CCRN – Integumentary Questions and
Correct Answers | Latest Update
The Skin
✓ -:- The largest organ system
✓ Comprises 10-15% of body weight
✓ receives 1/3 of circulating blood volume
✓ Primary functions: protective barrier, water balance, body temperature
control.
Pressure Injury
✓ -:- A localized injury to the skin that usually occurs over a bony
prominence due to pressure and/or shear.
Common areas are sacrum, and in young children the occiput of the head.
Pressure Injury: Risk Factors
✓ -:- Pressure intensity and duration
Shearing force
Immobility
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Excessive moisture (incontinence)
Inadequate nutrition
Devices
Skin failure (hypo perfusion)
Shearing force
✓ -:- The pressure that's exerted on the skin when the surface layer
adheres to the bedding but the deeper skin moves in the direction of the
body.
Skin Failure
✓ -:- Hypoperfusion of the skin due to shunting of blood to other vital
organs. It is associated with hemodynamic changes, impaired
thermoregulatory control, and metabolic complications.
Pressure Injury: Stage 1
✓ -:- Non-blanchable erythema
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