- Study guides, Class notes & Summaries

48 Wound Care Skin integrity EAQ UPDATED ACTUAL Questions and CORRECT Answers Vitamin A promotes epithelialization, wound closure, inflammatory response, angiogenesis, and collagen formation. Protein quickens fibroplasia and acts as immune function. Vitamin C acts as an antioxidant. 1196 - CORRECT ANSWER- What is the role of vitamin A in wound healing? Quickens fibroplasia Acts as an antioxidant Promotes wound closu

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48 pages

Written in 2024/2025

Grade A+

STANFORDGRADESS

A pediatric nurse is familiar with specific characteristics of children's skin. Which statement describes the common skin characteristics in a child? A. An individual's skin changes little over the life span. B. In children younger than 2 years, the skin is thicker and stronger than in adults. C. An infant's skin and mucous membranes are easily injured and at risk for infection. D. A child's skin becomes less resistant to injury and infection as the child grows. - correct answe...

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9 pages

Written in 2025/2026

Grade A+

Rechga

Skin Integrity And Wound Care Exam 2026 Complete Question Digest With Correct Solutions

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16 pages

Written in 2025/2026

Grade A+

GradeGalaxy

Skin Integrity And Wound Care Exam 2026 Comprehensive Study Guide With Verified Solutions

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13 pages

Written in 2025/2026

Grade A+

GradeGalaxy

Skin Integrity And Wound Care Exam 2026 Actual Script Presenting Accurate Answers Graded A+

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9 pages

Written in 2025/2026

Grade A+

GradeGalaxy

HESI: Skin Integrity Questions with Correct Answers | Updated (100% Correct Answers)

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19 pages

Written in 2025/2026

Grade A+

Passit

Epidermis - correct answer e. Top layer of the skin Dermis - correct answer f. Inner layer of the skin that provides tensile strength and mechanical support Collagen - correct answer a. Tough, fibrous protein Pressure ulcer - correct answer b. Localized injury to the skin and underlying tissue over a body prominence Blanching - correct answer d. Normal red tones of light-skinned patients are absent Darkly pigmented skin - correct answer c. Does ...

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14 pages

Written in 2025/2026

Grade A+

Rechga

Thirty-six hours after having surgery, a patient has a slightly elevated body temperature and generalized malaise, as well as pain and redness at the surgical site. Which intervention is most important to include in this patient's nursing care plan? a) Document the findings and continue to monitor the patient. b) Administer antipyretics, as ordered. c) Increase the frequency of assessment to every hour and notify the patient's primary care provider. d) Increase the frequency of wound...

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8 pages

Written in 2025/2026

Grade A+

Rechga

1. What does a Braden Score of 14 indicate to the nurse? a. High risk for the development of pressure ulcers b. Low risk for the development of pressure ulcers c .The need for a special mattress d. The presence of a pressure ulcer - correct answer ANS: A High risk for the development of pressure ulcers The lower the score the higher the risk of pressure ulcer formation. While research continues as to where the cut off for risk should be, it is generally accepted that a Braden of 16...

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9 pages

Written in 2025/2026

Grade A+

Rechga

the nurse observes that the reddish area is round and is directly over the client's sacrum. the skin in intact. 1. in addition to measuring the length of time the redness lasts, which assessment measure(s) should the nurse perform? - correct answer - apply light pressure to the area with the fingertips (the RN applies light pressure with the fingertips to assess for blanching. this is a normal response in light-skinned clients, which indicates there is no tissue perfusion impairmen...

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9 pages

Written in 2025/2026

Grade A+

Rechga

Collagen - correct answer tough, fibrous protein pressure ulcer - correct answer Inflammation, sore, or ulcer in the underlying tissue over a bony prominence as a result of pressure with shear or friction tissue ischemia - correct answer point at which tissues receive insufficient oxygen and perfusion blanching - correct answer occurs when the normal red tones of the light-skinned patient are absent blanchable hyperemia - correct answer redness of the sk...

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4 pages

Written in 2025/2026

Grade A+

Rechga

What are the two layers of the skin? - correct answer Epidermis Dermis Skin issues related to aging - correct answer Decreased elasticity Decreased collagen Thinning of muscles and tissues Medical conditions Polypharmacy Slower epithelialization and healing Decreased padding over bony prominences Prevention of skin-related issues in aging - correct answer Remove adhesive tape gently Use repositioning devices Assess bony prominences and risk areas Assess effects...

