NUFT 204 Exam 2 Skin Integrity Wound Care Questions

NUFT - 204: (Exam 2) Skin Integrity & Wound
Care Questions

1). Epidermis

 Ans: top layer of skin


2). Dermis

 Ans: inner layer of skin + collagen


3). Dermal-epidermal junction

 Ans: separates dermis and epidermis


4). Names for pressure ulcers

 Ans: pressure sore, decubitus ulcer, or bed sore


5). Tissue ischemia

 Ans: death of skin bc lack of blood flow


6). Blanching

 Ans: skin goes pale when pressed then goes back to pink when released (think nails)


7). Risk factors for pressure ulcer development

 Ans: Impaired sensory perception
Impaired mobility
Alteration in LOC
Shear
Friction
Moisture


8). Friction



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,  Ans: *superficial / visible injury*
= the mechanical force exerted when skin is dragged across a coarse surface (such as
bed linens)


9). Shear

 Ans: *internal injury*
= affected by the amount of pressure exerted, the coefficient of friction between the
materials contacting each other, and the extent to which the body makes contact with the
support surface


10). Classification of pressure ulcers

 Ans: Stage I
Stage II
Stage III
StageIV
Unstageable


11). Stage i pressure ulcer

 Ans: intact skin with nonblanchable redness


12). Stage ii pressure ulcer

 Ans: *partial thickness skin loss* involving epidermis, dermis, or both (can be a scab,
bloody, or blister)


13). Stage iii pressure ulcer

 Ans: full thickness tissue loss with *visible fat*


14). Stage iv pressure ulcer

 Ans: full-thickness tissue loss with *exposed bone, tendon, or muscle*


15). Necrosis

 Ans: tissue death




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