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Questions and Answers
What is the term for normal skin with no interruptions by wounds?
What is the term for normal skin with no interruptions by wounds?
- Intact skin (correct)
- Skin integrity
- Skin health
- Wound healing
What is the primary function of the skin in maintaining health?
What is the primary function of the skin in maintaining health?
- Aiding in digestion
- Producing hormones
- Regulating body temperature
- Protecting the individual from injury (correct)
What is a factor that can influence skin integrity?
What is a factor that can influence skin integrity?
- Genetic factors only
- Both internal and external factors (correct)
- Environmental factors only
- Nutritional factors only
What type of wound is characterized by minimal inflammation and no entry into the respiratory, gastrointestinal, genital, or urinary tracts?
What type of wound is characterized by minimal inflammation and no entry into the respiratory, gastrointestinal, genital, or urinary tracts?
What happens to the skin or mucous membrane surface in an open wound?
What happens to the skin or mucous membrane surface in an open wound?
What is an example of an intentional wound?
What is an example of an intentional wound?
What is the primary goal of nursing functions in maintaining skin integrity?
What is the primary goal of nursing functions in maintaining skin integrity?
What type of wound is characterized by evidence of inflammation?
What type of wound is characterized by evidence of inflammation?
What type of wound is caused by a blow from a blunt instrument?
What type of wound is caused by a blow from a blunt instrument?
What type of wound is characterized by the presence of dead tissue?
What type of wound is characterized by the presence of dead tissue?
What is the term for a surface scrape, either unintentional or intentional?
What is the term for a surface scrape, either unintentional or intentional?
What type of wound is caused by a sharp instrument, either intentional or unintentional?
What type of wound is caused by a sharp instrument, either intentional or unintentional?
What type of wound involves the tearing of tissues, often from accidents?
What type of wound involves the tearing of tissues, often from accidents?
What is the term for a wound made by a sharp instrument, such as a knife or scalpel?
What is the term for a wound made by a sharp instrument, such as a knife or scalpel?
What is the primary reason for maintaining skin integrity in nursing?
What is the primary reason for maintaining skin integrity in nursing?
What is a characteristic of clean-contaminated wounds?
What is a characteristic of clean-contaminated wounds?
What is the difference between open and closed wounds?
What is the difference between open and closed wounds?
What is the primary goal of nursing functions in relation to wound care?
What is the primary goal of nursing functions in relation to wound care?
What is the relationship between skin integrity and internal factors?
What is the relationship between skin integrity and internal factors?
Which type of wound is characterized by the presence of purulent drainage?
Which type of wound is characterized by the presence of purulent drainage?
What type of wound is caused by a sharp instrument, either intentional or unintentional, and involves penetration of the skin and underlying tissues?
What type of wound is caused by a sharp instrument, either intentional or unintentional, and involves penetration of the skin and underlying tissues?
Which type of wound shows evidence of inflammation?
Which type of wound shows evidence of inflammation?
What type of wound involves the tearing of tissues, often from machinery accidents?
What type of wound involves the tearing of tissues, often from machinery accidents?
Which type of wound is characterized by dead tissue?
Which type of wound is characterized by dead tissue?
Study Notes
Skin Integrity
- Intact skin refers to the presence of normal skin and skin layers uninterrupted by wounds.
- The appearance of the skin and skin integrity are influenced by internal factors (genetic, age, and underlying health) and external factors (activity).
Factors Affecting Skin Integrity
- Age
- Genetic factors
- Underlying health
- External factors (activity)
Wound Classification
- Wounds can be classified as intentional or unintentional.
- Closed wounds: tissues are traumatized without a break in the skin.
- Open wounds: skin or mucous membrane surface is broken.
Wound Contamination
- Clean wounds: uninfected wounds with minimal inflammation and no entry into respiratory, gastrointestinal, genital, or urinary tracts.
- Clean-contaminated wounds: surgical wounds with entry into respiratory, gastrointestinal, genital, or urinary tract, but no evidence of infection.
- Contaminated wounds: open, fresh, accidental wounds and surgical wounds showing evidence of inflammation.
- Dirty or infected wounds: wounds containing dead tissue and wounds with evidence of a clinical infection.
Specific Types of Wounds
- Incision: wound caused by a sharp instrument (e.g., knife or scalpel).
- Contusion: wound caused by a blow from a blunt instrument.
- Abrasion: surface scrape, either unintentional (e.g., scraped knee from a fall) or intentional (e.g., dermal abrasion to remove pockmarks).
- Puncture: penetration of the skin and often the underlying tissues by a sharp instrument, either intentional or unintentional.
- Laceration: tissues torn apart, often from accidents (e.g., with machinery).
- Penetrating wound: penetration of the skin and the underlying tissues, usually unintentional (e.g., from a bullet or metal fragments).
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Description
This quiz assesses your understanding of skin integrity and wound care, including factors that affect skin integrity and different types of wounds. Covers the importance of nursing functions in maintaining skin health.
