Chapter 34 Pressure Ulcers
Persons sitting in chairs should shift their positions every
15 minutes
A pressure ulcer can develop within
2 to 6 hours
What is the preferred position for preventing pressure ulcers?
30 degree lateral position
A pressure ulcer is
A localized injury to the skin and /or underlying tissue
In a light skinned person, the first sign of a pressure ulcer is
A reddened area
A pressure ulcer is colonized. This means that
Bacteria are present
Which is not a risk factor for pressure ulcers?
Balanced diet
the following are sources of moisture except
Barrier ointment
Which keep the heels and ankles off the bed?
Pillows
Which are not used to treat pressure ulcers?
Plastic drawsheets and waterproof pads
A person is sitting in a chair. The feet do not touch the floor.What should you do?
Position the feet on a footrest.
Which is the most common site for a pressure ulcer?
Sacrum
A care plan includes the following> Which should you question?
Scrub and rub the skin during bathing
Which can contibute to the development of pressure ulcers?
Shear and friction
Pressure ulcers can involve muscles, tendons, and bones. (true or false)
True
Pressure ulcers are the result of
Unrelieved pressure
You should position the person
Using assist devices
A person is at rick for pressure ulcer. A bath is needed every day. ( true or false)
false
All pressure ulcers are avoidable. (true or false)
false
To prevent pressure ulcers, the head of the bed is raised higher that 30 degrees. (true or false)
false
You are giving a back massage. You should massage bony areas. ( true or false)
false
You are responsible for identifying person at risk for pressure ulcers ( true or false)
false
You see a reddened area on the person's skin. What should you do?
tell the nurse
Persons who are bedfast or chairfast are at risk for pressure ulcers. (true or false)
true
Pressure ulcers can develop on the ears. ( true or false)
true
Pressure ulcers can develop where medical devices are attached to the skin. ( true or false)
true
Skin breakdown can lead to a pressure ulcer. ( true or false)
true
Unrelieved pressure squeezes tiny blood vessels. Tissues do not receive needed oxygen and nutrients. ( true or false)
true
You can use pillows and blankets to prevent skin from being in contact with skin. (true or false)
true
You should inspect the person's skin every time you provide care. ( true or false)
true