Integumentary System #2 (cancer & burns)

Question 1

______ cell carcinoma is the very top layers of the epidermis, grows out of control.

Answer 1

squamous cell carcinoma

Question 2

squamous cell carnicoma forms on areas of the body exposed to _____.

Answer 2

sun (face, ears, neck)

Question 3

What is the tx for squamous cell carcinoma ?

Answer 3

removal

Question 4

_____ cell carcinoma is the most common type of skin cancer.

Answer 4

basal cell carcinoma

Question 5

Basal cell carcinoma is ____ growing & rarely spread.

Answer 5

slow growing

Question 6

what are some treatments for basal cell carcinoma? (4)

Answer 6

1. surgery
2. local therapies (laser, chemical peel, cryotherapy)
3. radiation
4. immunotherapy

Question 7

Melanoma is most commonly located on ___ or ____.

Answer 7

trunk or legs

Question 8

____ degree burn is the most superficial. the skin remains intact; no break in integrity.

Answer 8

1st degree

Question 9

with 1st degree burns there are no ____, but it can be painful to touch.

Answer 9

no blisters

Question 10

____ degree burns are partial thickness burns. blisters form, painful, affects episodes / term and skin is moist and red.

Answer 10

2nd degree

Question 11

______ degree burns are full thickness burns. penetrate down to the subcutaneous tissue. not as painful as second degree.

Answer 11

3rd degree

Question 12

3rd degree burns have areas of ____ and are dry / leathery.

Answer 12

areas of eschar

Question 13

_____ phase is the most critical. its the 1st ____ to ____ hours.

Answer 13

emergent phase / 24-48 hours

Question 14

During the emergent phase what are clients at risk for.

Answer 14

hypovolemic shock
electrolyte imbalances
renal failure

Question 15

What is the priority intervention during the emergent phase?

Answer 15

fluids (parkland formula)

Question 17

The ____ phase is focused on healing, nutrition, preventing infection, and wound care.

Answer 17

acute phase

Question 18

______ phase is when the burn is now healed and the focus is on regaining function.

Answer 18

Rehabilitative phase

Question 19

the rule of nines the head anterior / post are ___ each

Answer 19

4.5 each

Question 20

the genital area is ____ %

Answer 20

1%

Question 21

The upper and lower torso are _____ each ant / post

Answer 21

9%

Question 22

The legs are ___ % each ant / post

Answer 22

9 %

Question 23

insufficient urinary output is <____ ml/hr

Answer 23

30

Question 24

What are some signs of hyperkalemia?

Answer 24

muscle weakness , cramps , Nausea . arrhythmia. etc….

Question 25

what are some signs of hyponatremia?

Answer 25

HA , confusion, seizure, coma , irritability

Question 26

What type of fluids are used for fluid replacement with burns?

Answer 26

1. Lactated Ringers (expands intravascular volume)
2. Colloids (albumin - pulls fluids back into the intravascular system)