Pressure Ulcers ecourse: Module 2 Quiz I 1. Blck, brown or tn tissue tht dheres firmly to the wound bed or ulcer edges nd my be either firmer or softer thn surrounding tissue is:. Eschr b. Slough c. Grnultion tissue d. Epithelil tissue 2. Pink or beefy red tissue with shiny, moist, griny ppernce is:. Eschr b. Slough c. Grnultion tissue d. Epithelil tissue 3. A Stge I pressure ulcer will differ from the djcent skin re in terms of:. Skin temperture (wrmer or cooler) b. Tissue consistency (firm) c. Senstion (pin) d. Slough nd eschr 4. An unstgeble pressure ulcer cnnot be stged until enough slough or eschr is removed to expose the bse of the wound. 5. A suspected deep tissue injury is esier to detect in individuls with drk skin tones. 6. Sher occurs when the skeleton nd tissues slide while the skin remins still. Pressure Ulcers ecourse: Module 2 Quiz I pge 1
7. Compressed skin hs higher locl resistnce to bcteril infection. 8. High blood pressure cn led to tissue ischemi, prticulrly with ptients with vsculr disorders. 9. A strong correltion exists between poor nutrition nd the development of pressure ulcers. 10. Infection my reduce the pressure needed to cuse tissue necrosis. 11. Which of the following is NOT term for pressure ulcer?. Bedsore b. Pressure sore c. Decubitus ulcer d. Incontinence ssocited dermtitis 12. Which of the following cn be complictions of pressure ulcers?. Osteomyelitis b. Cellulitis c. Infectious rthritis d. Renl filure e. All of these 13. Pressure ulcers tke long time to develop. Pressure Ulcers ecourse: Module 2 Quiz I pge 2
14. Wht is common cuse of underlying tissue not receiving n dequte blood supply?. Continuous pressure b. Friction c. Sher d. Force 15. Wht hppens when the skin moves one wy while the underlying bone moves in the opposite direction?. Continuous pressure b. Friction c. Sher d. Force 16. If ptient slides down in bed, or on chir, or rises the top hlf of the bed too much, there is risk of:. Continuous pressure b. Friction c. Shering d. Sheet burn 17. Which of the following is NOT fctor in excessive pressure on soft tissue?. Intensity of the pressure b. Durtion of the pressure c. Tissue tolernce d. Age of the ptient 18. Pressure-cusing effects tke plce when the bones rub ginst the skin nd underlying deeper tissue. Pressure Ulcers ecourse: Module 2 Quiz I pge 3
19. Which of the following my cuse circultion loss?. Crumbs in bed b. Wrinkles in sheets or clothing c. Slightly tilting chir d. All of these 20. All individuls re firly similr in their susceptibility to pressure ulcers. 21. High-moisture environment creted by urinry incontinence is mjor fctor in the production of pressure ulcers. 22. Which of the following medictions do NOT contribute to pressure ulcers?. Trnquillizers b. Sedtives c. Opites d. Steroids e. Antibiotics 23. Which vitmin deficiencies my contribute to pressure ulcer development?. Vitmins A, C nd E b. Vitmins C, K nd D c. Vitmins A, B nd D d. Vitmins C, D nd E 24. Low blood pressure my contribute to pressure ulcer development. Pressure Ulcers ecourse: Module 2 Quiz I pge 4
25. The incidence of pressure ulcers in surgicl ptients cn be s high s:. 5% b. 15% c. 25% d. 35% e. 45% 26. Ptients with helthy skin risk little tissue dmge during surgery. 27. The most common sites for pressure ulcers in intensive cre unit ptients re:. Scrum nd heels b. Elbows nd hips c. Ers nd knees d. Shoulder bldes nd wrists 28. The mjority of pressure ulcers found in peditric units re:. Stge I nd II b. Stge II nd III c. Stge III nd IV d. Unstgeble or SDTI 29. Infnts nd children re s susceptible to pressure ulcers in the sme res s dults. 30. Pressure ulcers re incresingly common in helth cre orgniztions round the world. Pressure Ulcers ecourse: Module 2 Quiz I pge 5
31. Pressure ulcer prevlence in long term cre orgniztions is estimted to be:. 11% to 30% b. 5% to 15% c. 20% to 40% d. 30% to 50% 32. Certin types of pressure ulcers (such s heel ulcers) will often result in the loss of limb. 33. The chrcteristics of this wound re: locted on bony prominence; it hs distinct edge; the color is red/bluish purple; nd the depth of the wound is full. This is likely:. Incontinence ssocited dermtitis (IAD) b. Pressure ulcer (PU) Pressure Ulcers ecourse: Module 2 Quiz I pge 6
Answers to Module 2 Quiz I Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 Q14 Q15 Q16 Q17 Q18 Q19 Q20 c,b,c SDTI is MORE difficult to detect in individuls with drk skin. Compressed skin hs LOWER resistnce to infection. LOW blood pressure cn led to tissue ischemi. d e Pressure ulcers cn develop in s little s 3 to 4 hours in some settings, e.g. operting room. c c d When this hppens, the cpillries re compressed, nd oxygen nd nutrients cnnot be supplied to the tissue. d Every ptient s limits of tissue tolernce to pressure vry, mking him or her more or less susceptible to pressure ulcers. Q21 Q22 Q23 Q24 Q25 Q26 Q27 Q28 Q29 Q30 Q31 Q32 Q33 Studies show tht lrge mount of moisture usully decreses sher nd friction. However, mild moisture lters the resiliency of the epidermis, nd sher nd friction re incresed to mild or moderte moisture. e Hypotension my shunt blood flow wy from the skin to more vitl orgns, decresing the skin tolernce for pressure by llowing cpillries to close t lower levels of interfce pressure. e One study found tht surgicl procedures lsting longer thn four hours triple the risk of tissue dmge. Therefore, even the helthiest ptient cn be t risk for tissue dmge. Infnts nd children get pressure ulcers in DIFFERENT res thn dults. The most common res re er, scrum, occipitl re nd scpul. In the United Sttes, t lest 1.7 million people develop pressure ulcers ech yer. b Pressure Ulcers ecourse: Module 2 Quiz I pge 7