Nursing: Skin Care and Incontinence

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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?

Friction and shearing forces Signup and view all the answers

What can lead to diminished pain perception in older adults?

Reduced number of cutaneous end organs Signup and view all the answers

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

It increases the cells' need for oxygen. Signup and view all the answers

What is a consequence of immobility on the skin?

Increased pressure and friction on the skin Signup and view all the answers

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

They are less able to recognize and respond to pain associated with pressure. Signup and view all the answers

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

To reduce friction and shearing forces on the skin Signup and view all the answers

What is a consequence of advanced age on the skin?

It brings about changes that make the older person more prone to impaired skin integrity. Signup and view all the answers

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

Reactive hyperemia 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?

Shearing force Signup and view all the answers

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

Reduced muscle mass Signup and view all the answers

What nutrient deficiency can contribute to pressure ulcer formation?

Protein 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?

Immobility Signup and view all the answers

What is a primary factor in maintaining skin integrity?

Proper nutrition Signup and view all the answers

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

Reduced blood flow and oxygenation Signup and view all the answers

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

Skin maceration and erosion Signup and view all the answers

What is a critical aspect of pressure ulcer prevention?

Frequent repositioning Signup and view all the answers

What is essential for promoting wound healing?

Adequate nutrition Signup and view all the answers

Where are pressure ulcers more likely to occur?

Areas that are frequently moist and receive extensive pressure Signup and view all the answers

How is the depth of a wound typically measured?

By inserting a sterile swab at the deepest part of the wound and measuring it against a measuring guide Signup and view all the answers

What is a common method for assessing wound drainage?

By estimating the amount of drainage based on the saturation of the dressing Signup and view all the answers

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

The integrity of the surrounding skin Signup and view all the answers

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

Because moisture leads to maceration and erosion Signup and view all the answers