Skin Assessment
Wounds
Pressure Injury
Conditions
100

This layer of tissue is also considered "true skin"

What is Dermis?

100

This is performed to remove debris, bacteria, contaminants, and inflammatory exudate

What is wound cleansing?

100

advanced age, diabetes, friction, moisture, impaired mobility are examples of this

What are risks for pressure injuries?

100

An inflammatory dermatosis that results from an overproduction of keratin.

What is psoriasis

200

Loss of this tissue component is responsible for wrinkles in skin as we age. 

What is subcutaneous tissue

200

When wound healing is delayed and has to be mechanically closed, it is called this. 

What is tertiary intention?

200

This type of pressure injury includes persistent non-blanchable skin; deep red, purple or maroon, skin may be intact or not

What is a deep tissue injury

200

This derm condition often has a topical corticoid steroid as the first line treatment. 

What is seborrheic dermatitis?

300

Thinning skin, uneven pigmentation, wrinkling, dry, and reduced elasticity 

What are normal signs of aging in the skin?

300
The nurse knows to cover the protruding tissue with saline-moistened sterile dressings and call the provider when this wound complication happens.

What is evisceration 

300

Nursing interventions to prevent pressure injury include optimizing nutrition, avoiding moisture, and this. 

What is repositioning the patient?

300

A common skin condition often misunderstood as a consequence of poor hygiene. 

What is pediculosis (lice)?

400

Turgor, edema and elasticity are assessed by this technique

What is palpation?

400

When it is reached over, turned away from, or spilled on, it is considered contaminated

What is a sterile field?

400

Patients with Diabetes are more susceptible to pressure injury due impaired status of this system. 

What is circulatory?

400

Vasodilation and vigorous rubbing can exacerbate this common skin condition.

What is pruritis?

500

These are the result of scratching, trauma or infections of primary lesions 

What are secondary lesions?

500

At this stage, wound edges begin to contract and granulation tissue fills the wound bed.

The proliferative phase
500

Stage II pressure injuries are identified by loss of this

What is partial thickness skin?

500

Scabies must be treated with a second dose of topical prescription lotion within this time frame 

What is 1 week