A deep tissue pressure injury (DTPI) is characterized by what specific appearance?
Explanation
This question assesses the ability to recognize the unique clinical presentation of a Deep Tissue Pressure Injury, distinguishing it from other staged injuries.
Other questions
A patient's wound is in the second phase of the wound-healing cascade, which is essential for orderly and timely healing. This phase is characterized by vasodilation to facilitate the movement of white blood cells to the wound bed. Which phase is this?
A nurse is documenting a pressure injury on a patient. The injury is described as a partial-thickness loss of skin with exposed dermis, and the wound bed is viable, moist, and pink. What stage of pressure injury should the nurse document?
What is the typical duration of the inflammation phase in the wound-healing cascade?
Which method of debridement is considered the most conservative and utilizes the body's own intrinsic mechanisms to remove nonviable tissue?
A wound that is healing by secondary intention is characterized by what process?
A nurse is caring for a patient with a diabetic foot ulcer (DFU). Which of the following descriptions best fits the typical presentation of this type of wound?
What is the primary safety concern for a nurse to be aware of during the administration of hyperbaric oxygen therapy (HBOT)?
According to the TIME principles of wound bed preparation, what does the 'M' stand for?
During which phase of wound healing does the regeneration of the epidermis and the formation of granulation tissue primarily occur?
What is the maximum tensile strength a healed wound can achieve compared to the preinjured tissue?
What type of wound closure method would be used for a surgical wound with clean edges that are brought close together with sutures?
A nurse documents a wound with 'epibole'. What does this term describe?
A pressure injury is observed on a patient's heel. The wound is covered by stable, dry, and intact eschar. What is the appropriate nursing action?
When using the linear or clock method for wound measurement, how is the length of the wound determined?
What is the primary function of the stratum lucidum sublayer of the epidermis?
A nurse is caring for an older adult patient. According to the text, how does the wound healing process in older adults compare to that of younger patients?
Which of the following is an example of a full-thickness wound?
According to the U.S. Centers for Medicare and Medicaid Services (CMS), a wound is considered chronic if it has not closed or progressed within how many days?
What is the primary purpose of applying a hydrogel dressing to a wound?
A nurse is documenting wound drainage that is clear, amber, thin, and watery. What is the correct term for this type of exudate?
What is the primary cell type that participates in epithelialization by migrating across a wound bed to facilitate healing?
A patient with a venous leg ulcer is being treated. What is the primary focus of treatment for this type of wound?
The Braden Scale is a common screening tool for pressure injury risk. How many risk factors does it assess?
What is the term for the separation of the edges of a surgical wound?
Which type of debridement involves using sterile larvae of the Lucilia sericata species to clean a wound?
What is a key difference between a Stage 3 and Stage 4 pressure injury?
A nurse is assessing a patient using the Norton Scale for pressure injury risk. A total score of 14 would indicate what level of risk?
When providing wound irrigation using high-pressure pulse lavage, what is the recommended pressure range in pounds per square inch (psi)?
A patient has a wound with minimal to no exudate. Which dressing type is specifically designed to donate moisture to hydrate the wound?
A nurse is documenting the quantity of exudate from a wound dressing. If the wound bed is saturated and the drainage encompasses 25 to 75 percent of the dressing, what term should be used?
Which layer of the skin is described as the waterproof outermost layer that is avascular and contains melanocytes?
What is the term for the physiological process that involves the creation of new blood vessels during the proliferation phase of wound healing?
What type of open wound is caused by friction or shear, resulting in the separation of skin layers?
When assessing a patient with a chronic wound, which of the following is a key extrinsic factor that can contribute to delayed healing?
Which type of wound dressing is composed of sodium carboxymethylcellulose and is known for being highly absorptive, forming a gel as it absorbs exudate?
What is the correct term for yellow or tan fibrinous necrotic tissue that typically lies on top of a wound bed?
Which of the following is considered a contraindication for the use of hydrocolloid dressings?
In the context of wound care documentation, what does the term 'desiccation' refer to?
A surgical drain that is described as a flat, ribbonlike drain with gauze applied to the end to absorb drainage is a:
What is the epidermal turnover rate for an adult in their 30s to 40s?
An unstageable pressure injury is defined by the presence of what characteristic that obscures the wound bed?
Which of these wound dressings are contraindicated for third-degree burns?
A nurse documents 'serosanguineous' drainage from a wound. What is the appearance of this type of exudate?
What is the primary function of fibroblasts during the proliferation phase of wound healing?
When assessing a wound, a nurse notices a pungent, fecal odor that persists even after the wound has been cleaned. What does this finding most likely indicate?
A patient with an arterial ulcer on their ankle is being assessed. Which treatment is generally contraindicated for this type of wound unless specific studies have been performed?
Which laboratory value is considered a more reliable indicator of the effect of nutritional interventions on a patient with a wound?
What is the primary function of a contact layer dressing in wound care?
What is the only FDA-approved enzymatic debriding agent currently available in the United States, according to the text?