Skin Integrity and Pressure Ulcers Quiz
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Questions and Answers

Which type of wound involves surgical wounds in which the respiratory, alimentary, genital, and urinary tracts have been entered but shows no evidence of infection?

  • Contaminated wounds
  • Clean wounds
  • Dirty wounds
  • Clean-contaminated wounds (correct)
  • What type of wound involves a blow from a blunt instrument causing the skin to appear ecchymosed?

  • Contusion (correct)
  • Puncture
  • Abrasion
  • Laceration
  • Which position is considered a common pressure site leading to pressure ulcers?

  • Prone position
  • Fowler’s position
  • Lateral position
  • Supine position (correct)
  • What does reactive hyperemia indicate in the context of pressure ulcers?

    <p>Increased blood supply to the area</p> Signup and view all the answers

    Which stage of pressure ulcers involves non-blanchable erythema but intact skin?

    <p>Stage I</p> Signup and view all the answers

    In which type of wound are the edges often uneven, and tissues are torn apart?

    <p>Laceration</p> Signup and view all the answers

    Which term describes a combination of friction and pressure resulting in skin injury?

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

    What is the depth described in a wound that involves the dermis, epidermis, subcutaneous tissue, and possibly muscle and bone?

    <p>Full thickness</p> Signup and view all the answers

    Which type of wound results from skin injury over bony prominences due to force alone or in combination with movement?

    <p>Pressure ulcer</p> Signup and view all the answers

    What type of wound involves a skin injury that usually affects bony prominences due to localized ischemia?

    <p>Pressure ulcer</p> Signup and view all the answers

    Which type of wound shows evidence of inflammation and may contain dead tissue and purulent drainage?

    <p>Dirty wound</p> Signup and view all the answers

    What characterizes Full-thickness skin loss in Pressure Ulcers?

    <p>Skin loss with tissue necrosis or damage to tendon, muscle, or bone.</p> Signup and view all the answers

    What is the maximum score in the Norton Scale risk assessment tool?

    <p>20 points</p> Signup and view all the answers

    Which scale includes subscales like sensory perception, moisture, and activity?

    <p>Braden Scale</p> Signup and view all the answers

    What is considered at risk according to the Braden Scale?

    <p>Scores ≤ 18 points</p> Signup and view all the answers

    Which nursing intervention is recommended for preventing pressure ulcers?

    <p>Repositioning every 2 hours</p> Signup and view all the answers

    What is the main purpose of assessing the location of an ulcer in relation to a bony prominence?

    <p>To assess pressure distribution</p> Signup and view all the answers

    Which nursing diagnosis may be related to trauma or immobility?

    <p>Impaired Tissue Integrity</p> Signup and view all the answers

    What should be used to clean wounds during each dressing change?

    <p>Surgical asepsis</p> Signup and view all the answers

    What should be avoided when maintaining skin hygiene to prevent pressure ulcers?

    <p>'Babypowder' for friction</p> Signup and view all the answers

    Which organ is referred to as the largest in the body?

    <p>Skin</p> Signup and view all the answers

    What refers to the presence of normal skin uninterrupted by wounds?

    <p>Intact skin</p> Signup and view all the answers

    Which factor affecting skin integrity includes sensitivity to sunlight?

    <p>Genetics</p> Signup and view all the answers

    What is a type of wound that can occur unintentionally due to accidents?

    <p>Traumatic wound</p> Signup and view all the answers

    Which factor can lead to impaired peripheral arterial circulation affecting skin on the legs?

    <p>Chronic illnesses</p> Signup and view all the answers

    What is a common medication that might affect skin integrity?

    <p>Corticosteroids</p> Signup and view all the answers

    Pressure ulcers are often linked to prolonged:

    <p>Periods of sitting or lying down</p> Signup and view all the answers

    In the context of skin integrity, what does poor nutrition contribute to?

    <p>Wound healing complications</p> Signup and view all the answers

    What physiological impact does activity level have on skin integrity?

    <p>Improved circulation</p> Signup and view all the answers

    What plays a role in the color of an individual's skin?

    <p>Genetics &amp; heredity</p> Signup and view all the answers

    What type of medication can compromise the body's immune response, affecting skin health?

    <p>Corticosteroids</p> Signup and view all the answers

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