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Skin Care/ Nursing Documentation- Test 11 1. What is the relationship between skin care and skin integrity? 2. What diagnoses does the patient have that could affect their skin integrity? 3. Tor F. Decubitus Ulcers are usually preventable. 4. Tor F. A Primary method of prevention is frequent turning of the patient. 5. Tor F.Nurses usually turn immobile patients every hour. 6. T.or F. The court did find documentation on the flow sheets or nursing progress notes of decubiti care provided 7. T. or F. The nursing progress notes/flow sheets showed every 2 hours of documentation of skin integrity issues during a 12 hour period. 8. T. or F. The court found that the nursing staff did follow standards of care for immobile patients and the hospital’s own internal policies. 9. Define “at risk” patients based on their diagnosis, hereditary factors, medical history and age. 10.Define “unrelieved pressure and sensitive skin. 11. T. or F. At risk patients can develop pressure ulcers/decubiti within six hours of unrelieved pressure on sensitive skin. 12. T. or F. The medical staff noted” large discolored skin on the buttocks” and a wound care consult was ordered on the same day. 13.T or F. The wound care specialist came in two days later which was violation of the hospital’s skin care policy.
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