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Integumentary Med Surg > Skin > Flashcards

Skin Flashcards

1
Q

What are the step for caring for skin tear

A

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

If bleeding has stopped silicone coating net dressing or petroleum based protective ointment

If bleeding continues apply pressure I’m dress with Alginate and secondary dressing

And the flap should not be disturbed for about five days to allow the skin flab to adhere

Assess and measure the size of the skin tear document assessment and treatment

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2
Q

What are the 1 step for caring for skin tear

A

Gently cleanse the skin tear with saline

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3
Q

What are the 1&2step for caring skin tear

A

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

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4
Q

What are the 1&2&3 step for caring skin tear

A

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

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5
Q

What are the 1&2&3&4 step for caring skin tear

A

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

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6
Q

What are the 1&2&3&4&5 step for caring skin tear

A

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

If bleeding has stopped silicone coating net dressing or petroleum based protective ointment

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7
Q

What are the 1&2&3&4&5&6 step for caring skin tear

A

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

If bleeding has stopped silicone coating net dressing or petroleum based protective ointment

If bleeding continues apply pressure I’m dress with Alginate and secondary dressing

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8
Q

What are the 1&2&3&4&5&6&7 step for caring skin tear

A

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

If bleeding has stopped silicone coating net dressing or petroleum based protective ointment

If bleeding continues apply pressure I’m dress with Alginate and secondary dressing

And the flap should not be disturbed for about five days to allow the skin flab to adhere

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9
Q

What are the 1&2&3&4&5&6&7&8 step for caring skin tear

A

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

If bleeding has stopped silicone coating net dressing or petroleum based protective ointment

If bleeding continues apply pressure I’m dress with Alginate and secondary dressing

And the flap should not be disturbed for about five days to allow the skin flab to adhere

Assess and measure the size of the skin tear document assessment and treatment

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10
Q

Different way of skin biopsy

P.e.s

A

Shave
punch
excisional

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11
Q

Removing a sample tissue(biopsy)from a skin lesion usually is performed with local anesthetic

A

Skin biopsy

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12
Q

By removing a core From the center of the lesion

A

Punch biopsy

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13
Q

By excising The entire lesion

A

Excisional biopsy

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14
Q

By shaving the top layer of a lesion that rises above the skin line

A

Shave biopsy

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15
Q

Skin biopsy is used to the differentiate from

It also helps identify

A

Malignant lesion and benign

The causative organism and bacteria and fungal infection

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16
Q

After how many hours can you remove a skin biopsy bandage

And how many times is it clean in a day

A

12 to 24 hours

Twice a day

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17
Q

Sutures from excisional biopsy will need to be removed and how many days in the face

A

3 to 5 days

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18
Q

Sutures from excisional biopsy will need to be removed from the

scalp chest abdomen and arms
Within how many days

A

7 to 10 days

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19
Q

Sutures from in excisional biopsy will be need to remove from the

back and legs

w/in how many days

A

12 to 20

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20
Q

Drainage is

A

Exudate

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21
Q

How is wound culture obtained

A

A sample of EXUDAte is taken from the lesion and sent to the laboratory for culturing

Once the organism has been cultured colonies can be tested for sensitivity to create anti-infective agent

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22
Q

Various things and solution are used to repair the skin, hair, scales, or nails material for study

A

Microscopic test

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23
Q

This test identifies fungal, bacterial, and viral organism

A

Microscopic test

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24
Q

Inspection of the skin is one of the principal means by which the skin lesion are diagnose

To facilitate the diagnosis of the certain kind of skin disorder special light may be used by the examiner

A

Special light inspection

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25
Q

Is one of the lights in which the light is transmitted through quartz or plastic structure to dissipate the heat

Can be applied directly on the skin(malignant changes)

A

Cold light

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26
Q

Specially designed UV light useful to diagnose fungal infection of the scalp and chronic bacteria infection of the major folds of the skin

fungal lesions and ERYTHRASM are fluorescent

A

WOOD light

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27
Q

Uses glass slide or lens press down over the area to be examined blanching the skin and thereby reducing erythema arrhythmia caused by increasing blood flow to the area the shape of underlying lesion is then revealed

A

Diascope

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28
Q

What are the three methods to suspect an allergic nature

A

Prick testing
patch testing and
intradermal injection

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29
Q

Test chemicals or substance are introduced to unaffected skin usually on the forearm or the back superficial scratches

A

Prick

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30
Q

The allergen is applied to the skin in the form of an adhesive patch and left for two days

A

Patch testing

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31
Q

The allergen can also be introduced by__injection if localized reaction produces a WHEAL occurs the test is positive

A

I intradermal injection

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32
Q

Is used to detect allergic contact dermatitis type IV hyper sensitivity reaction

this includes allergy to hair dye
shoes
active ingredient
fragrance and sunscreen cosmetic

A

Patch testing

33
Q

Smooth slightly elevated area that is pale or reddened

A

Wheal

34
Q

Does a biopsy need a consent form

A

Yes

35
Q

Are common in older adults

They appear as wartlike

greasy lesions on the trunk
arm,
scalp
, and sometimes the face

They are not a cause for concern

A

Seborrheic keratoses

36
Q

When the skin of a darkly pigmented person is damaged, scar tissue may be hyper trophy forming a____

