Integumentary System Assessment and Management

Question 1

Layers of the Skin

Answer 1

Epidermis (top)
Dermis (middle)
Subcutaneous Tissue

Question 2

Integumentary Problems: Allergic conditions

Answer 2

Contact dermatitis

Urticaria

Question 3

Integumentary Problems: common benign conditions

Answer 3

psoriasis, lipoma

Question 4

Integumentary problems: Malignancy

Answer 4

Remember ABCDE

Asymmetry, Border Irregularity, Color Change/Variation, Diameter (>6mm), Evolving in appearance

Need to refer to a dermatologist

Question 5

Integumentary problems: bacterial, fungal, viral

Answer 5

Cellulitis, impetigo

ringworm

herpes

Question 6

Integumentary problems: infestations

Answer 6

lice, scabies

Question 7

Pressure Ulcers

Answer 7

areas of localized tissue destruction caused by the compression of soft tissue over a bony prominence and an external surface for a prolonged period of time

Stage l
Stage ll
Stage lll
Stage lV
Unable to stage
deep tissue injury

Question 8

Pressure ulcer prevention

Answer 8

potential for tissue injury
activity and mobility
skin care
nutrition

Question 9

wound measurement

Answer 9

measure head to toe
measure side to side
measure depth
tunneling
undermining

Question 10

Deep tissue injury

Answer 10

purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure/shear

area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or color as compared to adjacent tissue