Care of the Patient with an Integumentary Disorder

Question 1

When can dehiscence occur postop?

Answer 1

between the 5th-12th day

Question 2

Signs to notice dehiscence will occur

Answer 2

-be aware of drainage on dressing
-increase in drainage is a sign before the wound layers can come apart

Question 3

Wound Complications

Answer 3

-abscess(pus filled)
-adhesion(scar tissue)
-cellulitis(infection of skin)
-extravasation(escape into tissues)
-hematoma

Question 4

Signs of hemmorhage

Answer 4

-increased thirst
-rapid thready,pulse
-restlessness
-hypotension
decreased urinary output
-cool,clammy skin

Question 5

Nursing interventions for Evisceration

Answer 5

-low fowlers
-knees flexed
-NPO
-sterile dressing
-monitor vitals and pulse ox
-establish IV fluids

Question 6

Considerations for Suture and Staple removal

Answer 6

*wire sutures removed by HCP
*limit dressing supplies
*Notify if poor wound healing,stop removal

Question 7

Types of sutures used

Answer 7

-interrupted
-continuous
-blanket sutures
-retention(covered with rubber tubing for extra strength in obese pts)

Question 8

Removal for long incision or incision over a joint

Answer 8

remove every other suture first,if edges do not pull apart, remove the rest

Question 9

What is Senile Lentigo?

Answer 9

“liver spots”, on areas most exposed to light

Question 10

What is Seborrheic keratosis?

Answer 10

slightly raised, wartlike with distinct edges

Question 11

What is psoriasis and how is it treated?

Answer 11

Autoimmune,no cure, thick,reddened,silvery scales
managed at first by topical corticosteroids

Question 12

What are emollients,creams,lotions?

Answer 12

Emollient: based on fixed oils
Creams: solid, water in oil
Lotions: powdered active, suspended in oil or water