Ch. 58 (Osborn)- nursing assessment of the pt w/integumen. disorders

Question 0

3 layers of the skin:

Answer 0

epidermis, dermis, subcutaneous tissue

Question 1

what percentage of body weight is the skin?

Answer 1

7%

Question 2

4 distinct cells located in epidermis:

Answer 2

keratinocytes
melanocytes
merkel’s cells
langerhans’ cells

Question 3

maturation & death of keratinocytes

Answer 3

Q4-6 weeks

Question 4

merkel’s cells

Answer 4

provide sensory information

Question 5

langerhans’ cells

Answer 5

macrophages of the immune system that arise from bone marrow

Question 6

reticular dermis

Answer 6

composed of complex meshwork of three-dimensional collagen bundles interconnected with large elastic fibers and ground substance

also contain dermal dendrocytes

Question 7

specific immune cells found in dermis

Answer 7

t cells, mast cells, fibroblasts

Question 8

where is the lymphatic system located

Answer 8

dermis

Question 9

three types of ultraviolet rays

Answer 9

UVA- produce elastic skin & actinic skin damage
UVB- sun damage
UVC-

Question 10

systemic lupus erthythematosus

Answer 10

causes a butterfly rash on the face

Question 11

pt’s with clubbed nails might..?

Answer 11

have cardiovascular disease

Question 12

“skin popping”….A.K.A…?

Answer 12

subcutaneous injection

Question 13

3 causes of excessive perspiration

Answer 13

obesity
heart disease
hyperthyroidism

Question 14

asians’ skin has….?

Answer 14

more carotene

Question 15

which part of the hand is used to detect moisture on skin?

Answer 15

dorsal surface

Question 16

medical disorders that cause skin dryness

Answer 16

myxedema

nephritis

Question 17

petachiae

Answer 17

pinpoint purpuric lesions

Question 18

vitilago

Answer 18

the absence of pigmentation in circumscribed areas

Question 19

ecchymosis

Answer 19

purplish, blue and black marks that are usually caused by trauma

Question 20

cyanosis

Answer 20

bluish-grey discoloration caused by lack of oxygen

Question 21

2 examination techniques for skin lesions

Answer 21

inspection

palpation

Question 22

arciform lesions

Answer 22

arc shaped lesions

ex. ringworm

Question 23

primary lesion

Answer 23

occurs as an initial reaction to a pathologic condition

Question 24

secondary lesion

Answer 24

results from a change in the primary lesion or external trauma to the primary lesion

Question 25

vascular lesion

Answer 25

appears as red or purple pigmented. generally indicative of conditions that cause bleeding or liver disease

Question 26

cherry angioma

Answer 26

distinct, benign vascular lesion 0.5-5mm in diameter. firm deep red papule

Question 27

petachiae

Answer 27

red-purple nonblanchable discoloration less than 0.5cm diameter

intravascular defects, infection

Question 28

spider angioma

Answer 28

red central body w/radiating spider like legs that blanches w/ pressure to the central body

liver disease, vitamin B deficiency, idiopathic

Question 29

telangiectasia

Answer 29

fine, irregular red lines

dilation of capillaries

Question 30

venous star

Answer 30

bluish spider irregularly shaped w/linear lines

increased pressure in superficial veins