Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition

Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition Chapter 19: Assisting with Hy- giene, Personal Care, Skin Care, and the Prevention of Pressure Ul- cers Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. The nurse instructs the patient that any injury to the skin initially puts the patient at risk for: a. scar formation at the injury site resulting from the healing process. b. infection with bacteria or viruses that may affect the per- son systemi- cally. c. loss of sensation caused by dam- age to the nerves in the area. d. loss of body flu- ids and an upset in the fluid and electrolyte bal- ance. ANS: B The skin (and intact mucous mem- brane) is the first line of defense against invasion by pathogens, and any cut or abrasion can be an entry site. Scar formation, nerve dam- age, and fluid/electrolyte distur- bance are likely only when there is a large or deep wound.