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Skin NUR215
Skin Disorders
| Question | Answer |
|---|---|
| What is the test to confirm a viral infection? | Tzanck smear |
| What is Moh's micrographic surgery? | The layer removing procedure to diagnose basal cell and squamous cell carcinoma. |
| What is ANA (anti-nuclear antibodies)? | A blood test that is positive in many autoimmune diseases. |
| What is a manifestation of Raynaud's phenomenon? | White, bluish fingers from changes in environmental temp or emotional events. |
| What is patch testing? | Diagnostic test for skin allergies that can have life threatening reaction. |
| What is contact dermatitis? | A history of exposure is important when assessing this rash. |
| What is basal cell carcinoma? | Invasive skin cancer found on sun exposed areas but rarely metastasizes. |
| What is management of malignant melanoma? | Early detection, wide excision, chemotherapy, screening of close relatives, teaching follow up care. |
| What is squamous cell carcinoma? | A form of skin cancer that is extremely invasive, metastasizes by blood or lymph, treated with 5FU. |
| What is asymmetry, borders irregular, color variable, diameter greater than size of pencil eraser head? | The ABCDs of malignant melanoma. |
| What is polymyositis? | This connective tissue/autoimmune disease makes combing your hair difficult. |
| What are immunosuppressive agents? | These agents slow the autoimmune response in connective tissue diseases. |
| What is plaquenil? | This drug given for SLE sends you to the opthamalogist. |
| What is CREST syndrome associated with poor prognosis for scleroderma? | Calcinosis, Raynaud's phenomenon, esophageal hardening and dysfunction, sclerodactyly, telangiectasis. |
| What is risk for aspiration? | The priority nursing diagnosis for a person with esophageal hardening and dysfunction (CREST). |
| What are psoriatic lesions? | "Spots" are silver scales on an erythematous base. |
| What is methotrexate? | It is a chemo drug that inhibits DNA synthesis of epithelial cells in psoriasis. |
| What are nursing interventions for pruritis? | Therapeutic baths, cool compresses, increased fluid intake, topical corticosteriods. |
| What is cellulitis? | Red spot caused by generalized skin infection from staph or strep, distinct borders, stretched , glossy appearance. |
| What is Herpes Simplex? | "Spot" that is treatable but not curable and causes fever blisters. |
| What is an arterial ulcer? | Dry, pale, hairless ulcer with well defined borders. |
| What is a venous ulcer? | Shallow crater with large amount of exudate, crusting, and irregular edges, usually on lower legs. |
| What is compression therapy? | Primary treatment for venous stasis ulcer. |
| What are ways to prevent neuropathic ulcers? | Control of blood sugar and good foot care. |
| What is stage III pressure ulcer? | Full thickness skin loss, subQ tissue may be damaged or necrotic, damage to but not through the underlying fascia. |
| What nursing interventions are required for exfoliative dermatitis, TENS, and SJS? | Fluid volume replacement, infection prevention, temperature monitoring/regulation, systemic treatment, topical treatment, pain management. |