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Exam (elaborations)

Seminars in nursing Q2, part 2 with complete solutions

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Seminars in nursing Q2, part 2 with complete solutions

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Seminars in nursing Q2, part 2 with
complete solutions

Common skin and tissue injury care goals include: - Correct Answers -Identify risk,
prevent, assess, document and develop an optimal topical therapy plan

Neonates are at risk for skin tears because neonatal skin has: - Correct Answers -
Decreased epidermal/dermal cohesion as rete ridges (pegs) are not developed

Skin tear management includes the following topical therapy: - Correct Answers -
Realign the flap if viable and secure with non-adherent dressing

Treatment measures include which of the following for a Type 3 skin tear? - Correct
Answers -Absorbent dressing with low adhesive and high MVTR i.e. silicone foam

Skin tear, Type 1 - Correct Answers -epidermal flap type = partial thickness. wound can
be fully approximated

Linear Skin tear, Type 1 - Correct Answers -full thickness

Type 3 skin tear - Correct Answers -complete tissue loss. partial thickness, absent
epidermal flap.

Which of the following statements is FALSE regarding MARSI (Medical Adhesive-
related Skin Injuries)? - Correct Answers -Adhesive products should be removed quickly
at a 90-degree angle to generate a high peel force

Which of the following statements is FALSE in effective skin preparation prior to
application of an adhesive product: - Correct Answers -Excessive hair should be shaved
from the area

You and a nurse are discussing the difference between skin tears and medical adhesive
related skin injury (MARSI). Upon further research you find that: - Correct Answers -A
skin tear can be one type of MARSI along with tension blisters, folliculitis, epidermal
stripping, etc.

MARSI can be prevented with the proper technique of adhesive removal by: - Correct
Answers -Removing the adhesive in the direction the hair grows

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