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