A

Keloid

37
Q

A thick ridge scar tissue that stands out from the surrounding skin

A

Keloid

38
Q

Shine a light if the Lesion has no shadow it is

Circumscribed, flat area with a change in skin color

freckles
PETECHiAE
measles
flat maple

A

Macule

39
Q

Examples of MACULE

A

Freckles
PETECHIAE
measles and
flat mole

40
Q

Shiner light if the Legion has a shadow it is

Wart
elevated moles
lipoma
basal cell carcinoma

A

Papule

41
Q

Example of Papule

A

Wart

Elevated moles

Lipoma

Basal cell carcinoma

42
Q

When checking temperature of the skin what side of the hand should you use

A

The back of the hand

43
Q

Bleaching indicates

A

That the redness is temporary and will resolve one pressure on the area is relieved

44
Q

Circumscribed superficial collection of serous fluid

Varicella
Herpes zoster
Second-degree burn

A

Vesicles

45
Q

Example of vesicles

A

Varicella
Herpes zoster
Second-degree burn

46
Q

circumscribed elevated superficial solid lesions

Psoriasis
Seborrrheic
Actinic
Keratoses

A

Plaque

47
Q

Example of plaque

A

Psoriasis
Seborrrheic
Actinic
Keratoses

48
Q

Firm
edematous
irregularly shaped area diameter variable

Insect bite
Urticaria

A

Wheal

49
Q

Example of wheal

A

Insect bites

Urticaria

50
Q

Elevated superficial Legion filled with purulent

Acne
Impetigo

A

Pustule

51
Q

Example of pustules

A

Acne

Impetigo

52
Q

Dry itchiness

A

Pruritus

53
Q

Patches of ___

Deep red areas, may occur even from minor injuries so be gently when test for skin turgor

A

Senile purpura

54
Q

When caring for a patient with skin disease bathing with soap is usually

A

Contraindicated in all inflammatory condition of the skin

55
Q

When caring for a patient with skin disease dressing covering the skin lesion have been applied by

Can it be removed

A

Healthcare provider

Should not be removed when the patient is admitted unless there is specific orders tto do so

56
Q

When caring with the patient with skin disease you should not remove any

and when can you

A

Scales
Crust or other
Exudate
Until the provider has an opportunity to examine the patient

57
Q

When caring for a patient with skin disease

Observed the skin very carefully at the time of and

how would you document it

A

Admission record
the observation on the chart
or report them to the charge nurse

58
Q

When caring for a patient with skin disease can you use lotion are others skin product

A

No it’s should not be used unless the provider have approved

59
Q

What are some agents added to water for medicated bath

What is the purpose

It also helps with

A

Sodium bicarbonate

sodium chloride

corn starch

oatmeal

pre-manganate

For soothing of the skin
It helps relieve itching and burning commonly associated skin disease

60
Q

What are the two general wet dressing used

A

Open and close dressing

61
Q

Must be changed repeatedly and I never allowed to dry they are usually really moist every 20 to 30 minutes

Dissolution should be used at room temperature or warmer

A

Open

62
Q

This type of dressing is used when the dermatologist wishes to have air circulating to the skin lesion

A

Open

63
Q

Are thoroughly soaked with the prescribe solution and wrapped with an airtight, waterproof material

A

Close

64
Q

When changing a wet dressing expect a skin adjacent to the wound for signs of

A

Maceration from the moisture this condition can cause the wound to enlarge

65
Q

Mini skin lesions are treated by directly apply medication to the surface of the affected area this is called

A

Topical therapy

66
Q

Dry the area thoroughly before applying powder to prevent caking

Do not apply to raw denuded area

Cornstarch can you serve as culture media for a growth of bacteria

A

Powder

67
Q

Only use small amount and gently massage into the skin until a thin film covers the area

Tent to leave a greasy feeling to the skin best for chronic lesions

Avoid putting on areas where the skin is crease and overlap

A

Ointment

68
Q

Semi solid make sure that tends to liquefy when applied on skin dries quickly leaving thin non-occlusive film

It applies to abraded or sensitive area alcohol in the base can cause burning or stinging sensation

A

Gels

69
Q

Are Powder suspended and water they will leave a residue once liquid evaporates from the skin this residue should be washed off before fresh Dose is applied

Are you sure that powder is uniformly dispersed
And the solution before applying then use firm strokes to distribute the medication evenly do not dab is it irritate the skin

A

Lotion

70
Q

Always apply topical medication sparingly in a thin film that extends beyond the affected area about 1/4 inch

So much of some topical medication can chemically irritate the skin and delay healing

thicker layers also tend to soften the skin so much

If the skin condition appears to be getting worse after a topical agent is applied of the patient developed eczema suspect allergic reaction contact dermatitis

A

All type

71
Q

What are the 2 skin layers?

A

The epidermis and dermis

72
Q

consist of squamous epithelium and contains no blood vessel

A

epidermis

73
Q

also called the corium is thicker than the epidermis and consist of dense connective tissue

A

dermis

74
Q

Where does skin cell growth occur?

A

From the bottom of the epidermis and pushes cells above the surface

75
Q

What are melanocytes?

A

Contribute to the color of the skin

76
Q

What is contained inside the dermis layer of the skin?

A

both elastic and collagenous fibers that give it strength and elasticity
blood vessels, nerves, nails

77
Q

What types of glands are located in the skin?

A

Sebaceous ( sweat producing) or Ceruminous (wax producing)

78
Q

What is the importance of vitamin D?

A

Helps prevent osteoporosis in older adults, because of absorption of calcium

Integumentary Med Surg (19 decks)

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