Questions & Answers | Graded A+
1. What term describes the condition where tissue under the wound edges
becomes eroded, creating a cavity?
Undermining
Exudate
Tunneling
Necrosis
2. Which of the following statements is the most appropriate reason for packing
a wound?
to protect the wound from bacteria
to remove excess drainage and for debridement
to reduce abnormal scarring
to fill in the wound with a cover
3. Describe the significance of the six subcategories in the Braden Scale for
assessing pressure ulcer risk.
The six subcategories are used to determine the treatment for existing
ulcers.
The six subcategories are irrelevant to pressure ulcer risk assessment.
The six subcategories only focus on the patient's mobility.
The six subcategories help healthcare providers evaluate various
factors that contribute to a patient's risk of developing pressure
ulcers.
,4. What is the purpose of the Braden Scale?
To measure body temperature
To determine heart rate
To evaluate lung function
To assess a patient's risk for pressure ulcers
5. Describe the characteristics of a suspected deep tissue injury as outlined in
the Braden Scale.
A suspected deep tissue injury is characterized by localized
discoloration of the skin, indicating damage to the underlying
tissue.
A suspected deep tissue injury is always visible as an open wound.
A suspected deep tissue injury is a sign of infection.
A suspected deep tissue injury is a minor skin abrasion.
6. What is the definition of a Stage X pressure ulcer according to the Braden
Scale?
A Stage X pressure ulcer is a localized area of skin that is red and
warm.
A Stage X pressure ulcer is characterized by non-blanchable redness
of intact skin.
A Stage X pressure ulcer involves partial-thickness skin loss with
exposed dermis.
A Stage X pressure ulcer is a full-thickness tissue loss with exposed
bone, tendon, or muscle.
, 7. What is a major risk factor for pressure ulcers?
Incontinence
Urinary retention
Nocturia
Soft skin
8. Describe what a score of 16 or lower on the Braden Scale signifies for a
patient's risk of pressure ulcers.
A score of 16 or lower is considered a normal score.
A score of 16 or lower indicates that the patient is at risk for
developing pressure ulcers.
A score of 16 or lower indicates a high level of mobility.
A score of 16 or lower means the patient is not at risk for ulcers.
9. If a patient scores 12 on the Braden Scale, what immediate actions should the
healthcare team take to mitigate the risk of pressure ulcers?
Conduct a full assessment of the patient's medication regimen.
Implement preventive measures such as repositioning the patient
frequently and using pressure-relieving devices.
Increase the patient's fluid intake and monitor their diet.
Schedule regular physical therapy sessions to improve mobility.
10. Describe how immobility contributes to the risk of developing pressure
ulcers.
Immobility has no effect on pressure ulcers as they are caused by
external factors.