Skin care

Question 1

Reposition patient…

Answer 1

at least every 2 hours to minimize the risk of developing pressure ulcers

Question 2

Shearing force

Answer 2

sliding of skin layers on each other

Question 3

High risk for skin breakdown from exposure to moisture..

Answer 3

patients who have episodes of incontinence

Question 4

Stage 1 pressure ulcers

Answer 4

redness that doesn’t return to skin usual color when you apply pressure with a finger

Question 5

Stage 2 pressure ulcers

Answer 5

a blister with surface skin that peels or cracks open

Question 6

Stage 3 pressure ulcers

Answer 6

has lost the skin layers and underlying fat and tissue are visible

Question 7

Stage 4 pressure ulcers

Answer 7

resembles a crater with damage all the way through to muscle and bone

Question 8

Look for:

Answer 8

dryness, irritated areas, and maceration (softening and breaking down of skin due to moisture)

Question 9

Supine

Answer 9

lying flat on the back, used for resting and sleeping

Question 10

Prone

Answer 10

lying flat on the anterior surface of the abdomen, used for taking pressure off the spine and hips

Question 11

Lateral

Answer 11

lying on one side, used for resting, sleeping, taking pressure off the spine

Question 12

Fowlers

Answer 12

lying on the back with the head of the bed elevated to various degrees (no more than 30) , used for resting, reading, receiving care, eating, and watching tv

Question 13

Sims

Answer 13

lying on one side with the knee on that side flexed and in front of the other leg with the knee elevated, relieving pressure on the hips and tailbone having some care procedures

Question 14

Sitting

Answer 14

upright in a chair with the knees at a 90 degree angle and the feet on the floor or on wheelchair footrests, used for multiple uses