Test 1 Questions Flashcards

1
Q

What is the integumentary’s accessory organs?

A

hair, nails, glands

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2
Q

The skin is divided into two principle layers:

A

epidermis and the dermis

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3
Q

What does the hypodermic or subcutaneous layer do?

A

cushions, supports, nourishes, insults, and anchors skin

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4
Q

What is the dermis consisted of?

A

epidermis, dermis, hypodermis

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5
Q

The dermis consists of what?

A

nerve endings, blood vessels, and hair folicles

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6
Q

Fx of the integumentary system:

A

Protect, Thermoregulate, Metabolize nutrients, Sensation, Communicates feelings

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7
Q

What is the outtermost layer of the skin?

A

The epidermis

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8
Q

What is the dermis?

A

The thickest layer of the skin composed of live cells.

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9
Q

What does the dermis contain?

A

blood and lymph vessels, nerves, hair follicles, sweat glands and oil glands

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10
Q

Sudoriforous glands

A

Sweat glands

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11
Q

Sebaceous glands

A

Oil glands

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12
Q

What is the hypodermis (subcutaneous)? What does it do?

A

Middle layer mostly made up of connective tissue and fat.

It stores lipocytes (fat cells)
It regulates body temperature
It cushions and protects

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13
Q

What is a persons skin color made of?

A

3 layers: Melanin, carotene, hemoglobin

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14
Q

Melanin

A

brown-black pigment

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15
Q

Carotene

A

yellowish pigment

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16
Q

Hemoglobin

A

pigment found in red blood cells

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17
Q

Ceruminal glands

A

earwax (cerumen)

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18
Q

Radiation

A

Giving off of infrared heat rays to promote heat loss

ex sun, fire

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19
Q

Convection

A

Transfer of heat from skin to air.

ex fan

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20
Q

Evaporation

A

Returning water to air through vapor

ex sweating

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21
Q

Conduction

A

transfer of heat by direct contact

ex cool cloth on forehead

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22
Q

What is vitamin D good for?

A

Important for grown of bones through absorption of calcium and phosphorus

23
Q

Where is vitamin D produced?

A

In the skin by sunlight

24
Q

How does skin communicate?

A

Through stimuli for hot, cold, touch, pain, temperature

25
Aging on the Integumentary system:
- Loss of fat, collagen, and elasticity - Dermis become thinner - Decrease pigment - Formation of brown spots - Decreased circulation - Thinning or graying of hair - Less sweat glands
26
How to maintain healthy skin:
- Proper nutrition - Adequate circulation - Regular cleansing - Careful hand washing - Limited exposure to sunlight - Use of sunscreen - Water!
27
During a health history, the nurse asks what:
- skin allergies - allergic reactions to food, meds, and chemicals - previous skin problems - skin cancer - any change in hygiene products
28
If a problem during an assessment, the nurse gathers what information:
onset, S/S, location, pain, itching, rash or other discomfort
29
When does vasodilation occur?
during fever, sunburn, and inflammation
30
Erythema
Redness of the skin caused by congestion of capillaries
31
Cyanosis
Bluish discoloration that results from lack of oxygen
32
Macule
< 1cm
33
Patch
> 1cm
34
Macule and Patch examples
freckles, flat moles, petechiae, rubella, vitiligo, port wine stains, ecchymosis
35
Vesicle define. | Give example.
Contains serous fluid < 1cm herpes simplex/zoster, chickenpox, poison ivy, burns
36
Bulla define. | Give example.
contains serous fluid > 1cm pemphigus, contact dermatitis, large blisters poison ivy
37
Papule | Give examples.
Solid mass, circumscribed border <1 cm elevated nevi, wart
38
Plague | Give example.
Solid mass, circumscribed border. may have flat top > 1cm psoriasis
39
Wheal
- elevated mass with transient borders - aka hive - no fluids - caused by movement of serous fluid into dermis - no fluid free vesicles examples: urticaria (hives), insect bites
40
Pustule
Pus filled vesicle or bulla Examples: acne, impetigo, carbuncles, furuncles
41
Nodule
solid mass deeper than dermis 0.5 - 2.0 cm circumscribed example: lipoma, squamous cell carcinoma
42
Tumor
solid mass deep than dermis 1-2 cm may not be circumscribed examples: larger lipoma, carcinoma, neurofibromas
43
Cyst
- encapsulated fluid filled or semisolid mass - in subcutaneous tissue or dermis - examples: sebaceous cyst (acne) or epidermoid cysts
44
Wood's Light Examination
Use of a high pressure mercury lamp that produces long wave ultraviolet rays. Used for fungal and bacterial infections.
45
Tzanck Smear
Secretions from a suspected lesion are applied to a glass slide, stained, and examined under microscopy
46
Biopsy
The removal of a sample of tissue by excision. | Biopsy confirmes or rules out malignancy
47
Alopecia
Loss of hair
48
Hirsutism
Excessive hair growth in the face, chest, shoulders, and pubic area in women
49
Potassium hyroxide
Confirms fungal skin lesions
50
Patch testing
Allergy testing. Need epic-pen or crash cart nearby!
51
Patch testing levels
Weak: redness, elevation, pruritus Moderate: fine blisters, papules, and severe itching Strong: blisters, pain and ulcers
52
Intradermal skin Testing
involves injecting suspected allergens under the skin
53
bathing a client with skin problems:
use mild or soap substitute, rinse and blot dry. Lotion after shower