Deck 30: Pressure Ulcers

Question 1

A pressure injury is called which of the following?

A) Mouth ulcer
B) Venous ulcer
C) Decubitus ulcer
D) Stasis ulcer

Answer 1

Decubitus ulcer

Question 2

Older persons are at risk for skin breakdown for which of the following reasons?

A) Thicker skin
B) Decreased calcium levels
C) Chronic disease
D) Stronger and more capillaries

Answer 2

Chronic disease

Question 3

Which of the following can cause skin breakdown?

A) Incontinence
B) Dry skin under the breasts
C) Short fingernails and toenails
D) Ambulating with a walker

Answer 3

Incontinence

Question 4

Common causes of skin breakdown include which of the following?

A) Lifting
B) Massage
C) Shearing
D) Trauma

Question 5

Early signs of pressure injuries include which of the following?

A) Lightly colored, white skin
B) Tingling in the area
C) Cool sensation in the area
D) Cracked and peeling skin

Question 6

A female resident is obese. She is at risk for friction injuries in which of the following areas?

A) On the bottoms of her feet
B) Under her breasts
C) On her arms
D) Her forehead and chin

Question 7

Eschar is thick, leathery dead tissue that may be loose or adhered to the skin.

Question 8

Slough is dead tissue that is soft and often moist and appears white, yellow, green, or tan.

Question 9

The back of the head is a bony prominence.

Question 10

The top of the thigh is a bony prominence.

Question 11

An avoidable pressure injury is one that develops from the improper use of the nursing process.

Question 12

Shear occurs when the person slides down in the bed or chair.

Question 13

Urine and feces contain substances that irritate the skin and lead to skin breakdown.

Question 14

Obese people are not at risk for pressure injuries.

Question 15

Fluid balance is not necessary for healthy skin.

Question 16

Friction and shear are not the main causes of pressure injuries.