Skin Condition

Question 1

Macule

Answer 1

flat, not palpable, circumscribed, <1cm diameter, brown, red, purple, white, or tan

Question 2

Papule

Answer 2

raised, firm, circumscribed, <1cm diameter, brown, red, pink, tan, or bluish red (warts)

Question 3

Vesicle

Answer 3

elevated, circumscribed, fluid-filled, <1cm (varicella, blister)

(Bulla-vesicle >1 cm in diameter (blister)

Question 4

Nodule

Answer 4

elevated, firm, circumscribed, palpable, 1-2cm (lipomas)

Question 5

Pustule

Answer 5

elevated, superficial, filled with purulent fluid (impetigo, acne)

Question 6

Cyst

Answer 6

elevated, circumscribed, encapsulated, filled with liquid or semi-solid material (sebaceous cyst)

Question 7

Common Symptoms

Answer 7

• Pruritis (itching)
• Paresthesia (burning; prickling)
• Anesthesia (absence of sensation)
• Hypoesthesia (diminished sensation)
• Hyperesthesia (excessive sensation)

Question 8

Bacterial Skin Infections

Nursing Goal

Answer 8

Prevent spread of infection and complications through

• good hand washing
• separate towels
• no interference with the healing process

Question 9

Impetigo

Answer 9

• bacteria

- Honey-colored, crusted erosions. Most common between 2 and 5 years.

Question 10

Impetigo management

Answer 10

•Prescription ointment or cream can be used for a small lesion; however, widespread lesions require oral antibiotics
•Cleanse wounds with antibacterial soap.
- Cetaphil Dry Sensitive Skin
•Use moist compresses to remove crusts.
•Keep fingernails cut short and keep hands clean.
•Prevent child from scratching, or rubbing – hands may need to be wrapped, or use mittens.

Question 11

Scarlet Fever (Scarlatina)

Answer 11

Bacteria

Strawberry tongue

Question 12

Erythema Infectiosum (Fifth Disease)

Answer 12

“Slapped-cheek disease”

• Stuffy or runny nose
• Sore throat
• Mild fever
• Fatigue
• Headaches

Question 13

Roseola (Sixth Disease)

Answer 13

•Fever (often greater 103 F)
•Sore throat, runny nose, cough
•Rash – starts on chest, back,
and abdomen. DOESNT ITCH

Question 14

Coxsackie Virus

Hand-foot-mouth disease

Answer 14

• Fever (up to 104).
• Sore throat/mouth with BLISTERING LESIONS in the mouth.
• Blistering rash usually follows in 1-2 days on the hands, feet and possibly buttocks
• Malaise (general feeling of discomfort)
• Loss of appetite
• Irritability

Question 15

Tinea Corporis “Ringworm”

Answer 15

Fungal infection

Question 16

Diaper Dermatitis

Answer 16

Caused by prolonged and repetitive contact with an irritant (urine, feces, soaps, detergents)
•Inadequately rinsed cloth diapers
•Chemicals in disposable wipes
•Diarrheal stools
•Monitoring and changing diaper as soon as it becomes wet

Question 17

Atopic Dermatitis (Eczema)

Answer 17

family history

• Symptoms improve with humidity(summer) and worsen during winter – dry heat
• Nursing goals: less itching; no secondary infection; skin hydration