Question 1

To prevent pressure ulcers,you must&#10;A)Provide clean linens every day&#10;B)Change linens whenever they are wet or soiled&#10;C)Change linens whenever they are wrinkled&#10;D)Provide clean linens every shift

Accepted Answer

Changing linens whenever they are wet or soiled is important in preventing pressure ulcers because moisture can contribute to the development of these ulcers. Clean linens every day or every shift may also be helpful, but changing linens when they are wet or soiled is the most important preventative measure. Changing linens whenever they are wrinkled is not directly related to pressure ulcer prevention.

Question 2

Common causes of pressure ulcers include the following except&#10;A)Pressure&#10;B)Friction&#10;C)Shearing&#10;D)Burns

Accepted Answer

Burns are not a common cause of pressure ulcers. The other options listed (pressure, friction, and shearing) are all known contributing factors to the development of pressure ulcers.

Question 3

To prevent pressure ulcers,persons sitting in chairs need to shift their positions every&#10;A)5 minutes&#10;B)10 minutes&#10;C)15 minutes&#10;D)20 minutes

Accepted Answer

15 minutes

Question 4

A female resident is obese.She is at risk for pressure ulcers in the following areas except&#10;A)Between abdominal folds&#10;B)Under her breasts&#10;C)Between her legs and buttocks&#10;D)Her forehead and chin

Accepted Answer

Obese individuals are at risk for pressure ulcers in areas where there is increased pressure or where there are skin folds that can trap moisture or friction. The forehead and chin are not areas where pressure ulcers typically occur.

Question 5

The recommended position for preventing and treating pressure ulcers is the&#10;A)Supine position&#10;B)Prone position&#10;C)Fowler's position&#10;D)30-degree lateral position

Accepted Answer

The 30-degree lateral position is recommended for preventing and treating pressure ulcers because it reduces pressure on bony prominences, which are most susceptible to ulcer formation.

Question 6

A resident has an eggcrate-type pad on the bed.For bottom linens,you need&#10;A)A mattress pad,bottom sheet,plastic drawsheet,and cotton drawsheet&#10;B)A bottom sheet,plastic drawsheet,and cotton drawsheet&#10;C)A bottom sheet and cotton drawsheet&#10;D)A bottom sheet

Accepted Answer

The answer of A resident has an eggcrate-type pad on...

Question 7

Which is not a risk factor for pressure ulcers in infants and children?&#10;A)Poor mobility&#10;B)Lack of bowel and bladder control&#10;C)Moving about in bed&#10;D)Poor nutrition

Accepted Answer

Moving about in bed is actually a protective factor as it promotes blood flow and prevents pressure from being concentrated in one area for too long. Poor mobility (A), lack of bowel and bladder control (B), and poor nutrition (D) are all risk factors for pressure ulcers in infants and children.

Question 8

Which of the following scrapes the skin?&#10;A)Skin tear&#10;B)Friction&#10;C)Pressure&#10;D)Shearing

Accepted Answer

Friction is the force exerted when two surfaces rub against each other. This can result in a scrape or abrasion on the skin. Skin tears, pressure, and shearing involve different mechanisms and do not necessarily result in a scrape.

Question 9

Persons needing home care can develop pressure ulcers.Which is incorrect?&#10;A)Check the person's skin at every visit.&#10;B)Massage any reddened areas at every visit.&#10;C)Remind the family to check the person's skin.&#10;D)Call the nurse if signs of a pressure ulcer are noted.

Accepted Answer

Massaging any reddened areas can actually worsen the pressure ulcer by increasing tissue damage and should not be done. Instead, repositioning the person and providing appropriate cushioning should be done to relieve pressure on the affected area. The correct choices are A, C, and D.

Question 10

A resident has dry skin.What should you do?&#10;A)Use soap during the person's bath.&#10;B)Apply moisturizer as directed by the nurse.&#10;C)Apply cornstarch to dry areas.&#10;D)Apply powder to dry areas.

Accepted Answer

Applying moisturizer as directed by the nurse is the best choice for a resident with dry skin. Soap can further irritate and dry out the skin, while cornstarch and powder do not provide long-term hydration. A moisturizer can help to hydrate and protect the skin, preventing further dryness and discomfort. It is important to follow the nurse's specific instructions for application to ensure the best results.

Question 11

To prevent pressure ulcers,you must&#10;A)Keep the person's skin clean and dry&#10;B)Massage pressure points&#10;C)Use soap to clean the skin&#10;D)Scrub and rub the skin during bathing

Accepted Answer

The answer of To prevent pressure ulcers,you must&#10;A)Keep the person's...

Question 12

Pressure ulcer prevention involves all of the following except&#10;A)Identifying persons at risk&#10;B)Implementing prevention measures for those at risk&#10;C)Taking a Polaroid picture of changes noted in a pressure ulcer&#10;D)Managing proper fluid balance

Accepted Answer

The answer of Pressure ulcer prevention involves all of the...

Question 13

Which person has the least risk for a pressure ulcer?&#10;A)The person who has urinary incontinence&#10;B)The person who has fecal incontinence&#10;C)The person who has shortness of breath&#10;D)The person who has circulatory problems

Accepted Answer

The answer of Which person has the least risk for...

Question 14

Which of the following prevents pressure on the tops of the legs and feet?&#10;A)Bed cradle&#10;B)Heel elevator&#10;C)Eggcrate-type pad&#10;D)Flotation pad

Accepted Answer

The answer of Which of the following prevents pressure on...

Question 15

Early signs of pressure ulcers include the following except&#10;A)Reddened skin&#10;B)Tingling in the area&#10;C)Pain or burning in the area&#10;D)Cracked and peeling skin

Accepted Answer

The answer of Early signs of pressure ulcers include the...

Question 16

Pressure ulcers usually occur&#10;A)On arms and legs&#10;B)On the hands and feet&#10;C)On the buttocks&#10;D)Over bony prominences

Accepted Answer

The answer of Pressure ulcers usually occur&#10;A)On arms and legs&#10;B)On...

Question 17

Pressure ulcers can occur where skin has contact with skin.What can you use to prevent such contact?&#10;A)Pillows&#10;B)Bed cradle&#10;C)Eggcrate-like mattress&#10;D)Flotation pad

Accepted Answer

The answer of Pressure ulcers can occur where skin has...

Question 18

A person can develop a pressure ulcer within 2 to 6 hours after the onset of pressure.

Accepted Answer

The answer of A person can develop a pressure ulcer...

Question 19

Which of the following is at particular risk for epidermal stripping because of their fragile skin?&#10;A)Toddlers&#10;B)Adolescents&#10;C)Young adults&#10;D)Newborns

Accepted Answer

The answer of Which of the following is at particular...

Question 20

Persons who are bedfast are re-positioned at least every&#10;A)Hour&#10;B)1 to 2 hours&#10;C)3 to 4 hours&#10;D)Shift

Accepted Answer

The answer of Persons who are bedfast are re-positioned at...

Question 21

When layers of the skin rub against each other,this is known as&#10;A)Friction&#10;B)Shearing&#10;C)Sloughing&#10;D)Stripping

Accepted Answer

The answer of When layers of the skin rub against...

Question 22

Which member of the health care team decides which dressing to use?&#10;A)Physician&#10;B)Nurse&#10;C)Nursing Assistant&#10;D)Occupational Therapist

Accepted Answer

The answer of Which member of the health care team...

Deck 34: Pressure Ulcers