Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Peds > Nursing care of the child with an integumentary disorder > Flashcards

Nursing care of the child with an integumentary disorder Flashcards

Exam 4 (Final)

1
Q

Difference in Skin Between Children and Adults

How are infants’ epidermis?

A

Infant’s epidermis is thinner and blood vessels are closer to the surface.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Difference in Skin Between Children and Adults

Infant’s epidermis is thinner and blood vessels are closer to the surface.

How does this effect heat?

A

Infant loses heat more readily through skin surface.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Difference in Skin Between Children and Adults

Infant’s epidermis is thinner and blood vessels are closer to the surface.

How does this effect absorption?

A

Allows substances to be absorbed through skin quicker.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Difference in Skin Between Children and Adults

Infant’s epidermis is thinner and blood vessels are closer to the surface.

When does infants’ skin reach adult thickness?

A

Does not reach adult thickness until late teen years.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Difference in Skin Between Children and Adults

What does infants skin contain more of compared to adults?

A

Infant’s skin contains more water.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Difference in Skin Between Children and Adults

Infant’s skin contains more water.

How is epidermis?

A

Epidermis is loosely bound to the dermis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Difference in Skin Between Children and Adults

Infant’s skin contains more water.

What can effect layers of skin?

A

Friction may easily cause separation of layers, resulting in blistering or skin breakdown.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Difference in Skin Between Children and Adults

Infant’s skin contains more water.

Why is infants skin at more risk for UV damage?

A

Infant’s skin is less pigmented, therefore at risk for UV damage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Causes of Integumentary Disorders in Children:

What can they be exposed to that could lead to integumentary disorders?

A

Exposure to infectious microorganisms.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Causes of Integumentary Disorders in Children:

What kind of reactions can occur?

A

Hypersensitivity reactions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Causes of Integumentary Disorders in Children:

What are other causes of skin disorders?

A

Genetic predisposition.

Injuries.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Causes of Integumentary Disorders in Children:

How does darker skin compare to fairer skin?

A

Darker skin tends to develop hypertrophic scarring and keloids more so than fair skin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Common Laboratory and Diagnostic Tests

A

Labs:

Immunoglobulin E (IgE)

Culture and sensitivity of wound drainage

Potassium hydroxide (KOH) prep

Patch or skin allergy testing

Wood lamp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Common Laboratory and Diagnostic Tests

What kind of labs are done?

A

Labs: CBC, erythrocyte sedimentation rate (ESR)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Terms to Describe Alterations in Integument

A

Macule

Papule

Annular

Pruritus

Vesicle, pustule

Scaling, plaques

Hypo-, hyperpigmented

Erythematous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Types of Infections of the Skin

A

Bacterial:

Fungal

Viral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Types of Infections of the Skin

Bacterial: What are examples?

A

bullous and nonbullous impetigo, folliculitis, cellulitis, MRSA, Staphylococcal scalded skin syndrome.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Types of Infections of the Skin

Bacterial: What are they often caused by?

A

Often caused by Staph aureus or group A β-hemolytic streptococcus (normal flora).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Types of Infections of the Skin

Fungal: What are examples?

A

multiple types of tinea (pedis, corporis, versicolor, capitis and cruris), Candida albicans.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Types of Infections of the Skin

Viral: What are examples?

A

viral exanthems, Herpes simplex.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Fungal Infections of the Skin

A

Tinea pedis:

Tinea corporis:

Tinea versicolor:

Tinea capitis:

Tinea cruris:

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Fungal Infections of the Skin

Tinea pedis

A

fungal infection on the feet.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Fungal Infections of the Skin

Tinea corporis:

A

fungal infection on the arms or legs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Fungal Infections of the Skin

Tinea versicolor:

A

fungal infection on the trunk and extremities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Fungal Infections of the Skin

Tinea capitis:

A

fungal infection on the scalp, eyebrows, or eyelashes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Fungal Infections of the Skin

Tinea cruris:

A

fungal infection on the groin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Risk Factors for CA-MRSA

A

Turf burns.

Towel sharing.

Participation in team sports.

Attendance at day care or outdoor camps.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Types of Inflammatory Skin Conditions

A

Acute hypersensitivity reactions

Chronic hypersensitivity disorder

Chronic inflammatory skin disorders not from hypersensitivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Types of Inflammatory Skin Conditions

Acute hypersensitivity reactions: What are examples?

A

Diaper dermatitis,

contact dermatitis,

erythema multiforme,

and urticaria.

30
Q

Types of Inflammatory Skin Conditions

Chronic hypersensitivity disorder

A

Atopic dermatitis.

31
Q

Types of Inflammatory Skin Conditions

Chronic inflammatory skin disorders not from hypersensitivity

A

Seborrhea and psoriasis.

32
Q

Contact Dermatitis:

Causes:

A

Response to an antigenic substance exposure.

Allergy to nickel or cobalt in clothing, hardware, or dyes.

Exposure to highly allergenic plants: poison ivy, oak, and sumac.

33
Q

Contact Dermatitis:

Complications

A

Secondary bacterial skin infection.

Lichenification or hyperpigmentation.

34
Q

Prevention and Management of Diaper Dermatitis

Prevention:
What should be done with diapers?

A

Change diapers frequently.

Change stool-soiled diapers as soon as possible.

35
Q

Prevention and Management of Diaper Dermatitis

Prevention:
What should be avoided?

A

Avoid rubber pants.

36
Q

Prevention and Management of Diaper Dermatitis

Prevention:
What should be done to manage?

A

Gently wash the diaper area with a soft cloth, avoiding harsh soaps.

37
Q

Prevention and Management of Diaper Dermatitis

Prevention:
What should be noted about wipes?

