Pressure Injury Quiz and Flashcards

Questions and Answers

Presence of non-blanchable erythema

Exposed dermis

Purple or maroon discoloration

Full thickness of skin loss Signup and view all the answers

Changes in sensation, temperature, or firmness Signup and view all the answers

Localized area of non-blanchable erythema Signup and view all the answers

Presence of slough and eschar Signup and view all the answers

Visible adipose tissue in the ulcer Signup and view all the answers

Changes in sensation, temperature, or firmness Signup and view all the answers

Adverse microclimate and shear in the skin over the pelvis Signup and view all the answers

Study Notes

A characteristic of a stage 1 pressure injury is non-blanchable erythema, which means the skin is red and does not turn white when pressed.
A characteristic of a stage 2 pressure injury is partial-thickness skin loss or blistering, which may be shallow or deep, and may be painful.
Deep tissue pressure injury may be indicated by induration (abnormal hardening of tissue) or boggy texture (soft and spongy).
A characteristic of a stage 3 pressure injury is full-thickness skin loss, which extends into the subcutaneous tissue, but not through the fascia.
Visual changes in a stage 1 pressure injury may be preceded by changes in sensation, temperature, or firmness of the skin.
In darkly pigmented skin, a distinguishing feature of a stage 1 pressure injury is heat, firmness, or coolness compared to adjacent tissue.
The presence of slough (dead tissue) or eschar (scab) does not indicate a stage 2 pressure injury.
A characteristic of a stage 3 pressure injury is full-thickness skin loss, which extends into the subcutaneous tissue, but not through the fascia.
Visual changes in a stage 1 pressure injury may be preceded by changes in sensation, temperature, or firmness of the skin.
A common cause of stage 2 pressure injuries is friction and shear forces, which can cause partial-thickness skin loss or blistering.