Nursing Assessment and Skin Integrity

These flashcards cover key concepts from the lecture notes on nursing assessments, skin integrity, wound healing, and patient care.

What is the most appropriate intervention for preventing nocturia?

Teaching patients to avoid caffeine to prevent nocturia.

What are the three layers of skin that nursing assessments should consider?

Epidermis, dermis, and subcutaneous layers.

How does aging affect skin integrity?

Skin becomes thinner, drier, and healing time increases, making older adults more susceptible to skin tears.

What lifestyle factors can increase the risk of skin integrity problems?

Multiple sexual partners, IV drug use, and inadequate sun protection can increase risk.

What is the correlation between nutrition and skin healing?

Good nutrition facilitates faster healing of skin problems.

What is the difference between intentional and unintentional wounds?

Intentional wounds are created for therapeutic purposes, while unintentional wounds result from accidents.

What are the four stages of pressure injuries?

Stage 1: intact skin with localized redness; Stage 2: partial thickness loss of skin; Stage 3: full thickness loss with visible fat; Stage 4: full thickness loss with exposure of muscle, bone, or tendon.

What are common signs of a wound infection?

Increased redness, swelling, heat, pain, and purulent drainage.

What factors can affect wound healing?

Infection, nutrition, circulation, moisture levels, and pressure can all impact healing.

How should you document wound care?

Include type, amount, color, odor of drainage, and condition of the wound.