- To take the test online, go to our secure Web site at www.nursingcenter.com/ce/ajn.
- To use the form provided in this issue, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form.
- Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to: Lippincott Professional Development, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
- Registration deadline is December 31, 2019.
DISCOUNTS AND CUSTOMER SERVICE
- Send in together two or more tests from any nursing journal published by Lippincott Professional Development (LPD), and deduct $0.95 from the price of each test.
- We also offer CE accounts for hospitals and other health care facilities online at www.nursingcenter.com. Call 1-800-787-8985 for details.
LPD will award the number of contact hours indicated for each continuing nursing education activity. LPD is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center.
These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LPD is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223.
Pressure Injuries Caused by Medical Devices and Other Objects: A Clinical Update
To discuss the etiology and prevention of pressure injuries resulting from medical and other devices.
After completing this continuing nursing education activity, you should be able to
- outline the risk factors for pressure injuries and the bodily sites at which they most often occur.
- identify current clinical practice guidelines and information about the staging of these injuries.
- The National Pressure Ulcer Advisory Panel recommends replacing the term pressure ulcer with pressure injury becauseulcers can also be internal.
some pressure injuries (PIs) have intact skin.
trauma causes these injuries.
- Mucosal PIs cannot be staged because it is difficult toaccess them for a full examination.
measure the depth of tissue injury.
distinguish the degree of tissue loss histologically.
- The most recent International Pressure Ulcer Prevalence Survey showed a decline in acute care facility–acquired PIs from 6.4% in 2006 to what percentage in 2015?3.6%
- In a 2009 study, VanGilder and colleagues found what percentage of PIs to be device related?9.1%
- Device-related PIs were most commonly found on thecoccyx.
- In a study by Black and colleagues, what percentage of hospital-acquired PIs resulted from medical device use?15.3%
- According to Apold and Rydrych, for 63% of reported device-related PIs there was no documentation ofthe necessity of the device.
periodic removal of the device.
a safe duration for device use.
- Apold and Rydrych determined that 74% of the device-related PIs were discovered when the PIs werestage 1.
stage 3 or more.
- According to Schallom and colleagues, which type of oxygen delivery device had only a 2% incidence of PIs?full-face masks
- Of the following devices used for ICU patients in Saudi Arabia, which had the highest incidence of PIs?indwelling urinary catheters
- The Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline recommends inspecting the skin surrounding and under any medical device at least how many times each day for signs of pressure-related injury?1
- The guideline also recommends increasing the number of daily skin inspections for signs of pressure-related injury when patients havehypertension.
- Older adults are especially vulnerable to device-related PIs because ofcellular attrition.
thicker dermal layers.
greater cutaneous blood flow.
- Bariatric patients are susceptible to PIs because they havedrier skin.
- Scott and Delmore independently concluded that PIs that occur during surgery may not be detected until how long after surgery?up to 24 hours
nearly 48 hours
72 hours or more
- The risk of medical device–related PIs may be greater in surgical and ICU patients with a history of which of the following?neurologic disease
- Keratinocytes arefound in the oral epithelium.
activated in healthy tissue.
uniform in structure and differentiation.
- Long-term care facilities must complete the Resident Assessment Instrument of the Minimum Data Set upon patient admission and discharge andmonthly.