Fundamentals of Nursing: Skin Integrity & Wound Care
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Questions and Answers

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?

<p>A bright red flush of the skin after pressure is relieved (B)</p> Signup and view all the answers

What is friction?

<p>A force acting parallel to the skin surface (A)</p> Signup and view all the answers

What is shearing force?

<p>A combination of friction and pressure (B)</p> Signup and view all the answers

What is immobility?

<p>A reduction in the amount and control of movement a person has (D)</p> Signup and view all the answers

What is the effect of friction on the skin?

<p>It causes skin irritation (D)</p> Signup and view all the answers

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

<p>They are more likely to occur (C)</p> Signup and view all the answers

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

<p>Pale appearance of the skin due to compression (B)</p> Signup and view all the answers

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

<p>Assuming a sitting position in bed (B)</p> 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?

<p>It indicates no tissue damage (B)</p> Signup and view all the answers

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

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

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

<p>Force in combination with movement (A)</p> Signup and view all the answers

What is the consequence of prolonged immobility on the skin?

<p>Increased risk of pressure ulcers (C)</p> Signup and view all the answers

Which of the following statements is true about pressure ulcers?

<p>They occur on both the skin and underlying tissue (D)</p> Signup and view all the answers

What is the primary cause of friction in a client?

<p>Sheets rubbing against the client's skin (B)</p> Signup and view all the answers

What is the consequence of shearing force on the skin?

<p>Tissue damage due to shearing force (C)</p> Signup and view all the answers

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