Nursing 2000 Exam 3 Cedarville University Questions With Correct Answers

Nursing 2000 Exam 3 Cedarville
University Questions With Correct
Answers



What are the layers of the skin? - CORRECT ANSWER✔✔-epidermis and
| | | | | | | | | | |



dermis


What is the layer of fat under the skin called? - CORRECT ANSWER✔✔-
| | | | | | | | | | | |



adipose tissue (hypodermis)
| |




What are the functions of the skin? - CORRECT ANSWER✔✔-protection,
| | | | | | | | | |



thermoregulation, sensing environment
| |




What is the largest organ of the body? - CORRECT ANSWER✔✔-skin
| | | | | | | | | |




What the the weight percentage of the skin? - CORRECT ANSWER✔✔-
| | | | | | | | | |



15%

,What are the age-related changes of the skin? - CORRECT ANSWER✔✔-
| | | | | | | | | |



Decreased elasticity |




Decreased collagen |




Thinning
Slow wound healing | |




Decreased subcutaneous padding | |




True or false: as nurses we own the skin - CORRECT ANSWER✔✔-true
| | | | | | | | | | |




A nurse is _________ of ___________ the skin - CORRECT ANSWER✔✔-
| | | | | | | | | |



in charge, protecting
| |




What are the two things a nurse should look for when assessing the skin
| | | | | | | | | | | | |



of an admitted patient? - CORRECT ANSWER✔✔-Look extra to verify
| | | | | | | | | | |



any pre-admitted hospital infections/wounds
| | |




Identify patients that are at risk for skin integrity
| | | | | | | |




What is the key to prevention of a pressure ulcer? - CORRECT
| | | | | | | | | | | |



ANSWER✔✔-make sure you do not keep pressure on one area for too | | | | | | | | | | | |



long


What are other precautions that should be taken to maintain the skin
| | | | | | | | | | | |



integrity of a patient? - CORRECT ANSWER✔✔-Patient is well-hydrated
| | | | | | | |

,Patient is well-nourished
| |




True or false: there is only one type of tape for patients. Therefore,
| | | | | | | | | | | | |



finding the right kind of tape is not a concern. - CORRECT ANSWER✔✔-
| | | | | | | | | | | |



false


True or false: it is important to know what medication your patient is on
| | | | | | | | | | | | |



- CORRECT ANSWER✔✔-true
| | |




What are the three factors that contribute to pressure injuries? -
| | | | | | | | | | |



CORRECT ANSWER✔✔-Intensity |




Duration
Tissue tolerance |




How does intensity affect blood flow? - CORRECT ANSWER✔✔-Too
| | | | | | | | |



much pressure can disrupt the capillary bed leading to tissue ischemia
| | | | | | | | | |




What does intensity determine? - CORRECT ANSWER✔✔-extent of
| | | | | | | |



interruption of blood supply | | |




The more intense the pressure, the greater what? - CORRECT
| | | | | | | | | |



ANSWER✔✔-ischemia

, The greater ischemia the greater what? - CORRECT ANSWER✔✔-tissue
| | | | | | | | |



damage


Where does intensity increase? - CORRECT ANSWER✔✔-over bony
| | | | | | | |



prominences


How can the degree of poor tissue perfusion be estimated? - CORRECT
| | | | | | | | | | | |



ANSWER✔✔-color changes in the epidermis | | | |




Shows erythema or redness, indicates vasodilation - CORRECT
| | | | | | | |



ANSWER✔✔-hyperemia


What causes hyperemia? - CORRECT ANSWER✔✔-Pressure is released
| | | | | | | |



and a rush of blood flow to the area trying to counteract the ischemia
| | | | | | | | | | | | |




an attempt to overcome ischemic spell - CORRECT ANSWER✔✔-
| | | | | | | |



blanching ischemia |




What should a nurse see when they press their finger on a patients palm
| | | | | | | | | | | | |



to test for blanching? - CORRECT ANSWER✔✔-Flesh color-white-flesh
| | | | | | | | |



color


there is damage to the tissue, does not have a vascular flow and there is
| | | | | | | | | | | | | |



also capillary damage - CORRECT ANSWER✔✔-non-blanching erythema
| | | | | | |