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integumentary test
Question | Answer |
---|---|
1. What is Burrows solution? | - Burrow’s solution is used to help dry up oozing lesions such as poison ivy. - Prevents pain, given to pts to prevent itching. |
2. If herpes is suspected in the assisted living facility, what would the staff do stat? | - Notify staff and treat the condition. |
3. In the LTC facility a pt has herpes, which client with a certain diagnosis would require the most observation for complications. | - Immunosuppressed/ cancer pt. |
4. Describe symptoms of impetigo | - Pruritus and honey-colored crust on the lower lip and chin. |
5. When do you use a woods lamp? | - To cause fluorescence of the infected hairs. |
6. Describe a wheal. | - Elevated, red, irregularly shaped area of cutaneous edema. - Solid, transiet |
7. What is PQRS mnemonic? | - Severity of symptoms. |
8. What would the nurse teach a patient about Isotretinoin? | -Dries skin - Do not be under direct sunlight |
9. Which race is common to develop keloid? | - Keloids, which originate in scars, are hard and shiny and are seen more often in African Americans than whites. |
10. What is the time limit for fluid loss in partial and full thickness burns. | - Within 12 hours after burn trauma. |
11. What is the greatest concern for the beginning of burn phase? | - Hypovolemic shock |
12. What is the concern for an electrical burn? | - The likelihood of cardiac arrest. |
13. What is the common cause of burn related deaths? | - Infection |
14. After a severe burn, a patient vomits red blood, what is that condition called? | - Curling ulcer |
15. Nursing care for open and closed method for burn treatment. | - Keep the room temperature at 85 degree Fahrenheit to prevent chilling. |
16. Describe stage 1 and 2 pressure injury. | - Stage 1: reddened are with intact skin over the client’s coccyx. When gentle pressure is applied, the area does not blanch. - Stage 2: the skin is not intact and there is partial-thickness skin loss involving epidermis, dermis, or both. |
17. Know hydrocolloid dressing, alginate dressing, hydrofiber dressing and transparent film. Know when to use them and on what type of wound. | - Hydrocolloid is used to treat minor burns or bed sores. |
18. Nursing intervention for a 25% burn patient that voids a lot? | - Assess for signs of fluid overload |
19. Teaching to a patient that is going to use Coal Tar treatment. | - Avoid exposure to sunlight for 72 hours after use. |
20. What is and where is tinea corporis? | - Abdomen - Tinea corporis is known as ringworm of the body. It occurs on parts of the body with little or no hair. |
21. Intervention for dermatitis venenata. | - Wash area with copious amounts of water. |
22. What is burn debridement? | - Prevent infection and promote healing. |
23. If a patient has upper chest burns and nose has singed hair, what is your priority to monitor? | - Respiratory complications. |
24. Know characteristics of melanoma (ABCDE acronym) | - A: asymmetry - B: border (irregularly scalloped or poorly circumscribed border) - C: color (uneven) varied from one area to another - D: diameter larger than 6mm - E: evolving |
25. Where do you look on a dark skinned patient for cyanosis? | - Lips and mucous membranes. |
26. How to treat contact dermatitis? | - Use cool, wet dressing and baths to promote vasoconstriction. |
27. Provide instruction to patient how to reduce risk factors for melanoma. | - Avoid exposure to the sun and use protective measures when exposure occurs. |
28. Nurse teaches patient management for SLE/LUPUS. | - Balanced diet - Balance between rest and activity |
29. Patient states this about antibiotics which indicated that she needs more teaching. | - Take the all the med until you finish the bottle even if you feel better. |
30. What other disorder will a patient be assessed for with herpes diagnosis? | - HIV |
31. How will you know when a child has scabies? | - Wavy threadlike lines on the body and pruritus. |
32. Where are the melanocytes located? | - Epidermis |
33. A patient is on fire and running out of the building, what do you do as a nurse? | - Stop, drop, and roll |
34. What is the last intervention for burn patient in the emergent phase? | - Tetanus shot |
35. What are the 4 major roles of the skin? | - Excretion of wastes - Protection - Temperature regulation - Prevention of dehydration |
36. Know 3 ways to identify lupus | - Butterfly rash over nose and cheeks - Photosensitivity - Polyarthralgias and polyarthritis |
37. How to treat scabies? | - Clothing, linens, and bath articles thoroughly cleaned in hot water - Stress nature and transmission of the disease |
38. Symptoms of burn injury with respiratory complications. | - Obstructed airway - Abnormal respiration sounds - Singed nasal hair |