Integumentary Flashcards
Venous ulcer on lower right leg
- Posistion right leg lower than heart
- Compression wraps
- Analgesics before wound care
- Maintain dry environment
- Encourage ankle flexion
- Clean wound with nonirritating solution
- Compression wraps
- Analgesics before wound care
- Encourage ankle flexion
- Clean wound with nonirritating solution
Wrong
- Posistion right leg lower than heart
(Posistion higher than heart to promote Venus return) - Maintain dry environment
(Moist environment helps healing)
Why are Antifungal (-azole) medications contradicted with -statins
Because they inhibit drug metabolism and the drug can buildup to toxic levels
Permethrin is used for which condition
Who is it Contradicted in
Permethrin is used for scabies
Contradicted in <2 months due to possible systemic absorption
Squamous cell carinoma removed from face. Which will be most appropriate for a LPN
- Teaching about risk factors for Squamous cell
- Showing client how to care for surgical site at home
- Monitoring site for swelling, bleeding, or pain
- Discussing reasons to
- Monitoring site for swelling, bleeding, or pain
Best for a float from oncology
- 23 recently admitted with burns >30%
- 36 requires discharge teaching about nutrition & wound care after skin grafts
- 45 infected partial thickness back & chest burns who requires dressing schedule change
4.57 full thickness burns both arms needs assistance positioning hands in splints.
- 45 infected partial thickness back & chest burns who requires dressing schedule change
Nurse from oncology is familiar with dressing changes and sterile techniques.
Admission assessment, dev. Initial care plan, discharge teaching, splint posistion all require expertise in burns
Client arrives with sudden onset urticaria & pertussis what is the priority
- Ask about new meds
- Admin prescribed cetirizine
- Apply topical corticosteroids cream
- Ausculate breath sounds
Ausculate breath sounds
Urticaria can be associated with anaphylaxis
Other answers are appropriate but Aiway comes first because airway Is appropriate to anaphylaxis
Severe acne taking Isotretinoin, which statement is most cause for concern
- I’m thinking of starting a family soon
- There hasn’t been much improvement in my skin
- I get nausea after taking my meds
- I have been experiencing alot of muscle aches
- I’m thinking of starting a family soon
Birth defects
Muscle aches & neausa are also possible
Doxycycline (tricycline Antibiotic) need this teaching related to the integumentry system.
Wear sunscreen. Sever photosensitivy to UV light occurs
Nystatin powder is used for…
Antifungal. Candidas in skin fold
Wheals, also known as hives or urticaria, are raised, itchy, red bumps that can appear on the skin
Are associated with…
Allergic reaction
Facial dermaabrasion which is most important to convey to HCP
- Doesn’t use sunscreen
- Family History of melanoma
- Not eaten in 8 hrs
- Takes 325 mg aspirin
- Takes 325 mg aspirin
Dermabrasion is theremoval of the top layers of the skin. It is a type of skin-smoothing surgery.
Taking prednisone 30 mg to treat contact dermatitis. Most important to report to HCP
- Glucose 136
- Client “ I’m eating all the time”
- Reports frequently epigastric pain
- BP 148/84
- Reports frequently epigastric pain
May be developing peptic ulcers
Require antacids, histamine² receptor blockers, PPI.
Other findings are not significant and associated with steroid use
Which requires immediate intervention
- Obtaining Anaerobic culture specimen from a superficial wound
- Doxycycline given with milk for cellulitis
- Discussing Herpes Zooster vaccine with a 25 yr
- Newly admitted burn client about use of pressure garments
- Doxycycline given with milk for cellulitis
Dairy products inhibit absorption of doxycycline (tetracycline)
All others are incorrect but not as wrong as giving a Tetracycline with milk
Client taking adalimumab for psoriasis which is most indicative of need for change in therapy
- Temp 100.9
- Scaly patches on chest
- Erythema on sun-exposed areas
- Worsening depression
- Temp 100.9
Immunomodulating agents such as adalimumab (used for immune disorders) can increase risk for infection
