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Damage control

Differentiating incontinence-associated dermatitis from pressure injury

doi: 10.1097/01.NURSE.0000534911.60087.a2
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INSTRUCTIONS Damage control: Differentiating incontinence-associated dermatitis from pressure injury

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PROVIDER ACCREDITATION

Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida CE Broker #50-1223. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour.

Damage control: Differentiating incontinence-associated dermatitis from pressure injury

GENERAL PURPOSE: To provide information about differentiating IAD from pressure injuries. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Differentiate the presentation of IAD and friction or pressure/shear injuries. 2. Identify techniques that aid in the identification of dark skin injuries.

  1. A pressure injury in which category is most likely to be confused with IAD?
    1. DTPI
    2. stage 3
    3. unstageable
  2. Which of the following is especially susceptible to injury due to little or no adipose tissue?
    1. buttocks
    2. malleoli
    3. thighs
  3. Which type of injury often occurs when a patient is dragged during repositioning instead of being lifted?
    1. friction
    2. shear
    3. DTPI
  4. Which of the following can lead to skin damage from the interaction of parallel movement and pressure while the body is in motion?
    1. friction
    2. shear
    3. blunt force
  5. In dark skin, inflammation may appear
    1. red.
    2. blue.
    3. black.
  6. What assessment finding might be muted in darker skin?
    1. turgor
    2. blanching
    3. temperature
  7. IAD presents with erythema, edema, and
    1. well-defined margins.
    2. full-thickness wounds.
    3. denudation.
  8. Prolonged exposure to chemical irritants in urine and stool increases the risk of injury by impairing the skin's
    1. protective acid mantle.
    2. sensitivity to pain.
    3. ability to regulate temperature.
  9. The appearance of satellite lesions in severe cases of IAD is most likely due to
    1. an allergic reaction.
    2. contact dermatitis.
    3. cutaneous candidiasis.
  10. Best skin care interventions for patients at risk for IAD include
    1. using an exfoliative skin cleanser.
    2. washing with soap.
    3. applying zinc oxide ointment.
  11. According to the NPUAP definition, pressure injuries always
    1. present as open ulcers.
    2. have diffuse margins.
    3. result from pressure or pressure with shear.
  12. Which of the following is an intrinsic risk factor for pressure injury?
    1. moisture
    2. immobility
    3. pressure
  13. Extrinsic risk factors for pressure injury include
    1. shear.
    2. comorbidities.
    3. nutritional status.
  14. Full-thickness wounds are most often associated with
    1. friction injuries.
    2. IAD.
    3. pressure/shear injuries.
  15. A patient who's restless, malnourished, and frequently sliding in the chair is at greatest risk for
    1. friction injury.
    2. IAD.
    3. pressure/shear injury.
  16. Which type of lighting should nurses avoid when inspecting dark skin tones?
    1. halogen
    2. fluorescent
    3. natural ambient
  17. What did Sullivan identify as a sign of early skin injury in patients with dark skin?
    1. hyperpigmentation
    2. blanching
    3. edema
  18. A patient complaint of a burning sensation is most suggestive of
    1. IAD.
    2. friction injury.
    3. pressure/shear injury.
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