WOCN program
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Identify at least four factors that contribute to skin damage | Chemical, moisture, infection, mechanical, radiation, friction, infectious, allergic response, viral, vascular , burn, inflammatory, intrinsic disease
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| List the types of skin infections and management | fungal, bacterial, viral,arthropod
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| classification system for skin tears | #I can be approximated (A)linear (like incision) (B) flap <1mm dermis exposed #2(A) scant tissue loss >75% dermis covered by flap(B) moderate to large tissue loss>25% dermis exposed #3 complete tissue loss-no flap
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| management of radiation dermatitis | gently cleanse, moisturize, symptom management (compressed for itching)prevent trauma, manage radiation dermatits with dressings if needed
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| The term incontinence associated dermatitis has replaced what terms | diaper or perineal dermatitis
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| Identify chemical factors that cause skin injury | Fecal incontinence, alcohol, betadine, GI contents, drainage from percutaneous tubes
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| Describe the symptoms and common location for candidiasis | Itching, white cheesy exudate, skin folds, satellite lesions
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| What is the difference between cellulitis and erysipelas | Erysipelas has prodromal sx, sharply defined erythema, very painful, edema, streaking r/t of following the lymphatic tract-Cellulitis:erythema with diffuse border, tenderness, warmth and edema
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| Name two common viral infections of the skin | Herpes simplex and varicella zoster
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| allergic contact dermatitis | Located precisely at the point of contact, sharp margination, erythematous no satellite lesions
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| grades of radiation dermatitis | #1 Erythema, dry desquamation, #2 patchy moist desquamation in skin folds, brisk erythema, moderate edema #3 moist desquamation other than skin folds #4 ulceration, necrosis, full thickness, spontaneous bleeding
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| What is the name of the classification system for skin tears | Payne-Martin classification system
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| Treatment for category II and III skin tears is transparent film dressing. True or false | False
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| What is a common cause of chemical dermatitis | loose stool, C. Diff
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| Identify three categories of skin protectants | Barrier moisture ointment, moisture barrier paste, skin sealant
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| what is the is the key indicator of candidiasis | pruritis
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| What is the term for inflammation of the skin folds | Intertrigo
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| What two conditions can be confused with candidiasis | contact dermatitis, folliculitis
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| How can you distinguish pressure ulcers from genital herpes | Location- pressure ulcers over bony prominence herpes on fleshy skin areas
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| when does the greatest radiation skin effects occur | after treatment ends
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| Define dry desquamation | Skin is intact but erythematous, flaky or scaly
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| True or false: radiation recall can occur after the administration of doxorubicin | True
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| A lesion that is elevated, firm, and <1cm in diameter is known as : | papule
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| A vesicle >1cm in diameter is known as : | bulla
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| Name mechanical causes of skin damage | Friction, shearing forces, pressure, skin stripping
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| Macule | flat, circumscribed, <1cm, different color than skin (nevus)
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| Papule | elevated, firm, circumscribed, <1cm (wart)
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| Patch | flat, nonpalpable, iregular shaped macule >1cm (port wine stain)
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| Plaque | elevated, firm, rough, flat top, >1cm (Psoriasis)
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| Wheal | elevated, irregular shape, cutaneous edema, solid, transient, variable diameter (bug bite)
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| Nodule | elevated, firm, circumscribed, deeper in dermis that papule 1-2cm (lipoma)
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| Vesicle | elevated, cirmscribed, superficial, fillied with serous fluid, <1cm (herpes zoster, chicken pox)
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| Bulla | vesicle >1cm (blister)
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| Pustule | elevated, superficial, similar to vesicle but filled with prurulent fluid (acne)
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| Cyst | elevated, circumscribed, encapsulated in dermis or sub. q layer, filled with fluid or semisold
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| Scale | heaped up keratinized cells, flaky skin, irregular, thick or thin, dry or oily, varies in size
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| Lichenification | rough, thickened epidermis due to persistent rubbing, itching, or skin irritation
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| Excoriation | loss of epidermis, linear hollowed-out, crusted area (abrasion or scratch)
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| Fissure | linear crack or break of epidermis, may be dry or moist
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| Erosion | loss of part of epidermis, depressed, moist, glistening, follows rupture of vesicle or bulla
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| Ulcer | loss of epidermis and dermis, concave, size varies
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| protocol for prevention and treatment of moisture or chemical skin damage | gentle cleaning, moisturization, skin protectant
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| two fungal infections | candidiasis and dermatophyte (tinea)
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| describe candidiasis | satellite lesions, pruritis (key indicator) cheesy exudate, erythema with pustules, papules or plaques
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| candida intertrigo | intensely red, confluent, macerated, rash extends just beyond the limits of the skin folds. satellite lesions. Burow soln, antifungal cream or powder
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| folluliculitis | pustules pierced in the center by hair, can be fungal, bacterial or mechanical (staph a. is usual cause) tx: soap and water, improve hygiene
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| tinea | fungal infection-name and symptoms r/t site of infection (capitus:head, Pedis:foot, Corporis:body, Cruris:groin) active border, scaly, red, slightly elevated. Topical antifungal.
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| Bacterial infections | cellulitis, erythrasma, erysipelas, empetigo
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| erythrasma | bacterial inf. (cornybacterium) in skin folds.chronic, mildly pruritic, reddish brown pigmentation, well defined borders, little scaling, NO satellite lesions. vigorous washing, clotrimatozole topical or erythromicin tid
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| bacteria that cause skin infections | staph a. beta hymolytic strep, staph epidermis
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| impetigo | highly contagious, staph. a. superficial vesiculopustular. r/t poor hygiene, malnutrition
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| nonbullous impetigo | start with asymptomatic small vesicles that rupture soon, moist red base that crusts over (honey colored crust)
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Created by:
Beth Perry
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