Pressure Ulcers ecourse: Module 2 Quiz II

Transcription

1 Pressure Ulcers ecourse: Moule 2 Quiz II 1. Yellow or white tissue tht heres to the ulcer be in strings or thick clumps or is mucinous is:. Eschr b. Slough c. Grnultion tissue. Epithelil tissue 2. New pink or shiny tissue (skin) tht grows in from the eges or s islns on the ulcer surfce is:. Eschr b. Slough c. Grnultion tissue. Epithelil tissue 3. Unermining n tunneling re common t wht pressure ulcer stge?. Stge I b. Stge II c. Stge III. Stge IV 4. Expose bone, tenon or muscle is chrcteristic of wht pressure ulcer stge?. Stge I b. Stge II c. Stge III. Stge IV 5. Sher is mechnicl force tht occurs to n re of tissue.. Prllel b. Perpeniculr c. Oblique. Opposite Pressure Ulcers ecourse: Moule 2 Quiz II pge 1

2 6. The gretest risk fctor for pressure ulcer evelopment is:. Immobility b. Avnce ge c. Incontinence. Mlnutrition 7. Infection increses the pressure neee to cuse tissue necrosis. 8. As tissue perfusion rops, the skin is less tolernt of sustine externl pressure, incresing the risk of mge from ischemi. 9. A irect correltion exists between pressure ulcer stge n the egree of hyperlbuminemi. 10. Oler ults hve more len boy mss n more subcutneous tissue to cushion bony res. 11. A pressure ulcer is skin lesion cuse by unrelieve pressure resulting in mge to the unerlying tissue. 12. Which of the following re t risk for eveloping pressure ulcers?. Berien ptients b. Stroke victims c. Ptients with ibetes. Mlnourishe seniors e. All of these Pressure Ulcers ecourse: Moule 2 Quiz II pge 2

3 13. Pressure ulcers ten to evelop when the skin is ry. 14. Wht occurs when the skin is rubbe ginst n externl surfce?. Continuous pressure b. Friction c. Sher. Force 15. Which of the following cuses much of the mge often observe with pressure ulcers?. Continuous pressure b. Friction c. Sher. Force 16. Skin mge often reporte s sheet burn is ue to:. Continuous pressure b. Friction c. Sher. Force 17. Ares of the boy tht re most susceptible to pressure ulcers re NOT well pe with flesh n ft. 18. Which of the following is NOT compliction of pressure-cusing effects?. Ischemi b. Hypoxi c. Necrosis. Shering Pressure Ulcers ecourse: Moule 2 Quiz II pge 3

4 19. Why oes impire mobility contribute to evelopment of pressure ulcers?. Ptients not ble to lter position to relieve pressure b. Muscle n soft tissue trophy my evelop ecresing bulk over bony prominences c. Ptients re recovering from trumtic injury. Ptients re not ble to sense pressure on their boy 20. Intrinsic fctors tht cuse pressure ulcers re those in the ptient s immeite environment tht plce him or her t risk of eveloping pressure ulcers. 21. Which of the following meicl equipment cn cuse pressure ulcers?. Enotrchel tubes b. Nsl cnnul c. Urinry ctheters. All of these 22. Mentl helth is NOT consiertion in the evelopment of pressure ulcers. 23. Which of the following fctors hve been shown to contribute to pressure ulcer evelopment?. Dehyrtion b. Emotionl stress c. Cigrette smoking. All of these 24. The vrious stges of clssifiction of pressure ulcers inicte tht ll pressure ulcers follow stnr progression n tht heling of pressure ulcers follows stnr regression. 25. Ptients with ibetes who re unergoing surgery hve the sme risk for pressure ulcer evelopment s non-ibetic ptients. Pressure Ulcers ecourse: Moule 2 Quiz II pge 4

5 26. Ptients n resients mitte to n intensive cre unit re mong the min group t high risk for evelopment of pressure ulcers. 27. In infnts n chilren tht were hospitlize, the 3 most common sites for pressure ulcers were:. Occiput b. Scrum c. Foot re. Knees e. Elbows 28. Pressure ulcers in the peitric popultion re often relte to use of equipment or evices. 29. In the Unite Sttes, pressure ulcers re the leing itrogenic (therpy or physicin cuse) cuse of eth. 30. The preominnt ges for ptients with pressure ulcers re:. 71 to 80 b. 61 to 70 c. 81 to to More thn hlf the ptients who evelop pressure ulcers in the cute cre setting will ie over 12-month perio. Pressure Ulcers ecourse: Moule 2 Quiz II pge 5

6 32. The woun is locte in skin fols; the eges re iffuse n irregulr; the epth is prtil thickness; there is no necrosis. This woun is likely:. Incontinence ssocite ermtitis (IAD) b. Pressure ulcer (PU) 33. Tissue mge cuse by the pressure of meicl evices shoul NOT be clssifie s pressure ulcers. Pressure Ulcers ecourse: Moule 2 Quiz II pge 6

7 Answers to Moule 2 Quiz II Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 Q14 Q15 Q16 Q17 Q18 Q19 Q20 Q21 b Infection REDUCES the pressure neee to cuse necrosis. HYPOlbuminemi is relte to pressure ulcer stges. Oler ults hve LESS boy mss n LESS ft to cushion bony res. e Pressure ulcers worsen when the skin is mcerte, overly moist n soking in liqui from perspirtion or incontinence. b c b Pressure ulcers often evelop in such plces s tilbone, shouler bles, hips, heels, nkles n elbows.,b These re extrinsic fctors; intrinsic fctors relte to unerlying helth conitions. Pressure ulcers hve occurre on ptient s lips (enotrchel tubes), ers (nsl cnnul) n thighs (urinry ctheters). Q22 Q23 Q24 Q25 Q26 Q27 Q28 Q29 Q30 Q31 Q32 Q33 Depression often les to neglect of personl hygiene, mking skin more vulnerble to injury n infection. Mentl helth is risk fctor. The system is esigne to escribe the egree of tissue mge observe t time of exmintion n fcilitte communiction. Ptients with ibetes unergoing surgery hve three times higher risk becuse their bseline conitions of compromise circultion n senstion loss ue to peripherl ibetic neuropthy. These ptients re often immobile for extene perios of time n hve more serious illnesses.,b,c Prevlence rtes between 20% n 27% hve been reporte; most pressure ulcers evelop within two ys of mission. Pressure ulcers re the secon itrogenic cuse of eth fter verse rug rections. These ptients ie becuse of their primry isese s progress, but the pressure ulcer my be contributing fctor in some instnce. The current position of the NPUAP-EPUAP is tht tissue mge ue to pressure of meicl evices SHOULD be clssifie s pressure ulcer. Pressure Ulcers ecourse: Moule 2 Quiz II pge 7