Integumentary

Question 1

what is contact dermatitis? example os a cause?

Answer 1

• inflammatory reaction on skin to irritant (ex: poison ivy)

Question 2

s/s of contact dermatitis

Answer 2

◦ skin can get raw, thickened, oozing, crusts

Question 3

how do we treat contact dermatitis

Answer 3

• Wash the area thoroughly with soap and water once exposed
◦ To remove the resin oils that cause the irritation
• Severe reaction in area near eyes = topical corticosteroid

Question 4

what is atopic dermatitis?

Answer 4

A type of eczema

Question 5

how is atopic dermatitis classified?

Answer 5

age, lesion distribution, and what lesions look like

Question 6

does atopic dermatitis increase or decrease as we age

Answer 6

• frequently see in infants/decrease as child ages

Question 7

how do you get atopic dermatitis?

Answer 7

inherited

Question 8

sxs of atopic dermatitis

Answer 8

red, edematous, weeping, crusting, bilateral
◦ cheeks, arms, legs common
◦ itching can cause skin breakdown

Question 9

treatment for atopic dermatitis

Answer 9

• Topical steroid ointment to decrease inflammation
• Tepid water baths with mild soap
• Avoid irritants such as bubble baths, soaps, perfumes, fabric softeners, wool and synthetic fabrics
• Dress in cotton clothing

*watch for secondary infections

Question 10

bacterial infection of skin with honey colored crusts on face/trunk/extremities ?

Answer 10

impetigo

Question 11

concern for secondary _____ with impetigo due to skin breakdown from itching

Answer 11

infection

Question 12

precautions for impetigo?

Answer 12

contact! hand hygiene!

very contagious

Question 13

what do we can to do to prevent the spread of impetigo?

Answer 13

wash anything that came into contact with lesions
contact precautions
hand hygeine

Question 14

what isPediculosis Capitis

Answer 14

fancy name for lice

Question 15

how do we remove lice?

Answer 15

◦ live lice = use shampoo to kill them

◦ nit comb = remove the eggs

Question 16

when can licey kids return to school?

Answer 16

• can return to school once they have used shampoo to remove live lice, do not have to be completely nit free

Question 17

education for lice/stopping spread

Answer 17

• may have to use RX treatment if lice resistant to over the counter
• wash clothing/bedding/towels in hot water to kill lice
• vacuum floor/mattress/soft furniture
• tie up any toys that can’t be laundered in plastic bag for 2 weeks
• notify people who have come in contact
• do not treat siblings until they have lice- shampoo is not preventative
• education about not sharing hats to prevent

Question 18

scabies is a skin infection caused by….

Answer 18

• female Mite burrows under skin to lay eggs and mites crawl to surface

Question 19

what does scabies feel like? when is it worst?

Answer 19

• Intense itching- especially at night

Question 20

precautions for scabies?

Answer 20

contact!

- treat family and those in contact

Question 21

name that burn:

• Red, sensitive to touch / painful, no blistering
• damage to epidermis

Answer 21

Superficial / First degree

Question 22

name that burn:

• Red, sensitive to touch / painful, blisters present, moist and weeping, blanches with pressure, damage to epidermis

Answer 22

Partial thickness / Second degree

Question 23

name that burn:

• No blanching, no pain (nerve tissue damaged), white or charred appearance, damage to dermis, epidermis, and possibly subcutaneous tissue

Answer 23

Full thickness

Question 24

name that burn:

• damage to bone and fascia

Answer 24

4th degree

Question 25

how you can estimate amount of surface area burned on a child ?

Answer 25

use Rule of 9’s

Question 26

burn nursing priorities

Answer 26

• severe burn = ventilation/airway maintain
• fluid replacement in first 24 hours very important
• infection
• pain management
• psychological support