A

Use baby wipes on most children, but avoid wipes that contain fragrance or preservatives.

38
Q

Prevention and Management of Diaper Dermatitis

What to do if a rash has appeared?

A

Do all the prevention measures (in previous cards)

Allow the infant or child to go diaperless for a period of time each day to allow the rash to heal.

Blow-dry the diaper area/rash area with the dryer set on the warm (not hot) setting for 3 to 5 minutes.

39
Q

Classification of Acne

A

Mild

Moderate

Severe

40
Q

Classification of Acne

Mild acne manifestations include?

A

Primarily noninflammatory lesions (comedones)

41
Q

Classification of Acne

Moderate acne manifestations include?

A

Comedones plus inflammatory lesions such as papules or pustules (localized to face or back)

42
Q

Classification of Acne

Severe acne manifestations include?

A

Lesions similar to moderate acne, but more widespread, and or presence of cysts or nodules.

Associated more frequently with scarring

43
Q

Classification Criteria for Burns

How is it assigned?

A

Assigned by extent of injury:

44
Q

Classification Criteria for Burns

Assigned by extent of injury:

A

Superficial:

Partial thickness:

Deep partial thickness:

Full thickness:

45
Q

Classification Criteria for Burns

Assigned by extent of injury: Partial thickness:

A

involves epidermis and portions of dermis.

45
Q

Classification Criteria for Burns

Assigned by extent of injury: Superficial:

A

only epidermis.

46
Q

Classification Criteria for Burns

Assigned by extent of injury: Deep partial thickness:

A

extends deeper into dermis.

47
Q

Classification Criteria for Burns

Assigned by extent of injury: Full thickness:

A

extend through the epidermis, dermis, and hypodermis.

48
Q

Criteria for Transfer to a Burn Unit

How much of total body surface is affected?

A

Partial thickness burns greater than 10% of total body surface area.

49
Q

Criteria for Transfer to a Burn Unit

Burns that involve what part of the body?

A

Burns that involve the face.

Burns that involve the hands and feet, genitalia, perineum, or major joints.

50
Q

Criteria for Transfer to a Burn Unit

Burns caused by what?

A

Electrical burns,
including lightning injury.

Chemical burns.

Inhalation injury.

51
Q

Hypersensitivity Reactions and Causative Agents

What kind of reaction is it? What is it due to?

A

Hypersensitivity reaction is an inflammatory reaction in the skin due to exposure to a local noxious agent (bee sting) or as a result of a systemic reaction to an allergen (erythema multiforme).

52
Q

Hypersensitivity Reactions and Causative Agents

How can hypersensitivity reactions present?

A

Can be acute or chronic (atopic dermatitis).

53
Q

Hypersensitivity Reactions and Causative Agents

Can be acute or chronic (atopic dermatitis).

A

Erythema multiforme (EM):

Stevens–Johnson and toxic epidermal necrolysis are extreme forms of EM.

54
Q

Common Medical Treatments

A

Wet dressings

Occlusive dressings

Emollient lotions and creams

Therapeutic bathing

Skin biopsy

55
Q

Common Medications

A

Antibiotics (topical, systemic)

Corticosteroids (topical)

Antifungals (topical, systemic)

Topical immune modulators (moderate to severe atopic dermatitis)

Antihistamines
Isotretinoin (cystic or severe acne)

Coal tar preparations (psoriasis, atopic dermatitis)

Silver sulfadiazine 1% (burns)

56
Q

Common Medications

Antibiotics- how are they used?

A

Antibiotics (topical, systemic)

57
Q

Common Medications

Corticosteroids- how are they used?

A

Corticosteroids (topical)

58
Q

Common Medications

Antifungals- how are they used?

A

Antifungals (topical, systemic)

59
Q

Common Medications

Topical immune modulators - what are they used for?

A

Topical immune modulators (moderate to severe atopic dermatitis)

60
Q

Common Medications

Isotretinoin - what are they used for?

A

(cystic or severe acne)

61
Q

Common Medications

Coal tar preparations - what are they used for?

A

Coal tar preparations (psoriasis, atopic dermatitis)

62
Q

Common Medications

Silver sulfadiazine 1% - what are they used for?

A

(burns)

63
Q

Nursing Assessment for Urticaria:

What should you collect?

A

Detailed history of new foods, medications, symptoms of recent infection, changes in environment, or unusual stress.

64
Q

Nursing Assessment for Urticaria:

What should you inspect?

A

Inspect the skin for raised edematous hives on body or mucous membranes.

65
Q

Nursing Assessment for Urticaria:

What should you assess? Why?

A

Assess airway and breathing as hypersensitivity may affect respiratory status.

66
Q

Causes of Urticaria

A

Foods
Drugs
Animal stings
Infections
Environmental stimuli
Stress

67
Q

Drug reactions:

Where are adverse drug reactions most often seen? What are the most common reactions?

A

Adverse drug reactions are most often seen in skin (rashes most common reaction)

68
Q

Drug reactions:

How does the adverse drug reaction occur?

A

May be immediate or delayed following administration of drug

69
Q

Drug reactions:

Treatment

A

Discontinue drug

Antihistamines

Corticosteroid therapy if very severe

70
Q

Teaching Points for Avoiding Animal Bites

A

Never provoke a dog with teasing or roughhousing.

Get adult permission before interacting with a dog, cat, or other animal that is not your pet.

Do not bother an eating, sleeping, or nursing dog.

Avoid high-pitched talking or screaming around dogs.

Display a closed fist first for the dog to sniff.

Keep ferrets away from the face.

If a cat hisses or lashes out with the paw, leave it alone.

Peds (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions