Correct Answers.
epidermis - Answer top layer of the skin. Has many layers for protection
dermis - Answer inner lay of skin, made of collagen to help with structure
how much of total body weight does the skin make up? - Answer 15%
what is the largest organ? - Answer skin
What are the functions of the skin? - Answer - protective barrier
- support/structure
- flexibility
- absorption
- excretion
- sensory organ
- vitamin D synthesis
- self replenishing
braden scale - Answer A tool for predicting pressure ulcer risk
sensory perception, moisture, activity/mobility, nutrition, friction
what is the number 1 goal for pressure ulcers? - Answer prevention
sensory perception - Answer ability to respond to pressure related to discomfort
moisture - Answer degree to which skin is exposed to moisture
activity - Answer degree of physical activity
mobility - Answer ability to change and control position
nutrition - Answer usual food intake pattern
, friction and shear - Answer 1. problem
2. potential problem
3. no apparent problem
is a higher or lower score good for the Braden scale? - Answer high score = low risk
low score = high risk
pressure ulcer - Answer localized injury to the skin and other underlying tissue, usually over
a bony prominence, as a result of pressure or pressure in combination with shear and or friction
stage 1 pressure ulcer - Answer a reddened are on the skin that is non-blanchable. Skin is
intact
stage II pressure ulcer - Answer partial thickness loss with exposed dermis. The skin blisters
or forms an open sore
stage III pressure ulcer - Answer Full thickness loss, adipose tissue is visible.
Stage IV pressure ulcer - Answer Full-thickness tissue loss with exposed bone, tendon, or
muscle
unstageable pressure ulcer - Answer Full thickness tissue loss in which the base of the ulcer
is covered by slough and/or eschar in the wound bed.
risks of pressure ulcers - Answer decreased mobility
decreased sensory perception
incontinence
poor nutrition
pathogenesis for pressure ulcers - Answer pressure intensity
pressure duration
tissue tolerance
serous exudate - Answer clear, watery (little to no blood)
Serosanguineous exudate - Answer pale pink water mix