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Assessment of Skin Integrity and Wound Characteristics

  • Assessment of skin integrity and wound characteristics is essential for planning and evaluating wound care interventions
  • Assessment of skin integrity includes inspecting the skin for color, temperature, moisture, turgor, texture, lesions, and signs of infection or inflammation
  • Assessment of wound characteristics includes measuring the size, depth, shape, location, and stage of the wound; identifying the type and amount of exudate, odor, and necrotic tissue; and evaluating the condition of the wound edges, margins, and surrounding skin.

Questions on Assessment of Skin Integrity and Wound Characteristics

Correct Answer is C

Explanation

<p>This is a normal finding, as granulation tissue is pink or red and indicates new tissue growth and blood vessel formation in the wound.</p>

Correct Answer is D

Explanation

<p>Rationale: Silver dressing is a type of antimicrobial dressing that contains silver ions, which have bactericidal properties and can prevent or treat wound infections. Silver dressing can also reduce pain, inflammation, and odor from the wound. Silver dressing is often used for burn injuries, as they are at high risk of infection due to loss of skin integrity and exposure to pathogens.</p>

<p>This indicates that NPWT is ineffective, as NPWT should decrease eschar formation on the wound surface by facilitating debridement and removing necrotic tissue.</p>
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