WITH COMPLETE SOLUTION GUIDE A+
GRADED 100 PERCENT VERIFIED LATEST
VERSION 2025 COMPREHENSIVE STUDY
GUIDE 2026 QUESTIONS WITH VERIFIED
ANSWERS GRADED A+
⩥ Two layers of the skin. Answer: Epidermis and Dermis
⩥ Epidermis. Answer: top layer of skin
⩥ Stratum Corneum. Answer: Outermost layer of the epidermis, which
consists of flattened, keratinized cells
⩥ Define Pressure Ulcers. Answer: Described as impaired skin integrity
related to unrelieved, prolonged pressure, usually over a boney
prominence
⩥ Pressure Ulcer Risk Factors. Answer: -decreased mobility
-decreased sensory perception
-fecal or urinary incontinence
-poor nutrition
,⩥ Individuals at risk for pressure ulcers. Answer: -older adults that have
experienced a trauma
-those with spinal cord injuries
-those who have sustained a fractured hip
-those in long-term homes or community care, the acutely ill
-individuals with diabetes
-patients in critical care settings (ICU)
⩥ Dermis. Answer: inner layer of skin, provides tensile strength,
mechanical support, and protection for the underlying muscles, bones,
and organs
⩥ Tissue Ischemia. Answer: Pressure applied over a capillary exceeds
the normal capillary pressure, and the vessel is occluded for a prolonged
period of time.
⩥ dermal-epidermal junction. Answer: separates dermis and epidermis
⩥ 3 pressure related factors that contribute to pressure ulcer
development. Answer: -pressure intensity
-pressure duration
-tissue tolerance
, ⩥ Non-blanchable hyperemia. Answer: redness that persists after
palpation and indicates tissue damage
⩥ Stage 1 Pressure Ulcer. Answer: -intact skin with nonblanchable
redness
-warm to touch, edema, can be a hardened area
⩥ Stage 2 Pressure Ulcer. Answer: -partial thickness skin loss
-shallow but open
-no slough or drainage
-red/pink wound bed
⩥ Stage 3 Pressure ulcer. Answer: -full thickness tissue loss with visible
underlying fat
-NO bone, muscle or tendon is visible
-can have slough
-underminning/tunneling
⩥ Stage 4 Pressure ulcer. Answer: -full thickness tissue loss WITH
visible muscle, bone or tendon
-tunneling/underminning