Tissue Integrity Practice Questions exa
opr opr opr opr
m questions with answers correct/verifi
opr opr opr opr
ed A+ opr
Whenoprplanningoprcareoprforopranoprolderopradultoprclientoprwhooprisopratoprriskoprforoprdevelopingoprpressureoprulcers,o
prwhatoprisoprtheoprbestoproption?opr
Useopraoprtransferoprdeviceoprtooprliftoprtheoprclientoprupoprinoprbed.
Applyoprcornstarchoprtooprkeepoprsensitiveoprskinoprareasoprdry.
Massageoprtheoprskinoproveroprtheoprclient'soprbonyoprprominences.
Elevateoprtheoprheadoprofoprtheoprbedoprnooprmoreoprthanopr45°.opr-oprcorrectopranswers-
Useopraoprtransferoprdeviceoprtooprliftoprtheoprclientoprupoprinoprbed.
Usingopraoprliftingoprdeviceoprpreventsoprdraggingoprtheoprclient'soprskinopracrossoprtheoprbedoprlinens,oprwhichoprcanoprc
auseoprabrasions.
Applyoprcornstarchoprtooprkeepoprsensitiveoprskinoprareasoprdry.oprCornstarchoprandoprbabyoprpowderoprcanoprcreateopr
dry,oprgrittyoprdebrisoprthatoprcanoprabradeoprsensitiveoprskin.
Massageoprtheoprskinoproveroprtheoprclient'soprbonyoprprominences.oprMassagingoprtheoprskinoproveroprbonyoprpromin
encesoprhasoprnooprpreventiveoprvalue,oprandopritoprcanoprtraumatizeoprdeepoprtissues.
Elevateoprtheoprheadoprofoprtheoprbedoprnooprmoreoprthanopr45°.oprKeepingoprtheoprheadoprofoprtheoprbedoprnooprhigheropr
thanopr30°oprhelpsoprminimizeoprshearingoprforces.oprHigheroprelevationsoprcanoprcauseoprtheoprskinoprtooprstickoprtooprt
heoprbedoprlinensoprwhileoprdeeperoprtissuesoprslideoprdownward.
Workingopronopranoprorthopedicoprunitoprandopryouoprhaveoprfouroprclients,oprwhooprisoprmoreopratoprriskoprforoprskinoprbr
eakdown?
Anopradolescentoprwhooprhasopraoprcervicaloprfractureoprandoprisoprinopraoprhalooprbrace
Aopryoungopradultoprwhooprhasopraoprfemuroprfractureoprandoprisoprinoprskeletaloprbalancedoprsuspensionoprtraction
Aoprmiddleopradultoprwhooprhasopraoprfracturedoprradiusoprandopranoprarmoprcast
AnoprolderopradultoprwhooprhasopraoprhipoprfractureoprandoprisoprinoprBuck'soprtractionopr-oprcorrectopranswers-
AnoprolderopradultoprwhooprhasopraoprhipoprfractureoprandoprisoprinoprBuck'soprtraction.
Accordingoprtooprevidenced-
basedoprpractice,oprthisoprclientoprhasoprmultipleoprriskoprfactorsoprforoprskinoprbreakdown:oprtheopragingoprprocessopr(d
, ecreasedoprmuscleoprmass,oprthinoprandoprfragileoprskin)oprandoprtheoprlimitationoprofoprmovementoprdueoprtooprtractio
n.oprTherefore,oprthisoprclientoprisopratoprtheoprgreatestoprriskoprforoprskinoprbreakdown.
Anopradolescentoprwhooprhasopraoprcervicaloprfractureoprandoprisoprinopraoprhalooprbrace.oprTheoprhalooprbraceoprisopraoprris
koprfactoroprforoprskinoprbreakdownoprinoprtheoprareaoprofoprtheoprbrace;oprhowever,oprtheoprclientoprwilloprbeoprableoprtoopr
ambulate,oprwhichoprminimizesoprtheoprriskoprforoprskinoprbreakdown.oprEvidence-
basedoprpracticeoprindicatesoprthatopranotheroprclientoprisopratoprgreateroprrisk.
Aopryoungopradultoprwhooprhasopraoprfemuroprfractureoprandoprisoprinoprskeletaloprbalancedoprsuspensionoprtraction.oprT
heoprskeletaloprtractionoprisopraoprriskoprfactoroprforoprskinoprbreakdown;oprhowever,oprtheoprclientoprwilloprbeoprableoprtoo
prshiftoprhisoprweightoprwhileoprimmobile,oprwhichoprminimizesoprtheoprriskoprforoprskinoprbreakdown.oprEvidence-
basedoprpracticeoprindicatesoprthatopranotheroprclientoprisopratoprgreateroprrisk.
