制中,哪种因素会导致皮肤受压、缺血、缺氧?

<p>剪切力 (C)</p> Signup and view all the answers

哪种姿势容易导致压疮好发部位如枕骨粗隆、肩胛部等部位出现?

<p>侧卧位 (A)</p> Signup and view all the answers

Ⅲ度压疮的临床表现是什么?

<p>皮下脂肪可见,但没有骨骼、肌腱或肌肉显露 (C)</p> Signup and view all the answers

压疮的力学机制中,哪种因素会导致皮肤受压、缺血、缺氧?

<p>剪切力 (D)</p> Signup and view all the answers

什么因素会导致局部组织长时间受压,影响局部组织的微循环,限制血液流动,引起软组织局部缺血?

<p>剪切力 (C)</p> Signup and view all the answers

皮肤受压、缺血、缺氧的主要机制是由以下哪种因素共同作用导致的?

<p>压力、剪切力和摩擦力 (B)</p> Signup and view all the answers

以下哪种姿势容易导致耳廓、肩峰、肋骨等部位出现压疮?

<p>侧卧位 (C)</p> Signup and view all the answers

Ⅲ度压疮的临床表现包括以下哪一项?

<p>皮下脂肪可见,但骨骼、肌腱或肌肉尚未显露或不可探及 (C)</p> Signup and view all the answers

Ⅲ度压疮是全层皮肤组织缺损,可见皮下脂肪,但骨骼、肌腱或肌肉尚未显露或不可探及。

<p>True (A)</p> Signup and view all the answers

Ⅲ度压疮可能存在坏死组织、腐肉或窦道。

<p>True (A)</p> Signup and view all the answers

Ⅲ度压疮的临床表现包括皮下脂肪可见,但骨骼、肌腱或肌肉尚未显露。

<p>False (B)</p> Signup and view all the answers

Ⅲ度压疮是指全层皮肤组织缺损,可见皮下脂肪,但骨骼、肌腱或肌肉尚未显露或不可探及

<p>True (A)</p> Signup and view all the answers

Ⅲ度压疮的伤口床可能存在坏死组织、腐肉或窦道

<p>True (A)</p> Signup and view all the answers

Ⅲ度压疮的临床表现包括皮下脂肪可见,但骨骼、肌腱或肌肉尚未显露

<p>True (A)</p> Signup and view all the answers

Ⅲ度压疮是指全层皮肤组织缺损,可见皮下脂肪,但骨骼、肌腱或肌肉尚未显露或不可探及

<p>True (A)</p> Signup and view all the answers

Ⅲ度压疮的伤口床可能存在坏死组织、腐肉或窦道

<p>True (A)</p> Signup and view all the answers

Ⅲ度压疮的临床表现包括以下哪一项?

<p>False (B)</p> Signup and view all the answers

Ⅲ度压疮是指全层皮肤组织缺损,但骨骼、肌腱或肌肉已经显露或可探及

<p>False (B)</p> Signup and view all the answers

Ⅲ度压疮可能存在坏死组织、腐肉或窦道

<p>True (A)</p> Signup and view all the answers

Ⅲ度压疮的伤口床可能存在坏死组织、腐肉或窦道

<p>True (A)</p> Signup and view all the answers

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