Integumentary

Helpfulness: 0
Set Details Share
created 3 years ago by chipotleoak
37 views
updated 3 years ago by chipotleoak
show moreless
Page to share:
Embed this setcancel
COPY
code changes based on your size selection
Size:
X
Show:
1

Which layer does subcutaneous fat is located?

Hypodermis

2

What are the types of normal bacterial Flora on the skin

1. Gram-positive and Gram-negative staphylococci

2. Psuedomonas

3. Streptococcus

3

What PH holds the growth of bacteria on the skin?

4.2 - 5.6 pH

4

What are the three phases of wound healing

Inflammatory, fibroblastic, maturation

5

How long does fibroblastic wound healing phase last

starts at three days ends in 2 to 4 weeks

6

How long does the inflammatory phase of wound healing last

From the beginning of injury and ends 3 to 5 days later

7

How long does the maturation phase of wound healing last

Begins as early as 3 weeks and my last up to one year

8

Which wound healing phase would you find edema pain redness and warmth?

Inflammatory wound healing phase

9

What wound phase has scar tissue forming and also granulation tissue

Fibroblastic

10

Clear or straw-colored exudate from wound

Serous

11

Pink colored exudate due to the presence of a small amount of blood cells mixed with serous drainage

Serosanguineous

12

red drainage from trauma to a blood vessel type of exudate

Sanguineous

13

Type of exudate that is yellow gray or green due to infection in the wound

Purulent

14

What type of wound exudate is abnormal to see in wounds

Sanguineous

15

After a skin biopsy how long should the patient keep the dressing in place for

8 hours

16

After a patient has had a skin biopsy and has removed the dressing after 8 hours hours what are the next two things the patient should do for the next 7 to 10 days

Clean and use antibiotic ointment as prescribed

17

Which culture has to be placed immediately on ice and sent to a lab

Viral culture

18

what is the name of the type of examination when the skin is viewed under ultraviolet light through a special glass to identify superficial infections of the skin

Wood's light examination

19

What technique allows clear inspection of lesions by eliminating the erythema caused by increased blood flow to the area

Diascopy

20

What technique uses a glass slide that is pressed over a lesion causing blanching and revealing the lesion more clearly

Diascopy

21

What are the risk factors for oral thrush

Immune suppression, long term antibiotic therapy, diabetes mellitus, and obesity

22

Where are the common areas of fungal infections on the skin

Skin folds, perineum, vagina, axllia, under the breasts, mouth

23

What are the five nursing interventions to help with a fungal infection of the skin

1. Teach the client to keep skinfold areas clean and dry

2. hospitalized patient, inspect skinfold areas frequently, turn and reposition the client frequently, keep the skin and bed linens clean and dry

3. Provide frequent mouth care is prescribed and avoid irritating products (thrush)

4. provide food and fluids that are tepid in temperature and non-irritating to mucous membranes

5. Antifungal medications may be prescribed

24

What virus causes shingles

varicella-Herpes zoster

25

Where is the dormant herpes zoster shingles virus located in the body

Dorsal nerve root ganglia of the sensory cranial and spinal nerves

26

How long does it take for a skin irritation to show up on a patient if they have had discomfort in a specific area and has been diagnosed with shingles

Several days

27

What is the test to determine the diagnosis of shingles

Tzanck Smear -> herpes infection

Viral culture-> identify the organism

28

T / F : postherpetic neuralgia (severe pain) can remain after shingles lesions have been resolved.

True

29

T/F: herpes zoster is contagious to individuals who never had chickenpox and who have never been vaccinated against the disease

True

30

Herpes simplex virus type-1 infection causes a severe sore in what area of the body

Cold sore usually on the lip

31

Herpes simplex virus type 2 normally manifests in what area of the body

Genital herpes typically below the waist

32

What type of precautions do you assign a client if they are suffering from a herpes virus

Standard, contact

33

Which cranial nerve function should be assessed if a patient is suffering from a herpes virus outbreak

7th cranial nerve can cause Bell's Palsy as a complication

34

What type of mattress would you use for a patient suffering from shingles

Air mattress and a bed cradle

35

How many days of applying topical treatments and antiviral medications and antiviral therapy will lessen the likelihood of post therapeutic neurologist as a side effect of shingles

3 days

36

What is the age the vaccination for shingles is recommended

60

37

What are the three criteria in which patience would be screened for MRSA

Surgery, patients who have been previously hospitalized, or who live in a group setting

38

This bacterial infection is contagious and spread to others by direct contact with infected skin or infected articles and can also be spread to other parts of the body

MRSA

39

How do you fight MRSA

Antibiotic therapy

40

What type of precautions do you use on a MRSA patient

Standard contact precautions

41

If a patient is suffering from a poison ivy oak or sumac contact dermatitis what is the first intervention done by the nurse

Cleanse the skin of the plant oils immediately

42

What are the four nursing interventions for a patient suffering from poison ivy oak or sumac plant

1. cleanse the skin of the plant oils immediately

2. Apply cool, wet compresses to relieve the itching

3. Apply topical products to relieve the itching and discomfort

4. Topical or oral glucocorticosteroids may be prescribed for severe reactions

43

What shots should be given or current if a patient presents with a spider bite

Tetanus

44

What nursing intervention should be done immediately and intermittently for up to 4 days after a spider bite

Application of ice. It decreases enzyme activity of the Venom and limits tissue necrosis