Integumentary

Question 1

Impertigo contagiosa s/s + treatment

Answer 1

reddish macule
honey-colored crust
topical antibiotic

Question 2

Pyoderma s/s + treatment

Answer 2

deep dermis infection w/ fever, lymphangitis
soap and water cleanse
launder washcloths and towels separately

Question 3

Furuncle s/s and treatment

Answer 3

Boil; larger swollen hair follicle
incision and draining

Question 4

Carbuncle

Answer 4

multiple boils

Question 5

Staphylococcal scalded skin syndrome + treatment

Answer 5

rough textured skin with macular erythema
antibiotics
Burrow’s solution or saline

Question 6

Verruca

Answer 6

warts; elevated rough, gray-brown firm papules

Question 7

Tinea corporis + treatment

Answer 7

ringworm; round erythematous scaling patch
antifungal, sitz bath, oral griseofulvin

Question 8

Tinea capitis + treatment

Answer 8

ringworm of scalp; selenium sulfide shampoos

Question 9

Tinea cruris

Answer 9

jock itch; scaling patch on thighs or scrotum

Question 10

Pt education to avoid spread of skin infections

Answer 10

hand hygiene
avoid sharing hats, combs, or brushes
don’t touch affected area
don’t squeeze vesicles

Question 11

expected findings of scabies

Answer 11

pencil-like marks on hands
blisters on soles of feet
pimples on trunk

Question 12

pediculosis capitis

Answer 12

head lice

Question 13

how to get rid of head lice?

Answer 13

use 1% permethrin shampoo

Question 14

Nursing care for diaper dermatitis

Answer 14

remove all soiled diaper
clean perineal area with nonirritating soap
expose area to air
zinc oxide

Question 15

what do you need to monitor for isotretinoin?

Answer 15

cholesterol and tryglycerides

Question 16

First degree burn

Answer 16

epidermis, superficial
pink to red in color, no blisters, blanchable

Question 17

Second degree burn superficial partial thickness

Answer 17

damage to entire epidermis
painful red blisters, edema, blanchable with pressure
sensitive to temperature, light touch, and air

Question 18

Second degree burn deep partial thickness

Answer 18

damage to epidermis and part of dermis
mottled, blisters, edema, blanchable with pressure
sensitive to temperature

Question 19

Third degree burn

Answer 19

damage to epidermis and dermis and some to subcutaneous tissue
nerve endings, hair follicles, and sweat glands destroyed
dry leathery appearance

Question 20

Fourth degree burn

Answer 20

damage to all layers of skin and to muscle and bones
no pain, possible amputation

Question 21

Nursing care for major burns

Answer 21

vitals
large bore IV access
fluid replacement for first 24 hours
monitor s/s of shock
prevent infection