ICU Quiz

One of the most important ways to prevent pressure ulcers is to:

• • Do regular repositioning

• • Identify at-risk individuals

• • Provide support surfaces for all

• • Do regular skin assessments

All at-risk patients should be assessed for pressure ulcers EXCEPT:

• • At time of admission

• • At regular intervals

• • At any significant change of health condition

• • Upon discharge

Which of the following may indicate a bacterial contamination of a pressure ulcer wound?

• • Induration
  

• • Maceration

• • Purulent exudates

What are main disadvantages of using sheet tracings to measure the size of a pressure ulcer wound?

• • Expensive

• • Size of area is difficult to estimate

• • Requires special equipment

Which of the following factors can cause pain when a patient has a pressure ulcer?

• • Pressure, friction, and shear

• • Damaged nerve endings

• • Inflammation

• • All of the above

Stage 3 & 4 pressure ulcers will all have deep wounds

• ◦ True

• ◦ False

Slough tissue is orange / red to black in colour.

• ◦ True

• ◦ False

Those are subscales that were used in braden scale EXCEPT :

• moisture

• nutrition

• sensory perception

• positioning

Full thickness ulcer extending through dermis into subcutaneous tissue is defined as stage 4.

• ◦ True

• ◦ False

When documenting the clinical appearance of necrotic tissue, you should include all of these EXCEPT

• • Color

• • Frequency

• • Consistency

• • Adherence