PN 1006 - Quiz -4 Questions And Answers.docx

PN 1006 - Quiz #4 Questions And Answers
Repositioning the patient -
correct answer Usual is q2h, however when a patient has a
present pressure injury, the time could be sooner


Stage 1 Pressure Injury -
correct answer Intact skin with non-blanchable redness of the
localized area, usually over a bony prominence


Stage 2 Pressure Injury -
correct answer Partial thickness loss of dermis presenting as a
shallow open ulcer with a red-pink wound bed, without slough


Stage 3 Pressure Injury -
correct answer Full-thickness tissue loss, SQ fat may be visible
but bone, tendon, or muscle are not exposed


Stage 4 Pressure Injury -
correct answer Full-thickness tissue loss with exposed bone,
tendon, or muscle. Slough or eschar may be present


Unstageable Pressure Injury -
correct answer Full-thickness tissue loss which the actual depth

, PN 1006 - Quiz #4 Questions And Answers
of the ulcer is completely obscured by slough (yellow, tan, gray,
green, or brown) and/or eschar (tan, brown, black) in the wound
bed


In the lateral position, what areas on the body are the most at risk
for developing a pressure injury? -
correct answer -Ears
-Shoulders
-Maliolis (ankle)
-Illiac Crest (hips)
-Greater Trochanter


In the prone position, what areas on the body are the most at risk
for developing a pressure injury? -
correct answer -Nose
-Knee
-Ear
-Illical Crest (hips)
-Toes
-Elbows (if extended)
-Knuckles