Ch 33 Skin Integrity

What are the 3 layers of the skin called?

• Dermis, subcutaneous, and papilla

• Epidermis, dermis, and subcutaneous

• Epidermis, arteriole, and dermis

• Basement membrane, papilla, and arrector pili

Which is the final phase of wound healing where remodeling and scar formation begins?

• Inflammatory

• Proliferation

• Maturation

• Hemostasis

What is the classification of the pressure injury?

(Hint: no bone or tendon is exposed)

• Stage 2

• Unstageable

• Stage 4

• Stage 3

Which of the following is not a risk for pressure injury development?

• Mobility

• Pressure

• Malnutrition

• Friction and shear

The _______ is a tool used to predict the risk for pressure injuries

________ drainage is a mixture of serum and RBCs and is light pink to blood tinged in color

• Serous

• Purulent

• Serosanguinous

• Sanguineous

What stage of pressure injury is pictured?

• Stage 4

• Unstageable

• Deep Tissue Injury

• Stage 3

A Jackson Pratt (JP) drain is an example of a ______ drainage system