Pressure Injury Quiz

Stage this pressure injury

• Stage 2

• Stage 3

• Stage 4

• Unstageable

What is the most ideal treatment plan for this type of wound to aid in wound healing?

• Negative Pressure Wound Therapy (NPWT)

• Debridement

• Leave it exposed

What is NOT the reason Negative Pressure Therapy (NPWT) in treatment for Pressure Injury

• Speed up wound contraction

• Exudate management

• To control bleeding

• Mechanical debridement

Which anatomical location presents with the highest incidence of Pressure Injury?

• Heels

• Sacrum

• Ischial tuberosity (Gluteal fold)

• Trochanter (Hip)

Stage this pressure injury

• Stage 1

• Stage 2

• Stage 3

• This is not Pressure Injury!

CASE STUDY:

Mdm A just got admitted to the ward and you discovered a stage 1 pressure injury on her sacrum. You took photo, applied Barrier Cream and foam dressing. You then turned her to her right lateral to offload.

What is your next immediate nursing intervention?

• Inform doctor

• Initiate air mattress

• Bring her for shower

• Sit her out of bed

Which is the MOST important factor to prevent pressure injury?

• Barrier cream/ spray/ oil

• Offloading by performing 2 hourly turning/ positioning

• Air mattress

• Sitting out of bed

Which of the following wound product(s) are recommended for Stage 1 Pressure Injury?

i) Gauze

ii) Allevyn life

iii) Mepilex Border Sacrum

iv) Mepilex XT

• i & iv only

• i, ii & iii

• ii & iii

• ii, iii & iv

Which of the following help to prevent shear and friction?

• Positioning patient  more than 30 degrees

• Use of transfer sheet for transferring

• Positioning patient in high fowler’s position for 3 hours after lunch

• Use of sarong for transferring

What is the factor that DOES NOT attribute to the worsening of Pressure Injury?

• Regular 2 hourly turning

• Improper turning

• Not changing diaper on time

• Not using of air mattress