QUESTIONS WITH CORRECT SOLUTIONS
GRADED A+
◉ Epidermis. Answer: top layer of skin
◉ Stratum Corneum. Answer: Outermost layer of the epidermis,
which consists of flattened, keratinized cells
◉ Define Pressure Ulcers. Answer: Described as impaired skin
integrity related to unrelieved, prolonged pressure, usually over a
boney prominence
◉ Pressure Ulcer Risk Factors. Answer: -decreased mobility
-decreased sensory perception
-fecal or urinary incontinence
-poor nutrition
◉ Individuals at risk for pressure ulcers. Answer: -older adults that
have experienced a trauma
-those with spinal cord injuries
-those who have sustained a fractured hip
,-those in long-term homes or community care, the acutely ill
-individuals with diabetes
-patients in critical care settings (ICU)
◉ Dermis. Answer: inner layer of skin, provides tensile strength,
mechanical support, and protection for the underlying muscles,
bones, and organs
◉ Tissue Ischemia. Answer: Pressure applied over a capillary
exceeds the normal capillary pressure, and the vessel is occluded for
a prolonged period of time.
◉ dermal-epidermal junction. Answer: separates dermis and
epidermis
◉ 3 pressure related factors that contribute to pressure ulcer
development. Answer: -pressure intensity
-pressure duration
-tissue tolerance
◉ Non-blanchable hyperemia. Answer: redness that persists after
palpation and indicates tissue damage
, ◉ Stage 1 Pressure Ulcer. Answer: -intact skin with nonblanchable
redness
-warm to touch, edema, can be a hardened area
◉ Stage 2 Pressure Ulcer. Answer: -partial thickness skin loss
-shallow but open
-no slough or drainage
-red/pink wound bed
◉ Stage 3 Pressure ulcer. Answer: -full thickness tissue loss with
visible underlying fat
-NO bone, muscle or tendon is visible
-can have slough
-underminning/tunneling
◉ Stage 4 Pressure ulcer. Answer: -full thickness tissue loss WITH
visible muscle, bone or tendon
-tunneling/underminning
◉ Unstageable Pressure Ulcer. Answer: -Full thickness tissue loss in
which the base of the ulcer is covered by slough (yellow, tan, gray,
green or brown) and/or eschar (tan, brown or black) in the wound
bed.