Pressure ulcer

Question 1

Stage one pressure injury

Answer 1

Intact skin with erythema that does not blanch; color changes do not include purple or maroon discoloration

Question 2

Stage two pressure injury

Answer 2

Partial thickness loss of skin with exposed dermis; wound bed is viable, pink or red, moist, and may also present as an intact or ruptured serum filled blister, edpose and Jeeper tissues are not visible

Question 3

Stage three pressure injury

Answer 3

Full thickness skin loss, adipose is visible in the ulcer in granulation tissue and epibole are often present, slop and or eschar may be visible

Question 4

Stage four pressure injury

Answer 4

Full thickness skin and tissue loss, full thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the also

Question 5

Unstageable pressure injury

Answer 5

Obscured full thickness skin and tissue loss, the extent atteti damage within the ulcer cannot be confirmed because it is obscured by sloth or Escar

Question 6

Pressure injury consideration

Answer 6

Hypoalbuminemia, wound care specialist consult, dressing

Question 7

What dressing would you use for a weeping wound

Answer 7

Hydrocolloid

Question 8

Albumin

Answer 8

3.5–5