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Ch. 41 & 42
Skin Disorders & Burns
| Question | Answer |
|---|---|
| What does the clinician need to take into account when evaluating the status of a patient’s skin? | -Exposure to irritants -Home remedies that may be used -Possible allergic response -Medication photosensitivity -UV light exposure *** all can change skin's appearance *** |
| A nursing student is reviewing the ABCDE assessment for moles. Malignant melanoma tends to develop in moles with a diameter larger than how many millimeters? | 6 mm |
| A patient is diagnosed with contact dermatitis. Which of the following may the patient have encountered? | Poison ivy -This results in contact dermatitis |
| Dermatitis | |
| Patient suffering from anhidrosis is hospitalized in an area known to be warmer than normal. Which of the following should the nurse expect? | Keeping awareness of patient's body temperature -This is because the patient's sweating response is reduced, so elevated body temperatures are concerning |
| Anhidrosis | |
| A patient is at the clinic for a tinea capitis infection. Which of the following would be the expected action by the nurse? | Ask the patient whether she can examine his/her head and scalp |
| Tinea capitis | A fungal infection (ringworm) of the scalp |
| Basal cell carcinoma | The most benign form of skin cancer |
| Lentigos | The dermatological term for age spots |
| A patient with advanced renal failure has the following report: “denies pruritus.” Which of the following is the correct interpretation for the nurse to make? | The patient is not experiencing itching |
| Pruritis | Indicates itching |
| A clinician is working with an infant diagnosed with eczema. Where will this skin disorder most likely appear on the patient? | Cheeks -Presents on cheeks and spreads to scalp, arms, and trunk in infants, but presents in different locations on adults |
| Eczema | “Atopic dermatitis" -In adolescents and adults, eczema can appear as dry, lichenified lesions that are either hypo- or hyperpigmented |
| A patient has suffered a superficial partial-thickness burn on his leg. Which tissue layers have been burned? | -Epidermis -Papillary layer of dermis |
| A nurse is caring for a patient who has suffered a thermal burn and is now receiving hospitalized care. Which of the following post-burn complications may the nurse expect? | -Inhalation injury -Respiratory distress (results from edema and other pulmonary changes) -Decreased kidney perfusion |
| How does a nurse record the size of the zone of coagulation for a burn victim? | The nurse measures the diameters of the most severely burned area |
| Zone of coagulation | The most severely burned area on a patient |
| Following a severe burn, a patient is in the emergent phase. Which of the following is a primary concern for a patient in this phase? | Prevent shock |
| Emergent phase | The stage that initially occurs following a burn injury |
| A patient has suffered a severe scalding burn around the knee area. Upon healing, the wound edges appear to be pulling inwards, decreasing joint mobility. Which of the following is the most likely explanation for what is happening? | Contracture -Can prevent the mobility at a joint |
| A paramedic arrives on an accident scene and quickly assesses that the total body surface area damaged by burn is 27% for the patient. Which criteria did the paramedic most likely use to arrive at this conclusion? | Rule of Nines -This divides the body surface area into segments of 9% |
| What sign or symptom develops with myoglobinuria in a patient with a severe burn injury? | Dark-brown urine |
| What is the most common burn type? | Thermal burns |
| Vitiligo | Abnormality in skin coloring resulting in depigmented patches |
| Melasma | Appearance of dark macules on the face -It commonly occurs during pregnancy and in women who use oral contraceptives. |
| Tinea | A fungal infection (ringworm), primarily affecting the surface of the skin. |
| Molluscum contagiosum | A common viral infection, causing pinkish nodules to appear on the skin surface |
| Verrucae | Warts caused by the human papilloma virus (HPV) |
| Lesion | A wound indicating damage to an organ or tissue |
| What is a raised lesion that is less than 0.5 cm in diameter? | Papule |
| What is a raised lesion that is greater than 2 cm in diameter? | Plaque |
| Wheals | A term that refers to the presentation of hives or urticaria -They may appear in allergic reactions |
| Bulla | A large blister |
| What causes swelling around the nail bed and surrounding tissue? | Paronychia |
| What causes the nail plate separates from the nail bed? | Onycholysis |
| Stevens-Johnson Syndrome (SJS) | A severe autoimmune response that requires hospitalization |
| Scleroderma | An autoimmune condition of the skin that causes tightening of the skin fibers |
Created by:
kmeans34
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