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integumentary test

QuestionAnswer
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
Created by: nataliesp
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