UWORLD SKIN INTEGRITY UPDATED
SCRIPT 2026 PRACTICE SOLUTIONS
GRADED A+
● Major functions of the skin. Answer: protection of the internal organs,
unique identification of an individual, thermoregulation, metabolism of
nutrients and metabolic waste products, and sensation.
● Factors Affecting Skin Integrity. Answer: - Age: Older adult skin: Less
elastic, drier, reduced collagen, areas of hyperpigmentation, more prone
to injury.
- Mobility status: Increased pressure, shearing, and friction can lead to
breakdown.
- Nutrition/hydration
•Protein: Maintain the skin, repair minor defects, and preserve
intravascular volume
•Vitamin C, zinc, copper (formation of collagen)
•Dehydration = poor turgor
- Sensation level
•Diminished sensation leads to increased risk for pressure and
breakdown.
- Impaired circulation: Negatively affects tissue metabolism
- Medications: Side effects: itching, rashes
, - Moisture
•Leads to maceration(softening of the skin) and increases the likelihood
of skin breakdown. Incontinence and fever are most common sources
•Depletes moisture
•Increases metabolic rate
- Infection- causing harm by releasing toxins, invading body tissues, and
increasing the metabolic demand of the tissue.
•Impedes healing
- Lifestyle
•Tanning, bathing, piercings, tattoos
● Of the following factors, which would put a client at greatest risk for
impaired skin integrity?
A. Medication, digoxin
B. Moisture
C. Decreased sensation
D. Dehydration. Answer: C
Decreased sensation would greatly increase the risk for injury with a tear
or break in the skin. This could lead to a delay in seeking treatment due
to lack of awareness.
● Classification of Wounds. Answer: - Open (break in the skin or
mucous membranes.)
- closed (no breaks in the skin.)
SCRIPT 2026 PRACTICE SOLUTIONS
GRADED A+
● Major functions of the skin. Answer: protection of the internal organs,
unique identification of an individual, thermoregulation, metabolism of
nutrients and metabolic waste products, and sensation.
● Factors Affecting Skin Integrity. Answer: - Age: Older adult skin: Less
elastic, drier, reduced collagen, areas of hyperpigmentation, more prone
to injury.
- Mobility status: Increased pressure, shearing, and friction can lead to
breakdown.
- Nutrition/hydration
•Protein: Maintain the skin, repair minor defects, and preserve
intravascular volume
•Vitamin C, zinc, copper (formation of collagen)
•Dehydration = poor turgor
- Sensation level
•Diminished sensation leads to increased risk for pressure and
breakdown.
- Impaired circulation: Negatively affects tissue metabolism
- Medications: Side effects: itching, rashes
, - Moisture
•Leads to maceration(softening of the skin) and increases the likelihood
of skin breakdown. Incontinence and fever are most common sources
•Depletes moisture
•Increases metabolic rate
- Infection- causing harm by releasing toxins, invading body tissues, and
increasing the metabolic demand of the tissue.
•Impedes healing
- Lifestyle
•Tanning, bathing, piercings, tattoos
● Of the following factors, which would put a client at greatest risk for
impaired skin integrity?
A. Medication, digoxin
B. Moisture
C. Decreased sensation
D. Dehydration. Answer: C
Decreased sensation would greatly increase the risk for injury with a tear
or break in the skin. This could lead to a delay in seeking treatment due
to lack of awareness.
● Classification of Wounds. Answer: - Open (break in the skin or
mucous membranes.)
- closed (no breaks in the skin.)
