Rechga

Pressure ulcers form primarily as a result of? KEY WORD PRIMARY - correct answer tissue ischemia Risk Factors for Pressure Ulcers? - correct answer Immobility, Inadequate nutrition, Fecal and urinary incontinence, Decreased mental status, Diminished sensation, Excessive body heat, advanced age, poor lifting and transferring techniques, incorrect positioning, hard support surfaces, incorrect application of pressure relieving devices, friction and shearing. The nurse notes ...

A pediatric nurse is familiar with specific characteristics of children's skin. Which statement describes the common skin characteristics in a child? A. An individual's skin changes little over the life span. B. In children younger than 2 years, the skin is thicker and stronger than in adults. C. An infant's skin and mucous membranes are easily injured and at risk for infection. D. A child's skin becomes less resistant to injury and infection as the child grows. - correct answe...

Which question would the nurse ask to determine the patient's health history about skin integrity? Does your skin pain feel sharp, achy, or dull? When did you notice the lesion on your skin? Has anyone in your family had a skin disorder? Can a family member help you care for the lesion? - correct answer Has anyone in your family had a skin disorder? Which finding is expected in a physical skin assessment? Elastic skin turgor Nonintact skin Stage 1 pressure injury Cool, dry sk...

What causes illness? (Most basic concept) - correct answer Bacteria What other organisms cause illness? - correct answer Fungus, parasites, bacteria/virus (most likely seen in hospitals), and protozoa. How does the chain of infection go? (6 steps) - correct answer Infectious agent to reservoir to portal of exit to mode of transmission to portal of entry to host. Put the stages of infection in the correct order. A. Illness stage B. Convalescence C. Incubation perio...

What is the function of the stratum corneum? a) Provides insulation for temperature regulation b) Provides strength and elasticity to the skin c) Protects the body against the entry of pathogens d) Continually produces new skin cells - correct answer c) Protects the body against the entry of pathogens Skin integrity and wound healing are compromised in the client who takes blood pressure medications because antihypertensives: a) Can cause cellular toxicity b) Increase the risk...

Why is skin integrity important? - correct answer primary defense; protective barrier (against infection); sensory organ; vitamin D synthesis how does a patient get "impaired skin integrity"? - correct answer healthcare providers cause it (ex. surgery); accidents, abrasions (animal bites, knives); circulatory problems (problems with arteries or venous circulation); too much pressure (pressure ulcers) by extent - correct answer wound assessment, classification; parti...

The nurse is changing the dressing on a Pt's incision. This type of wound is commonly known as a(n) --- wound. - correct answer intentional The nurse notes swelling and pain occurring form an incision. These symptoms are most likely caused by an accumulation of.. - correct answer exudate A patient's wound is in the inflammatory cellular phase, meaning that -- or -- cells arrive first to ingest bacteria and cellular debris. - correct answer neutrophils, polymorphonuc...

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 - correct answer C. Decreased sensation 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. The client calls the nurse to the room and states, "Look, my incision is popping open where they ...

Which reasoning explains why a nurse measures wound size during an initial wound assessment? - correct answer - To help assess progression of wound healing Measuring wound size helps assess the progression of wound healing. As the wound heals, it becomes smaller. Which cues related to skin integrity may reflect an overall health problem? - correct answer - Cracking Extreme dryness or cracking adversely affects skin integrity, indicating an overall health problem. - Tenting Te...

Learning objectives: 1. Discuss the risk factors that contribute to pressure injury formation. 2. Describe the pressure injury staging system. 3. Discuss the normal process of wound healing. 4. Describe the differences in wound healing by primary and secondary intention. 5. Explain the factors that impede or promote wound healing. 6. Describe the differences between nursing care of acute and chronic wounds. 7. Complete an assessment for a client with impaired skin integrity. 8. Develop ...