Skin/Pressure Ulcers

CNAs should report intact skin to the nurse immediately

• true
• false

Residents that are bedfast are at a lower risk of pressure ulcers.

• true
• false

Residents that are bedfast are at a greater risk of pressure ulcers

• true

• false

Pressure, shearing, and friction are causes of skin breakdown and pressure ulcers

• true
• false

How often do you have turn a resident at least

• q1hr
• q2hrs
• qd
• every shift

The skin is intact.  There is usually redness over a bony prominence

• stage 1
• stage 2
• stage 3
• stage 4

Full thickness skin loss. Skin is gone, subcutaneous fat may be exposed

• Stage 1
• stage 2
• stage 3
• stage 4

Full thickness tissue loss with muscle, tendon, and bone exposure

• stage 1
• stage 2
• stage 3
• stage 4

Partial thickness skin loss. Wound may involve a blister or shallow ulcer

• stage 1
• stage 2
• stage 3
• stage 4

Which can cause pressure ulcers?

• repositioning  the person q 2hrs
• scrubbing and rubbing the skin
• applying lotion to dry areas
• keeping linens clean, dry, and wrinkle-free