Tissue Integrity Sherpath Questions Questions with 100% Correct Answers | Verified | Updated 2024

Which primary areas, if injured in the patient, would prompt the nurse to develop the hypothesis Impaired Tissue Integrity? A. Bone B. Tendon C. Muscle D. Dermis E. Epidermis - answer-Answer: A, B, C Bone, Tendon, & Muscle would all be damaged Which hypothesis would the nurse develop for an immobile patient who has intact skin? A. Risk for Impaired Skin Integrity B. Traumatic Wound C. Risk for Impaired Tissue Integrity D. Pressure Ulcer/Injury - answer-Answer: A Because the patient is immobile but still has intact skin, the hypothesis is a Risk for Impaired Skin Integrity. Which patient cues, when analyzed together, would prompt the nurse to select the hypothesis Impaired Skin Integrity? A. Low prealbumin levels B. Immobility C. Inexperience with wound care D. Stage 2 pressure injury E. Stage 4 pressure injury - answer-Answer: A, B, D -Low prealbumin level is a cue for Impaired Skin Integrity because it can affect healing. -Immobility is a cue for Impaired Skin Integrity because it can lead to prolonged pressure. -A stage 2 pressure injury is a cue for Impaired Skin Integrity because it affects the epidermal and dermal layers of the skin. Which tasks related to skin integrity and wound care would the nurse likely delegate to an unlicensed assistive personnel (UAP) who is caring for a patient with a wound? A. Repositioning the patient B. Administering medication for wound pain C. Assessing and evaluating a patient's skin and wounds D. Reporting any changes in p