Integumentary Healthcare Unit Test Flashcards

1
Q

Q: Where are apocrine glands located and what do they do?

A

A: Located in axillary and genital regions. Produce sweat with fats/proteins. Thermoregulation. Cause body odor.

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2
Q

Q: Where are eccrine (exocrine) glands located and what do they do?

A

A: All over the body. Produce sweat (H₂O, salts, waste). Help cool body.

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3
Q

Q: Where are ceruminous glands located and what do they do?

A

A: Located in the ears. Produce earwax to trap debris and repel insects.

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4
Q

Q: Where are sebaceous (oil) glands located and what do they do?

A

A: Everywhere except palms/soles. Keep skin soft, kill bacteria, slow water loss.

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5
Q

Q: What are the five main functions of the skin?

A
  1. Protection (physical, chemical, biological)
  2. Temperature regulation
  3. Hydration regulation
  4. Excretion
  5. Vitamin D synthesis
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6
Q

Q: What are the 3 main layers of skin?

A
  1. Epidermis
  2. Dermis
  3. Hypodermis (Subcutaneous)
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7
Q

Q: What is the function of the stratum corneum?

A

A: Outermost layer; protective; sheds every 25–45 days.

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8
Q

Q: What is the stratum lucidum and where is it found?

A

A: Thick skin only (palms/soles); adds extra protection.

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9
Q

Q: What happens in the stratum basale?

A

A: New skin cells are formed and pushed upward.

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10
Q

Q: What does the dermis do?

A

A: Connective tissue layer; holds body together; provides skin tone.

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11
Q

Q: What is the role of the hypodermis?

A

A: Anchors skin to organs; shock absorber and insulator.

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12
Q

Q: What is a Stage 1 pressure ulcer?

A

A: Reddened skin that doesn’t blanch when pressed.

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13
Q

Q: What is a Stage 2 pressure ulcer?

A

A: Open sore or blister; red and irritated surrounding skin.

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14
Q

Q: What is a Stage 3 pressure ulcer?

A

A: Crater-like appearance; damage to tissue below skin.

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15
Q

Q: What is a Stage 4 pressure ulcer?

A

A: Deep damage involving muscle, bone, or tendons.

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16
Q

Q: What does unstageable mean?

A

A: Too much necrotic tissue present to determine stage.

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17
Q

Q: What is shearing?

A

A: Skin sticks while deeper tissues move, causing internal damage (ex: sliding in bed).

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18
Q

Q: What is friction?

A

A: Skin rubs against a surface, causing abrasion or tear.

19
Q

Q: What pigment gives skin a brown/yellow/red color and protects from UV?

A

A: Melanin.

20
Q

Q: What pigment gives skin a yellow-orange tint and is found in the stratum corneum and hypodermis?

A

A: Carotene.

21
Q

Q: What gives skin a pinkish hue in people with little melanin?

A

A: Hemoglobin in red blood cells.

22
Q

Q: What does a tan or bronzed color mean?

A

A: UV exposure → increased melanin production.

23
Q

Q: What causes black/blue marks on skin?

A

A: Bruising (damaged blood vessels under skin).

24
Q: What are common risk factors for pressure ulcers?
A: Immobility, incontinence, poor nutrition, thin skin, friction/shearing, poor circulation.
25
Q: How can you prevent pressure ulcers?
A: Reposition every 2 hours, avoid wrinkles, inspect skin, protect bony areas.
26
Q: Why is frequent repositioning important?
A: Prevents ulcers, improves circulation, maintains alignment, promotes comfort and independence.
27
Q: What is central cyanosis and what causes it?
A: Blue lips/tongue; caused by poor lung oxygenation (e.g. asphyxiation, choking).
28
Q: What is peripheral cyanosis and what causes it?
A: Blue fingers/toes; caused by poor circulation (heart/lung failure).
29
Q: What are the 3 main types of burns?
1st Degree – Epidermis only, red, painful, heals in 3–7 days 2nd Degree – Epidermis + upper dermis, blisters, painful 3rd Degree – All layers destroyed, painless, needs skin graft
30
Q: How are burns classified?
A: By depth and extent using the Rule of 9s.
31
Q: What is the Rule of 9s used for?
A: Estimates % of body surface area burned. Each area = 9%, genital area = 1%.
32
Q: Why are facial burns a concern?
A: May involve respiratory tract, leading to swelling and blocked airways.
33
Q: What are signs of an upper airway burn?
A: Burns on face/neck, singed nose hairs, hoarseness, drooling.
34
Q: What are signs of a lower airway burn?
A: Loss of consciousness, cough, abnormal lung sounds, carbonaceous sputum.
35
supine
General physical exams; patient lies flat on back
36
prone
Spinal or neck surgeries; patient lies on stomach
37
lateral
Relieves sacral pressure; good back alignment
38
sim's
Unconscious patients; allows drainage from mouth
39
Fowler’s position?
HOB 45–60°; used for eating, reading, visiting
40
semi-fowler's
HOB 30–45°, knees slightly raised; prevents sliding
41
Trendelenburg position
Feet elevated, head lowered; used for abdominal surgeries (requires doctor’s order)
42
reverse Trendelenburg position
Head elevated, feet lowered; helps drain head/neck post-surgery