Nursing: Skin Care and Incontinence
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Questions and Answers

What is a risk factor for skin breakdown and delayed healing?

  • Malnutrition
  • Cardiovascular disease
  • Immobility
  • All of the above (correct)

Which of the following factors contributes to the development of skin maceration and erosion?

  • Loss of sensation due to paralysis
  • Advanced age
  • Elevated body temperature
  • Accumulation of secretions or excretions (correct)

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

  • They are more prone to skin maceration.
  • They have a higher risk of falls.
  • They have compromised nutrition.
  • They are less able to recognize and respond to pain associated with pressure. (correct)

What is the primary cause of pressure ulcers?

<p>Friction and shearing forces (C)</p> Signup and view all the answers

What can lead to diminished pain perception in older adults?

<p>Reduced number of cutaneous end organs (A)</p> Signup and view all the answers

What is a consequence of elevated body temperature on pressure ulcers?

<p>It increases the cells' need for oxygen. (A)</p> Signup and view all the answers

What is a consequence of immobility on the skin?

<p>Increased pressure and friction on the skin (B)</p> Signup and view all the answers

Why do individuals with diminished sensation due to paralysis or stroke have an increased risk of pressure ulcers?

<p>They are less able to recognize and respond to pain associated with pressure. (D)</p> Signup and view all the answers

What is the primary purpose of proper lifting and transferring techniques in pressure ulcer prevention?

<p>To reduce friction and shearing forces on the skin (B)</p> Signup and view all the answers

What is a consequence of advanced age on the skin?

<p>It brings about changes that make the older person more prone to impaired skin integrity. (C)</p> Signup and view all the answers

What is the term for the bright red flush that appears on the skin after pressure relief?

<p>Reactive hyperemia (B)</p> Signup and view all the answers

What is the combination of friction and pressure that commonly occurs when a client assumes a sitting position in bed?

<p>Shearing force (B)</p> Signup and view all the answers

What is a common consequence of immobility that increases the risk of pressure ulcers?

<p>Reduced muscle mass (A)</p> Signup and view all the answers

What nutrient deficiency can contribute to pressure ulcer formation?

<p>Protein (A)</p> Signup and view all the answers

What is the term for the reduction in the amount and control of movement a person has, which increases the risk of pressure ulcers?

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

What is a primary factor in maintaining skin integrity?

<p>Proper nutrition (B)</p> Signup and view all the answers

Why are individuals with immobility at increased risk for pressure ulcers?

<p>Reduced blood flow and oxygenation (B)</p> Signup and view all the answers

What is a major complication of incontinence in terms of skin integrity?

<p>Skin maceration and erosion (A)</p> Signup and view all the answers

What is a critical aspect of pressure ulcer prevention?

<p>Frequent repositioning (A)</p> Signup and view all the answers

What is essential for promoting wound healing?

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

Where are pressure ulcers more likely to occur?

<p>Areas that are frequently moist and receive extensive pressure (B)</p> Signup and view all the answers

How is the depth of a wound typically measured?

<p>By inserting a sterile swab at the deepest part of the wound and measuring it against a measuring guide (B)</p> Signup and view all the answers

What is a common method for assessing wound drainage?

<p>By estimating the amount of drainage based on the saturation of the dressing (B)</p> Signup and view all the answers

What is a key factor in assessing the stage of a pressure ulcer?

<p>The integrity of the surrounding skin (D)</p> Signup and view all the answers

Why are areas with frequent moisture at risk for skin breakdown?

<p>Because moisture leads to maceration and erosion (B)</p> Signup and view all the answers

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