Which individual(s) would be at risk for developing a pressure ulcer/injury? Select all that apply.
A person who is incontinent of urine and stool
A person who has loss of sensation below the chest
A person who has intact mobility and sensation
A person who is malnourished
A person who requires assistance repositioning
Correct Answer : A,B,D,E
Rationale:
A. Incontinence exposes skin to moisture, friction, and chemical irritation, increasing the risk for skin breakdown and pressure injuries. Constant moisture softens the skin (maceration), making it more susceptible to damage from pressure or shear.
B. Loss of sensation, such as in spinal cord injury, prevents the individual from feeling discomfort or pain that signals the need to shift position. Without this feedback, prolonged pressure on bony prominences can lead to tissue ischemia and ulcer formation.
C. An individual with full mobility and intact sensation can reposition themselves and relieve pressure, which significantly reduces risk of pressure ulcer development.
D. Malnutrition impairs skin integrity and wound healing. Deficiencies in protein, vitamin C, zinc, and calories reduce tissue repair capacity, making the skin more prone to breakdown under pressure.
E. Individuals who cannot reposition themselves independently rely on caregivers for movement. If repositioning is infrequent or delayed, pressure remains on bony prominences, increasing risk for ulcers.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Autosomal dominant disorders do not typically skip generations. If a parent carries the dominant allele, there is a 50% chance of passing it to each child, so the trait usually appears in every generation. Skipping generations is more characteristic of autosomal recessive disorders, where individuals can be carriers without showing symptoms.
B. Autosomal dominant disorders affect both males and females equally, because the gene is located on an autosome (non-sex chromosome). There is no sex-specific pattern of inheritance.
C. Autosomal dominant disorders can manifest at any age, depending on the specific condition. Some, like Huntington disease, appear in adulthood, while others, such as Marfan syndrome, may be evident at birth or in early childhood.
D. In autosomal dominant disorders, an individual with one copy of the mutated gene will express the disorder, meaning there are no asymptomatic carriers. Each affected person shows signs of the disease, even if symptoms are mild. Carriers, by definition, are asymptomatic individuals with a recessive allele, which does not apply in dominant disorders.Top of FormBottom of Form
Correct Answer is C
Explanation
Rationale:
A. This describes a local infection, where the pathogen affects only one specific area, such as a skin abscess or localized wound infection. Symptoms are limited to that area.
B. This describes a subclinical or latent infection, where the pathogen is present but does not produce noticeable symptoms. It is not systemic because it does not actively spread to multiple sites.
C. A systemic infection involves the spread of pathogens or their toxins through the bloodstream or lymphatic system to multiple organs and tissues. Examples include sepsis, bacteremia, or viral infections like influenza that affect multiple organ systems. Systemic infections often cause fever, malaise, hypotension, and widespread inflammation.
D. This describes a polymicrobial infection, which can be local or systemic depending on spread, but having multiple pathogens at one site does not define systemic infection.
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