Wound Care Certification Pressure Injury Prevention Flashcards
7 cards from real Wound Care Certification Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Wound Care Certification Pressure Injury Prevention flashcards as text
A patient with a Stage 3 pressure injury has a BMI of 16.2 and serum albumin of 2.1 g/dL. Which nutritional intervention is MOST appropriate to support wound healing?
Answer: Provide 1.25–1.5 g/kg/day protein with caloric supplementation
Malnourished patients with pressure injuries require 1.25–1.5 g/kg/day protein and adequate calories to support tissue repair.
Which Braden Scale subscale directly measures the patient's ability to change and control body position?
Answer: Mobility
The Mobility subscale assesses the patient's ability to change and control their body position independently.
A critically ill patient in the ICU is placed on a vasopressor. How does this medication increase pressure injury risk?
Answer: It causes peripheral vasoconstriction, reducing tissue perfusion to bony prominences
Vasopressors cause peripheral vasoconstriction, which reduces blood flow to skin over bony prominences and increases ischemia risk.
Which support surface feature is MOST important for a patient with a pressure injury on the sacrum who is fully dependent for repositioning?
Answer: Alternating pressure to cyclically relieve pressure
Alternating pressure surfaces cyclically relieve pressure and are recommended for high-risk patients who cannot reposition themselves.
A nurse notices a dark purple discoloration on an intact heel of a patient admitted 6 hours ago. The area is firm and painful. This finding is BEST classified as:
Answer: Deep tissue pressure injury (DTPI)
Deep tissue pressure injury presents as intact skin with non-blanchable dark purple or maroon discoloration indicating injury to underlying soft tissue.
When repositioning a patient to prevent pressure injury, which technique BEST reduces shear forces?
Answer: Using a draw sheet or friction-reducing slide sheet to move the patient
Friction-reducing slide sheets minimize the shear and friction forces applied to skin during repositioning.
According to NPUAP/EPUAP guidelines, what is the MAXIMUM recommended head-of-bed elevation for patients at risk for pressure injuries, unless medically contraindicated?
Answer: 30 degrees
The head of bed should be maintained at 30 degrees or less to minimize shear forces on the sacrum and coccyx.