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11 pages

Written in 2025/2026

Grade A+

Rechga

The continuous quality improvement team is monitoring the nursing care of clean-contaminated wounds. Which operative wound would be excluded from this study? 1. Gastric resection 2. Uncomplicated abdominal hysterectomy 3. Breast biopsy 4. Lung resection - correct answer 3 The surgical report of a newly transferred client indicates that there was a great deal of intestinal spillage into the abdominal cavity during the clients bowel resection. For which category of wound shoul...

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15 pages

Written in 2025/2026

Grade A+

Rechga

Pressure ulcers form primarily as a result of? KEY WORD PRIMARY - correct answer tissue ischemia Risk Factors for Pressure Ulcers? - correct answer Immobility, Inadequate nutrition, Fecal and urinary incontinence, Decreased mental status, Diminished sensation, Excessive body heat, advanced age, poor lifting and transferring techniques, incorrect positioning, hard support surfaces, incorrect application of pressure relieving devices, friction and shearing. The nurse notes ...

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4 pages

Written in 2025/2026

Grade A+

Rechga

the ap places the client in high fowlers position - correct answer A nurse is observing an assistive personnel care for a client. Which of the following actions by the AP places the client at risk for alterations in skin integrity? dermatitis - correct answer A nurse is caring for a 6-month-old infant who has diarrhea. The nurse should monitor the infant for which of the following alterations in tissue integrity? what is dermatitis - correct answer inflammation of the ski...

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4 pages

Written in 2025/2026

Grade A+

Rechga

What causes illness? (Most basic concept) - correct answer Bacteria What other organisms cause illness? - correct answer Fungus, parasites, bacteria/virus (most likely seen in hospitals), and protozoa. How does the chain of infection go? (6 steps) - correct answer Infectious agent to reservoir to portal of exit to mode of transmission to portal of entry to host. Put the stages of infection in the correct order. A. Illness stage B. Convalescence C. Incubation perio...

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17 pages

Written in 2025/2026

Grade A+

Rechga

Why is skin integrity important? - correct answer primary defense; protective barrier (against infection); sensory organ; vitamin D synthesis how does a patient get "impaired skin integrity"? - correct answer healthcare providers cause it (ex. surgery); accidents, abrasions (animal bites, knives); circulatory problems (problems with arteries or venous circulation); too much pressure (pressure ulcers) by extent - correct answer wound assessment, classification; parti...

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7 pages

Written in 2025/2026

Grade A+

Rechga

The nurse is changing the dressing on a Pt's incision. This type of wound is commonly known as a(n) --- wound. - correct answer intentional The nurse notes swelling and pain occurring form an incision. These symptoms are most likely caused by an accumulation of.. - correct answer exudate A patient's wound is in the inflammatory cellular phase, meaning that -- or -- cells arrive first to ingest bacteria and cellular debris. - correct answer neutrophils, polymorphonuc...

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11 pages

Written in 2025/2026

Grade A+

Rechga

Hypoxemia - correct answer insufficient level of oxygen in the arterial blood (<80mmHg) requires an ABG to diagnose. Hypoxia - correct answer Decreased delivery of oxygen to the tissues Debridement: - correct answer Removal of dead, damaged, or infected tissue Emollient - correct answer gents that soften skin or treat dry skin Granulation - correct answer Connective tissue that forms on the surface of a healing Epithelium - correct answer Tis...

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9 pages

Written in 2025/2026

Grade A+

Rechga

What is the function of the stratum corneum? a) Provides insulation for temperature regulation b) Provides strength and elasticity to the skin c) Protects the body against the entry of pathogens d) Continually produces new skin cells - correct answer c) Protects the body against the entry of pathogens Skin integrity and wound healing are compromised in the client who takes blood pressure medications because antihypertensives: a) Can cause cellular toxicity b) Increase the risk...

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11 pages

Written in 2025/2026

Grade A+

Rechga

Of the following factors, which would put a client at greatest risk for impaired skin integrity? A. Medication, digoxin B .Moisture C. Decreased sensation D. Dehydration - correct answer C. Decreased sensation Decreased sensation would greatly increase the risk for injury with a tear or break in the skin. This could lead to a delay in seeking treatment due to lack of awareness. The client calls the nurse to the room and states, "Look, my incision is popping open where they ...

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7 pages

Written in 2025/2026

Grade A+

Rechga