Aoprmiddleopradultoprwhooprhasopraoprfracturedoprradiusoprandopranoprarmoprcast.oprTheoprarmoprcastoprisopraoprriskoprfactor
oprforoprskinoprbreakdownoprinoprtheoprareaoprofoprtheoprcast;oprhowever,oprtheoprclientoprwilloprbeoprableoprtooprambulateo
prwithopranoprarmoprcast,oprwhichoprminimizesoprtheoprriskoprforoprskinoprbreakdown.oprEvidence-
basedoprpracticeoprindicatesoprthatopranotheroprclientoprisopratoprgreateroprrisk.
Foroprsomeoneoprwhooprisoprconfinedoprtooprbed,oprwhichoprisopranopractionoprtooprbeoprincludedoprinoprtheoprplan?
Massageoprtheoprclient'soprredoprbonyoprprominences.
Assessoprtheoprclient'soprskinoprforoprincreasedoprcoolness.
Repositionoprtheoprclientopreveryopr2oprhr.
Keepoprtheoprclient'soprskinoprmoist.opr-oprcorrectopranswers-Repositionoprtheoprclientopreveryopr2oprhr.
Theoprnurseoprshouldoprchangeoprtheoprclient'soprpositionopreveryopr2oprhroprtooprstimulateoprcirculationoprandoprpreve
ntoprpressureoprulcers.
Massageoprtheoprclient'soprredoprbonyoprprominences.oprTheoprnurseoprmayoprcauseoprdeepoprtissueoprtraumaoprbyoprm
assagingoprredoprbonyoprprominences.
Assessoprtheoprclient'soprskinoprforoprincreasedoprcoolness.oprTheoprnurseoprshouldoprassesoprtheoprclient'soprskinoprforopr
increasedoprwarmth.
Keepoprtheoprclient'soprskinoprmoist.oprTheoprnurseoprshouldopruseoprmoisturizersopronoprdryoprskinoprbutoprshouldoprkee
poprtheoprclient'soprskinoprdryoprandoprfreeoprofoprprolongedoprmoistureoproroprdrainageoprtooprpreventoprskinoprbreakdo
wn.
Whenoprprovidingoprdischargeoprteachingoprforopraoprclientoprwhooprhadopranoprexcisionaloprbiopsyoprofopraoprskinoprlesi
on,oprwhatoprshouldoprtheoprnurseoprinclude?
"Keepoprtheoprdressingoprinoprplaceoprforopratoprleastopr24oprhours."
"Cleanoprtheoprincisionaloprsiteoprdailyoprafteroprtheoprdressingoprisoprremoved."
opr opr opr opr
m questions with answers correct/verifi
opr opr opr opr
ed A+ opr
Whenoprplanningoprcareoprforopranoprolderopradultoprclientoprwhooprisopratoprriskoprforoprdevelopingoprpressureoprulcers,o
prwhatoprisoprtheoprbestoproption?opr
Useopraoprtransferoprdeviceoprtooprliftoprtheoprclientoprupoprinoprbed.
Applyoprcornstarchoprtooprkeepoprsensitiveoprskinoprareasoprdry.
Massageoprtheoprskinoproveroprtheoprclient'soprbonyoprprominences.
Elevateoprtheoprheadoprofoprtheoprbedoprnooprmoreoprthanopr45°.opr-oprcorrectopranswers-
Useopraoprtransferoprdeviceoprtooprliftoprtheoprclientoprupoprinoprbed.
Usingopraoprliftingoprdeviceoprpreventsoprdraggingoprtheoprclient'soprskinopracrossoprtheoprbedoprlinens,oprwhichoprcanoprc
auseoprabrasions.
Applyoprcornstarchoprtooprkeepoprsensitiveoprskinoprareasoprdry.oprCornstarchoprandoprbabyoprpowderoprcanoprcreateopr
dry,oprgrittyoprdebrisoprthatoprcanoprabradeoprsensitiveoprskin.
Massageoprtheoprskinoproveroprtheoprclient'soprbonyoprprominences.oprMassagingoprtheoprskinoproveroprbonyoprpromin
encesoprhasoprnooprpreventiveoprvalue,oprandopritoprcanoprtraumatizeoprdeepoprtissues.
Elevateoprtheoprheadoprofoprtheoprbedoprnooprmoreoprthanopr45°.oprKeepingoprtheoprheadoprofoprtheoprbedoprnooprhigheropr
thanopr30°oprhelpsoprminimizeoprshearingoprforces.oprHigheroprelevationsoprcanoprcauseoprtheoprskinoprtooprstickoprtooprt
heoprbedoprlinensoprwhileoprdeeperoprtissuesoprslideoprdownward.
Workingopronopranoprorthopedicoprunitoprandopryouoprhaveoprfouroprclients,oprwhooprisoprmoreopratoprriskoprforoprskinoprbr
eakdown?
