Chapter 34 Pressure Ulcers

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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


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