Integumentary System

Question 1

where are blood vessels, lymphatic vessels, and nerves located

Answer 1

dermis

Question 2

2 functions of the hypodermis

Answer 2

absorbs mechanical shock

temperature regulation

Question 3

what layer of the skin contains sweat glands

Answer 3

epidermis

Question 4

primary lesion

Answer 4

direct result of a disease process

Question 5

secondary lesion

Answer 5

develop as a consequence of the client’s activities

itching and causing scar

Question 6

examples of secondary lesiosn

Answer 6

scales

crust

ulcers

scar

Question 7

what type of condition is psoriasis

Answer 7

chronic autoimmune T-cell mediated inflammatory skin condition

Question 8

what is Stevens Johnson Syndrome?

Answer 8

cytotoxic t cell drug reaction
keratinocyte cell death

extensive blistering

reaction to drug

Question 9

what is a diffuse infection of dermis and hypodermis

Answer 9

cellulitis

Question 10

what causes cellulitis

Answer 10

staph, MRSA or group B strep

Question 11

what causes impetigo

Answer 11

staph or strep

Question 12

what is tinea pedis

Answer 12

athletes foot

fungal infection

Question 13

where is squamous cell carcinoma

Answer 13

very top layer of epidermis
grows out of control

Question 14

basal cell carcinoma - where?

Answer 14

basal cell layer (bottom layer) of epidermis

Question 15

do squamous cell carcinomas spread more easily than basal cells?

Answer 15

yes

Question 16

1st degree burn

Answer 16

superficial
skin in tact
redness
no blisters

Question 17

2nd degree burn

Answer 17

partial thickness
epidermis and dermis
burns are painful because of nerve endings
blisters

Question 18

3rd degree

Answer 18

go into hypodermis
full thickness
destroys nerve endings so not as painful

red, tan, black, dry, leathery

Question 19

fourth degree burns

Answer 19

full thickness, + bone and muscle

dry, dull, leathery

Question 20

3 stages of burn management

Answer 20

emergent
acute
rehabilitative

Question 21

how long is the emergent phase

Answer 21

first 24 - 48 hours

Question 22

what is patient at risk for during emergent phase

Answer 22

hypovolemic shock
electrolyte imbalance
renal failure because of lack of perufsion

Question 23

what is the priority intervention during emergent phase

Answer 23

fluid!

Question 24

timing of acute phase of burns

Answer 24

48-72 hours after injury until wound heals

Question 25

rule of 9s: face

Answer 25

9%

Question 26

rule of 9s: anterior chest

Answer 26

9%

Question 27

rule of 9s: anterior abdomen

Answer 27

9%

Question 28

rule of 9s: each leg

Answer 28

18%

Question 29

rule of 9s: each arm

Answer 29

9%

Question 30

rule of 9s: groin

Answer 30

1%

Question 31

when are patients at risk for burn complications

Answer 31

over 15% of TBSA

Question 32

what kind of shock can burns lead to

Answer 32

hypovolemic shock

Question 33

what would potassium levels be with burns

Answer 33

hyperkalemia
injury causes lysis to cells

Question 34

4 ways to reduce potassium

Answer 34

furosemide
kayexelate
insulin + D5
albuterol

Question 35

what is the sodium level with burns

Answer 35

hyponatremia

Question 36

what fluid do you give with burns

Answer 36

LR

Question 37

parkland burn formula

Answer 37

4ml x TBSA x body weight (kg)

first half of solution over the first 8 hours
rest over next 16 hours