pressure ulcer

pressure ulcer is localized damage to the skin and/or underlying tissue

• true

• false

there are 5 stages of pressure ulcer?

• true

• false

sores are not open wound, the skin may be painful, but it has no breaks or tears. which stage of pressure ulcer describe that?

• stage 2

• stage 3

• stage 4

• stage 1

stage 3 of pressure ulcer extends into the muscle and bone?

• true

• false

all of the following are considered risk factor for pressure ulcer, except:

• elderly

• surgery patient

• patient with DM

• patient with diarrhea

What stage pressure ulcer is identified as full thickness tissue loss, slough and/or eschar may be visible, you cannot identify bone, tendon or muscle. Granulation and epibole may be present.

• Stage I

• Stage II

• Stage III

• Stage IV

Stage I pressure ulcer includes which of the following?

• full thickness tissue loss

• exposed bone, tendon and/or muscle

• non-blanchable erythema of intact skin

• unstageable

To prevent bed sores, ___________

• Don't move the patient at all

• Actively move and turn the patient

• Place the patient sitting upright in a chair

Which prevention method for bed sores is incorrect?

• Use pillows to support spots where the patient is prone to bed sores

• Use moisturizer every day

• Do not use soft material when washing

• Avoid using strong soaps

Which stage does not include open sores?

• Stage 1

• Stage 2

• Stage 3

• Stage 4