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?

<p>Because it increases the metabolic rate and oxygen demand (A)</p> Signup and view all the answers

What is excoriation?

<p>An area of loss of the superficial layers of the skin (B)</p> Signup and view all the answers

What is a risk factor for pressure ulcers?

<p>Decreased mental status (A)</p> Signup and view all the answers

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

<p>Because it harbors microorganisms and irritates the skin (B)</p> 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?

<p>Increased dryness (C)</p> Signup and view all the answers

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

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

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

<p>Diminished pain perception (C)</p> Signup and view all the answers

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

<p>Stage I of pressure ulcers (A)</p> Signup and view all the answers

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

<p>Diminished venous and arterial flow (D)</p> Signup and view all the answers

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

<p>Impaired skin integrity (B)</p> Signup and view all the answers

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

<p>Poor lifting and transferring techniques (C)</p> Signup and view all the answers

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

<p>Stage II of pressure ulcers (D)</p> Signup and view all the answers

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