Fundamentals of Nursing: Skin Integrity & Wound Care

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What is a pressure ulcer?

A type of skin tumor

A skin infection caused by friction

An injury to the skin and/or underlying tissue, usually over a bony prominence (correct)

A skin condition caused by anemia

What is the effect of pressure on the skin?

It reduces blood flow to the area (correct)

It increases blood flow to the area

It has no effect on blood flow to the area

It changes the skin color to bright red

What is the significance of reactive hyperemia lasting less than the duration of impeded blood flow?

It indicates anemia

It indicates a skin infection

It indicates tissue damage

It indicates no tissue damage (correct)

What is reactive hyperemia?

A bright red flush of the skin after pressure is relieved Signup and view all the answers

What is friction?

A force acting parallel to the skin surface Signup and view all the answers

What is shearing force?

A combination of friction and pressure Signup and view all the answers

What is immobility?

A reduction in the amount and control of movement a person has Signup and view all the answers

What is the effect of friction on the skin?

It causes skin irritation Signup and view all the answers

What is the significance of pressure ulcers being over a bony prominence?

They are more likely to occur Signup and view all the answers

Which of the following is a consequence of pressure on the skin due to immobility?

Pale appearance of the skin due to compression Signup and view all the answers

What is the primary reason for the occurrence of shearing force in a client?

Assuming a sitting position in bed Signup and view all the answers

What is the significance of reactive hyperemia lasting less than three quarters of the duration of impeded blood flow?

It indicates no tissue damage Signup and view all the answers

Which of the following is a risk factor for pressure ulcers?

Anemia Signup and view all the answers

What is the primary mechanism of tissue damage in pressure ulcers?

Force in combination with movement Signup and view all the answers

What is the consequence of prolonged immobility on the skin?

Increased risk of pressure ulcers Signup and view all the answers

Which of the following statements is true about pressure ulcers?

They occur on both the skin and underlying tissue Signup and view all the answers

What is the primary cause of friction in a client?

Sheets rubbing against the client's skin Signup and view all the answers

What is the consequence of shearing force on the skin?

Tissue damage due to shearing force Signup and view all the answers