Fundamentals of Nursing: Skin Integrity and Wound Care exam solved 100%
7 views 0 purchase
Course
Skin Integrity and Wound Care
Institution
Skin Integrity And Wound Care
Fundamentals of Nursing: Skin Integrity and Wound Care exam solved 100%
The skin is the body's largest organ, accounting for ____ of the total body weight: -Correct Answer-15%
Skin provides: -Correct Answer-- A protective barrier against disease-causing organisms
- A sensory organ for pain, te...
Fundamentals of Nursing: Skin Integrity
and Wound Care exam solved 100%
The skin is the body's largest organ, accounting for ____ of the total body weight: -Correct Answer-15%
Skin provides: -Correct Answer-- A protective barrier against disease-causing organisms
- A sensory organ for pain, temperature, and touch
- Vitamin D synthesis
The skin has two layers: -Correct Answer-- Epidermis
- Dermis
Epidermis -Correct Answer-Top layer of the skin
Dermis -Correct Answer-Inner layer of skin that provides tensile strength and mechanical support and
protection to underlying muscles, bones, and organs.
- Made of collagen, blood vessels, and nerves
Collagen -Correct Answer-Tough, fibrous protein
- Fibroblasts (which are responsible for collagen formation)
Pressure Ulcer -Correct Answer-Localized injury to the skin and underlying tissue over a bony
prominence as a result of pressure or pressure in combination of shear and/or friction.
Ex. sacrum, greater trochanter
Blanching -Correct Answer-Occurs when normal red tones of skin are absent.
*Does not occur in dark-skinned patients.*
Identify the pressure related factors that contribute to pressure ulcer development: (3) -Correct Answer--
Pressure intensity
, - Pressure duration
- Tissue tolerance
Identify risk factors that predispose a patient to pressure ulcer formation. -Correct Answer-- Impaired
sensory perception
- Impaired mobility
- Alteration in level of consciousness (LOC)
- Shear
- Friction
- Moisture
Any patient who is experiencing decreased mobility, decreased sensory perception, fecal or urinary
incontinence, and/or poor nutrition is at risk for _________________________. -Correct Answer-
pressure ulcer development
Staging systems for pressure ulcers are based on the depth of tissue destroyed. Briefly describe each
stage. -Correct Answer-*Stage I:* Intact skin with non-blanchable redness
*Stage II:* Partial-thickness skin loss involving epidermis, dermis, or both
*Stage III:* Full thickness tissue loss with visible fat
*Stage IV:* Full-thickness tissue loss with exposed bone, muscle, or tendon
*Unstageable/Unclassified:* Full-thickness Skin or Tissue Loss (Depth Unknown)
*Suspected Deep-Tissue Injury* (Depth Unknown)
Stage I: Nonblanchable Redness -Correct Answer-- Intact skin presents with nonblanchable redness of a
localized area usually over a bony prominence.
- Discoloration of the skin, warmth, edema, hardness, or pain may also be present.
- Darkly pigmented skin may not have visible blanching but its coloring may differ from the surrounding
area.
- The area may be painful, firm, soft, warmer, or cooler as compared to adjacent tissue.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Clevercrownsolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.