Asked by Kaylie Mitchell on Mar 10, 2024
Verified
When assessing a patient's skin,what does the nurse need to know?
A) Restricted movement can increase blood circulation.
B) Paralyzed patients have normal sensory function.
C) Loss of subcutaneous tissue may increase the rate of wound healing.
D) Moisture on the skin can lead to skin maceration.
Skin Maceration
The softening and breaking down of skin resulting from prolonged exposure to moisture, which can increase the risk of infection.
Subcutaneous Tissue
The layer of tissue directly under the skin, consisting of connective tissue and fat, which provides insulation and cushioning for the body.
Wound Healing
The biological process by which the skin and tissues repair themselves after injury, involving several stages including hemostasis, inflammation, proliferation, and remodeling.
- Comprehend the fundamental rules and methods to avoid skin damage and enhance skin health.
Verified Answer
GZ
Gonzi ZuluondoMar 10, 2024
Final Answer :
D
Explanation :
Moisture on the surface of the skin serves as a medium for bacterial growth and causes irritation,softens epidermal cells,and leads to skin maceration.When restricted from moving freely,dependent body parts are exposed to pressure that reduces circulation to affected tissues.Nurses should know which patients require help to turn and change positions.Patients with paralysis,circulatory insufficiency,or local nerve damage are unable to sense an injury to affected parts of the skin.In patients with limited caloric and protein intake,the skin becomes thinner and less elastic,with loss of subcutaneous tissue,which results in impairment of or delay in wound healing.
Learning Objectives
- Comprehend the fundamental rules and methods to avoid skin damage and enhance skin health.