Anopradolescentoprwhooprhasopraoprcervicaloprfractureoprandoprisoprinopraoprhalooprbrace
Aopryoungopradultoprwhooprhasopraoprfemuroprfractureoprandoprisoprinoprskeletaloprbalancedoprsuspensionoprtraction
Aoprmiddleopradultoprwhooprhasopraoprfracturedoprradiusoprandopranoprarmoprcast
AnoprolderopradultoprwhooprhasopraoprhipoprfractureoprandoprisoprinoprBuck'soprtractionopr-oprcorrectopranswers-
AnoprolderopradultoprwhooprhasopraoprhipoprfractureoprandoprisoprinoprBuck'soprtraction.
Accordingoprtooprevidenced-
basedoprpractice,oprthisoprclientoprhasoprmultipleoprriskoprfactorsoprforoprskinoprbreakdown:oprtheopragingoprprocessopr(d
, ecreasedoprmuscleoprmass,oprthinoprandoprfragileoprskin)oprandoprtheoprlimitationoprofoprmovementoprdueoprtooprtractio
n.oprTherefore,oprthisoprclientoprisopratoprtheoprgreatestoprriskoprforoprskinoprbreakdown.
Anopradolescentoprwhooprhasopraoprcervicaloprfractureoprandoprisoprinopraoprhalooprbrace.oprTheoprhalooprbraceoprisopraoprris
koprfactoroprforoprskinoprbreakdownoprinoprtheoprareaoprofoprtheoprbrace;oprhowever,oprtheoprclientoprwilloprbeoprableoprtoopr
ambulate,oprwhichoprminimizesoprtheoprriskoprforoprskinoprbreakdown.oprEvidence-
basedoprpracticeoprindicatesoprthatopranotheroprclientoprisopratoprgreateroprrisk.
Aopryoungopradultoprwhooprhasopraoprfemuroprfractureoprandoprisoprinoprskeletaloprbalancedoprsuspensionoprtraction.oprT
heoprskeletaloprtractionoprisopraoprriskoprfactoroprforoprskinoprbreakdown;oprhowever,oprtheoprclientoprwilloprbeoprableoprtoo
prshiftoprhisoprweightoprwhileoprimmobile,oprwhichoprminimizesoprtheoprriskoprforoprskinoprbreakdown.oprEvidence-
basedoprpracticeoprindicatesoprthatopranotheroprclientoprisopratoprgreateroprrisk.
Aoprmiddleopradultoprwhooprhasopraoprfracturedoprradiusoprandopranoprarmoprcast.oprTheoprarmoprcastoprisopraoprriskoprfactor
oprforoprskinoprbreakdownoprinoprtheoprareaoprofoprtheoprcast;oprhowever,oprtheoprclientoprwilloprbeoprableoprtooprambulateo
prwithopranoprarmoprcast,oprwhichoprminimizesoprtheoprriskoprforoprskinoprbreakdown.oprEvidence-
basedoprpracticeoprindicatesoprthatopranotheroprclientoprisopratoprgreateroprrisk.
Foroprsomeoneoprwhooprisoprconfinedoprtooprbed,oprwhichoprisopranopractionoprtooprbeoprincludedoprinoprtheoprplan?
Massageoprtheoprclient'soprredoprbonyoprprominences.
Assessoprtheoprclient'soprskinoprforoprincreasedoprcoolness.
Repositionoprtheoprclientopreveryopr2oprhr.
Keepoprtheoprclient'soprskinoprmoist.opr-oprcorrectopranswers-Repositionoprtheoprclientopreveryopr2oprhr.
Theoprnurseoprshouldoprchangeoprtheoprclient'soprpositionopreveryopr2oprhroprtooprstimulateoprcirculationoprandoprpreve
ntoprpressureoprulcers.
Massageoprtheoprclient'soprredoprbonyoprprominences.oprTheoprnurseoprmayoprcauseoprdeepoprtissueoprtraumaoprbyoprm
assagingoprredoprbonyoprprominences.
Assessoprtheoprclient'soprskinoprforoprincreasedoprcoolness.oprTheoprnurseoprshouldoprassesoprtheoprclient'soprskinoprforopr
increasedoprwarmth.
Keepoprtheoprclient'soprskinoprmoist.oprTheoprnurseoprshouldopruseoprmoisturizersopronoprdryoprskinoprbutoprshouldoprkee
poprtheoprclient'soprskinoprdryoprandoprfreeoprofoprprolongedoprmoistureoproroprdrainageoprtooprpreventoprskinoprbreakdo
wn.
Whenoprprovidingoprdischargeoprteachingoprforopraoprclientoprwhooprhadopranoprexcisionaloprbiopsyoprofopraoprskinoprlesi
on,oprwhatoprshouldoprtheoprnurseoprinclude?
"Keepoprtheoprdressingoprinoprplaceoprforopratoprleastopr24oprhours."
"Cleanoprtheoprincisionaloprsiteoprdailyoprafteroprtheoprdressingoprisoprremoved."
