Wound Assessment

The functions of the epidermis include

• Synthesis of Vitamin C & insulate the body

• Protective barrier & prevent entry of pathogens

• Insulate the body & prevent entry of pathogens

• Synthesis of Vitamin C & as a protective barrier

Where are the most common areas for pressure ulcer development?

• Sacral and knee

• Ear and heel

• Sacral and heel

• Knee and ear

The risk factors contributing to the development of pressure ulcers are

• High protein nutrition and obesity

• Obesity and constant moisture

• Peripheral disease and balanced nutrition

• Constant moisture and Poor nutrition

What could be the possible cause for skin tear or injury during transfer?

• Holding onto patient's arm to pull patient up the bed

• Holding patient's leg during transfer

• Supporting patient's arm and bottom during lifting

• Supporting patient's arm and bottom during lifting

Categorise this pressure ulcer

• Stage 1

• Stage 2

• Stage 3

• Stage 4

Categorise this pressure ulcer

• Stage 2

• Stage 3

• Stage 4

• Unstageable

What are the signs of wound infection?

• Redness, pain and cool to touch

• Swelling, redness and cool to touch

• Swelling, redness and cool to touch

• Swelling, redness and pain

Which component in TIME is your priority in this wound?

• Tissue management and epithelial advancement

• Infection, inflammation and moisture balance

• Epithelial advancement and moisture balance

• Infection, inflammation and epithelial advancement