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Tissue Integrity Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
How can pressure ulcers be prevented in bedridden patients?✔✔Regular repositioning every two hours, ensuring proper nutrition and hydration, and using pressure-relieving devices can help prevent pressure ulcers.
What is the significance of assessing the color of a wound in tissue integrity?✔✔The color of a wound can indicate the healing stage, such as red for healthy granulation tissue, yellow for infection or slough, and black for necrosis.
What does an increase in wound exudate suggest?✔✔An increase in wound exudate may suggest infection, inflammation, or improper wound healing.
What is the most important factor to assess when evaluating the risk of developing a pressure ulcer?✔✔The most important factors include immobility, nutrition, moisture levels, and overall health status. 1 / 2
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What does the term "eschar" refer to in tissue integrity?✔✔Eschar refers to dead, necrotic tissue that appears black and leathery, often forming in full- thickness wounds.
What role does nutrition play in tissue integrity and wound healing?✔✔Adequate nutrition, particularly protein, vitamins, and minerals, is essential for tissue repair and the prevention of further tissue breakdown.
How does moisture affect tissue integrity?✔✔Excessive moisture, such as from incontinence or sweating, can cause maceration, weakening the skin and increasing the risk of tissue breakdown.
What does the presence of blanching erythema suggest in the early stages of a pressure ulcer?✔✔Blanching erythema indicates a stage 1 pressure ulcer, which is reversible with appropriate interventions, such as pressure relief and skin protection.
What is the difference between a stage 2 and stage 3 pressure ulcer?
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