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Nursing Fundamentals: Skin Integrity and Wound Care

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Nursing Fundamentals: Skin Integrity and Wound Care

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Questions and Answers

What promotes skin maceration and makes the epidermis more easily eroded and susceptible to injury?

Moisture from incontinence (correct)

Pressure ulcers

Dry skin

Elevated body temperature

Why are individuals with decreased mental status at risk for pressure ulcers?

Because they are more prone to infection

Because they have a higher metabolic rate

Because they are less able to recognize and respond to pain (correct)

Because they are more mobile and active

What is the result of loss of sensation in a body area due to paralysis, stroke, or other neurologic disease?

Reduced ability to respond to trauma and injury (correct)

Increased mobility

Increased risk of infection

Increased sensation

Why does elevated body temperature increase the risk of pressure ulcers?

Because it increases the metabolic rate and oxygen demand Signup and view all the answers

What is excoriation?

An area of loss of the superficial layers of the skin Signup and view all the answers

What is a risk factor for pressure ulcers?

Decreased mental status Signup and view all the answers

Why is fecal and urinary incontinence a risk factor for skin breakdown and infection?

Because it harbors microorganisms and irritates the skin Signup and view all the answers

What is a result of the decrease in the amount of oil produced by the sebaceous glands in older individuals?

Increased dryness Signup and view all the answers

Which of the following is a risk factor for skin breakdown and delayed healing?

Cardiovascular disease Signup and view all the answers

What is the consequence of a reduction in the number of cutaneous end organs in older individuals?

Diminished pain perception Signup and view all the answers

What is characterized by non-blanchable erythema signaling potential ulceration?

Stage I of pressure ulcers Signup and view all the answers

What is a consequence of the aging vascular walls in older individuals?

Diminished venous and arterial flow Signup and view all the answers

What is a result of the generalized thinning of the epidermis in older individuals?

Impaired skin integrity Signup and view all the answers

Which of the following is a factor that contributes to skin breakdown?

Poor lifting and transferring techniques Signup and view all the answers

What is characterized by partial-thickness skin loss involving the epidermis and possibly the dermis?

Stage II of pressure ulcers Signup and view all the answers