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AI - Skin & Wound
Question | Answer |
---|---|
The outermost layer of skin is called the. . . | epidermis |
The second layer of skin is called the. . . | dermis |
the dermis is composed of what? | framework of elastic connective tissue |
The dermis contains what stuctures? | nerves, hair follicles, glands, and blood vessels |
The subcutaneous tissue layer contains what stuctures? | blood and lymps vessels, nerves, and fat cells |
are our hair and nails considered part of the integumentary system? | yes |
What are the 8 functions of the skin? | protection, temperature regulation, psychosocial, sensation, vitamin D production, immunological, absorption, and elimination |
What are two protective mechanisms that help rid the body of foreign materials? | sneezing and coughing |
Are mucous membranes sensitive to pressure? | yes |
What the only two mucous membranes that are sensitive to temperature? | mouth and rectum |
In cold conditions, contractions of the pilomotor muscles causes what? Which in turn forms what? | hair to stand on end, forming a layer of air on the body for insulation |
Production of vitamin D needs what? | ultaviolet rays from the sun |
Eccrine sweat glands, Sebaceous glands, and Papilla's are present in what layer of the skin? | Dermis |
If someone is dehydrated, their skiin would appear how? | loose and flabby |
two genetic predispostions related to the skin are. . . | eczema and psoriasis |
Is their a potential for a skin infection for a pt. with jaundice? | yes, b/c pt. skin is itchy and dry reslting in the pt. scratching their skin causing an open lesion |
A break or disruption in the normal integrity of the skin and tissues is what? | a wound |
what are 3 factors influencing resistance to skin injury? | person's age, the amount of underlying tissue, and illness conditions |
These type of wounds are based on how they were acquired. . . | intentional and unintentional |
These type of wounds are based on the lenght of time the pt has had the wound. . . | open or closed or acute and chronic |
These types of wounds are present when all or a portion of the dermis is intact. . . | partial-thickness |
These types of wounds are present when the entire dermis and sweat glands and hair follicles are severed. . . | full-thickness |
These types of wounds are present when the dermis and underlying subcutaneous fat tissue are damaged or destroyed. . . | complex |
This type of wound is planned, has clean edges, and the risk of infection is minimal | intentional wound |
Is a lumbar puncture a type of intentional wound? | yes |
these wounds have jagges edges, uncontrolled bleeding, high risk for infection, longer healing times, and are usually accidental | unintentional wounds |
Examples of this type of wound include abrasions and incisions. . . | open wound |
In an open wound, is the skin surface broken? Is it intentional or unintentional? | yes, can be either |
Examples of this type of wound include ecchymosis and hematomas. . . | closed wound |
with a closed wound, is internal hemorrhage a concern? | yes |
are surgical incisions a form of an acute wound? | yes |
When the edges of a wound meet to close the skin surface it is termed. . . | well approximated |
Chronic wounds remain in what phase of the healing? | inflammatory |
wounds related to arterial or venous insufficiency are normally what type. . . | chronic |
purple blotches on the skin may be indicative of what? | Kaposi's sarcoma |
One should assess a piercing site for what? | redness, swelling, discharge, or excessive pain |
Warm baths and nursing ointments are nursing interventions for what? | redness and inflammation in the perianal area, especially following bouts of diarrhea |