Hair, Skin, Nails

Question 1

dermis

Answer 1

inner supportive layer made of collagen

Question 2

Collagen

Answer 2

Tough, fibrous protein that helps skin resist tearing; found in dermis

Question 3

Sebaceous glands

Answer 3

Produce lipid, sebum which is secreted through hair follicles

Question 4

Eccrine glands

Answer 4

Produce sweat; coiled tubules that open directly onto the skin surface

Question 5

Apocrine glands

Answer 5

Produce sweat with emotional or sexual stimulation; become active during puberty

Question 6

Nails

Answer 6

Hard plates of keratin

Question 7

Danger signs of a nevus

Answer 7

A-asymmetry of a pigmented lesion
B-border irregularity
C-color variation (black, grey, blue, red, white, pink) or dark black color
D-diameter greater than 6mm
E-elevation or evolution

Question 8

When assessing the hair of a patient, the nurse uses what two assessment techniques?

Answer 8

Inspection and palpation

Question 9

What aspects does the nurse assess of hair?

Answer 9

Texture, lesions, distribution

Question 10

1+ edema

Answer 10

Mild pitting; slight indentation; no perceptible swelling

Question 11

2+ edema

Answer 11

Moderate pitting; indentation subsides rapidly

Question 12

3+ edema

Answer 12

Deep pitting; indentation remains for a short time; leg looks swollen

Question 13

4+ edema

Answer 13

Very deep pitting; indentation lasts a long time; leg is grossly swollen and distorted

Question 14

Layers of the epidermis

Answer 14

C-stratum corneum
L-stratum lucidum
G-stratum granulosum
S-stratum spinosum
B-stratum basale

Question 15

Primary intention

Answer 15

wound edges are approximated as in surgical incisions that are sutured or stapled; healing occurs quickly by epithelialization with minimal scar formation

Question 16

Secondary intention

Answer 16

Wound edges not approximated as in surgical wounds that have tissue loss or contamination; heals by granulation tissue formation, wound contraction, and epithelialization

Question 17

Tertiary intention

Answer 17

Wound is left open for several days and then edges are approximated as in wounds that are contaminated and require observation for signs of inflammation; wound closure is delayed until risk for infection resolves

Question 18

Nutrients important for healing

Answer 18

Calories, protein, vitamin C, vitamin A, Zinc, fluids

Question 19

Parts of the Braden scale

Answer 19

Sensory perception, moisture, mobility, nutrition, friction and shear

Question 20

Factors that affect wound healing

Answer 20

Nutrition, tissue perfusion, infection, age, psychosocial impact

Question 21

Partial thickness wound

Answer 21

Involving the epidermis and sometimes the dermis

Question 22

Full thickness wound

Answer 22

Involves the epidermis and invades into the dermis; must heal by scar formation because deeper structures do not regenerate

Question 23

4 phases of full thickness wound healing

Answer 23

Hemostasis, inflammatory stage, proliferation, remodeling