Pressure Ulcers

Question 1

How would you decribe a stage 1 pressure ulcer?

Answer 1

Red, warm, intact skin that doesn’t blanche

Question 2

What is an example of a stage 1 pressure ulcer?

Answer 2

Looks like a sunburn

Question 3

How would you describe a stage 2 pressure ulcer?

Answer 3

Superficial damage to the skin ( epidermis or dermis)

There will be a break in the skin

Question 4

What are some examples of a stage pressure 2 ulcer?

Answer 4

Abrasion, blisters, shallow craters

Question 5

How would you describe a stage 3 pressure ulcer?

Answer 5

Skin deeply damaged, does not extend through fascia

Question 6

What is an example of a stage 3 pressure ulcer?

Answer 6

Deep crater

Question 7

How would you describe a stage 4 pressure ulcer?

Answer 7

Skin is deeply damaged, would shows muscles, tissues, and ligaments

Question 8

What are some nursing interventions to prevent pressure ulcers from developing?

Answer 8

Turn patient q two hours;
keep skin clean and dry;
proper diet and hydration;
inspect skin and document