Quiz 5: Integumentary System

Question 1

Function of the Integumentary System

Answer 1

1) Protection
2) Temperature Control
3) Sensation
4) Metabolism
5) Communication

Question 2

Integumentary System Chart Review

Answer 2

1) Past Medical History:
- Look for conditions that might have a related integumentary component
- Surgeries

2) Diagnostic Tests:
- X ray
- Vascular Studies

3) Function Mobility Levels:
- Bed/Wheelchair dependent
- More at risk for pressure ulcers
- Use of braces/casts/splints/prothetics
- More at risk for skin breakdown in area where the device is worn

Question 3

What do high levels of WBC indicate?

Answer 3

Infection

Question 4

What to low levels of hemoglobin indicate?

Answer 4

Slow healing because of decreased O2 to the area

Question 5

What do low lymphocytes represent?

Answer 5

Decreased protein intake to make lymphocytes (malnutrition)

Question 6

Integumentary Specific Subjective Questions

Answer 6

1) Are you a current smoker?
- Smoking inhibits healing

2) How much alcohol do you drink in a week?
- Alcoholism inhibits healing

3) For a patient with diabetes, are your blood sugars well controlled?
- Uncontrolled blood sugars negatively impact healing

4) Are you able to change positions without assistance?
- Patient can be at increased risk for pressure ulcers if not

5) Are you on immunosuppressive medication or steroids?
- Negatively impacts wound healing

Question 7

Integumentary Subjective Questions: If the patient reports a wound

Answer 7

1) When did you first notice the wound?
2) How did this wound occur?
3) Have you seen a doctor for this wound?
4) How have you been taking care of it?
5) Does anyone help you take care of the wound?

Question 8

Integumentary Subjective Questions: If patient reports a rash

Answer 8

1) How long have you had this rash?
2) Have you seen a doctor for this rash?
3) Does it itch, hurt, or burn?
4) Have you had any changes in medications recently?
5) Have you traveled somewhere new recently

Question 9

Staging of Pressure Ulcers: Stage 1

Answer 9

• Observable skin changes (temperature, senstation, changes tissue consistency)
• Non blanchable redness

Question 10

Staging of Pressure Ulcers: Stage II

Answer 10

• Damage to epidermis and dermis layer
• Ulcer appears more superficial
• Looks like an abrasion

Question 11

Staging of Pressure Ulcers: Stage III

Answer 11

-Subcutaneous tissue is involved
- Considered full thickness
- Does not go down to the fascia
- Skin is not present

Question 12

Staging of Pressure Ulcers: Stage IV

Answer 12

• Includes exposure of muscle, bone, tendon, joint or other structures
• Consdered full thickness
• Skin and tissues are not present

Question 13

Staging of Pressure Ulcers: Unstageable

Answer 13

• Full thickness wound with unclear exposures or tissue involvement
• May be covered with non-viable tissue (dead tissue)
• Cannot full appreciate the depth of the wound

Question 14

Skin Lesion Assessment: ABCDE

Answer 14

Abrasion
Borders
Color
Diameter
Evolving

Question 15

Integumentary System Red Flags

Answer 15

• Profuse bleeding that is not stopping
• Surgical incision opening up
• Odor from wound
• Pus
• Fever with any of the above symptoms
• Necrotic (black) skin
• Cyanotic skin or limb
• Deep wounds that appear infected

Question 16

Integumentary System Emergency Conditions

Answer 16

• Cellulitis
• Snake/Spider bite
• Burns
• Bleeding that will not stop
• Increase in edema/hives indicating systemic allergy
• Cat Scratch or Dog bite
• Cyanotic limb or skin
• Osteomyelitis

Question 17

Integumentary System: Urgent Conditions

Answer 17

1) Herpes or Chicken Pox
2) Fifth’s disease (hand, foot, mouth)
3) Lice
4) Scabies
5) Measles
6) Ringworm
7) Bed Bugs