Answer 2026 | Complete Study Guide
with Practice Questions | A+ Verified
• Tissue integrity -✓✓Intact, healthy skin and epithelial tissues (skin,
mucous membranes, subcutaneous tissue) that function properly.
• Impaired tissue integrity -✓✓Occurs when there is damage to these
tissues, such as wounds, pressure injuries, or breakdown.
• External risk factors for impaired tissue integrity -✓✓Pressure,
friction, shearing forces
• Moisture-related risk factors for impaired tissue integrity -
✓✓Incontinence, maceration, dryness
• Subjective data cues for tissue integrity -✓✓Pain, discomfort, history
of skin issues
• Objective data cues for skin condition -✓✓Skin color, temperature,
texture
• Objective data cues for lesions -✓✓Size, shape, drainage, odor
, • Signs of infection -✓✓Swelling, heat, redness, purulent drainage
• Skin care interventions -✓✓Keep skin clean/dry, use moisturizers, pH-
balanced cleansers
• Repositioning & mobility interventions -✓✓Turn frequently, relieve
pressure points
• Nutritional interventions for tissue integrity -✓✓Adequate protein,
vitamins (A & C), fluids
• Risk assessment tools -✓✓Use tools like the Braden Scale
• Wound care interventions -✓✓Proper cleansing, dressings, infection
control
• Education interventions -✓✓Teach patient/family prevention
strategies
• Collaborative interventions -✓✓Refer to dietitian, wound care
specialist
• Evaluation of skin condition -✓✓Improvement in skin condition
(intact, no redness or breakdown)