ANSF 2024 l Station 5: S. P. I. C. E.

To measure the length of the ulcer in centimeters, start from the 12 o’clock to the 6 o’clock.

• True

• False

Recommended interventions to prevent pressure injury. Select all that apply.

• Daily skin assessment

• Nutrition support

• Use of pressure redistribution surface

• Prolonged sitting or lying down

This image shows fingers with dark discoloration on the nails, which indicates a pressure injury caused by a pulse oximeter.

How may this be managed?

• Rotate sites more frequently

• Inspect sites less frequently

• Change pulse oximeter more frequently

• Place the pulse oximeter for longer hours

Occasionally patients develop pressure damage on their ears.

This is most commonly caused by tubing or elastic from an oxygen mask held tightly in place to ensure patients receive adequate oxygenation.

SELECT THE BEST answer to prevent this pressure injury.

• 
• 
• 
• 

To measure the length of the ulcer in centimeters, start from the 3 o’clock to the 9 o’clock position.

• True

• False