Test 7 Flashcards
What is the reason a teenager in a burn unit to not want to go home?
Body image, self esteem, fear of rejection from pears.
Imapatago
A very contagious skin rash
If a teenager keeps getting athletes foot, what is the best thing they can do?
Wear flip flops, do not be barefooted specially in locker room.
What will meals consist of, for a severe burnt child?
Meals will be high in protein and calories.
How do you treat lice?
Apply treatment to kill live lice and then do a follow up treatment to kill the new lice. The first treatment does not kill eggs.
How do you appropriately put lotion on a patient with eczema for maximum absorption?
Apply lotion the same direction of the hair.
What are some interventions for eczema?
Moisturize, keep finger nails short (to avoid skin breakage when itching), antihistamine, oatmeal baths
How to avoid a diper rash?
Change diaper often, keep patient clean and dry
What to do if a patient has a diper rash?
Keep patient dry and open to air if possible, change more frequently, clean soiled diper stat,
What is the best and first action to do for a partial thickness burn?
Cool patient by removing clothing off of the burnt area.
What is the most important action to take on an emergent burn?
Notate time the burn happened, this information will assist with figuring out the fluid intake and time for the patient during care.
What information is important while charting pressure sores.
The pressure stage, site, length, size, blanchable, intervention performed.
A patient bumped their forearm on the wall and got a skin tear. What would you need to do to treat it?
Rinse with sterile saline water, approximate skin back, apply steri strips, cover with non-adhesive dressing. Important to watch lesion for s+s of infection.
If a patient is bed bound, what bony prominences are at risk, how do you monitor patient, and prevent bed sores?
Back of head, scapulas, elbows, wrists, knuckles, sacrum, posterior hips, heels, check skin, press red areas to check if they are blanchable or not, to prevent reposition patient frequently and elevate areas off of mattress.
Patient is side lying, what bony prominences are at risk for a pressure sores?
Ear, shoulder, elbow, hip, thigh, outer knee, calf, ankle, side of foot, pinky toe.
What would reduce skin breakdown of an elderly patient that does not want to eat?
Keeping the patient hydrated.
What are things that aggregate the skin on immobile patients?
Urine, stool sweating, excessive moisture
Hat is the appropriate way to dry an elderly patients thin skin?
Pat dry
What are some ways to reduce skin cancer?
Wear sunscreen or sunblock (and reapply through out the day), avoid sun exposure during peak time of sunlight, wear UV protective clothing, wear hats.
A a college student visits the campus nurse with c/o white, itchy, plaque that has never appeared before, what will the recognize this as?
Psoriasis
What are some interventions for a patient with psoriasis?
Reduce stress, keep moisturized, use humidifier, use non alcohol base skin products(ie. clensers, lotions etc.)
What is the best way to help a child’s skin issue from getting an infection?
Keep child’s nails short to prevent scratching, opening up skin and exposing it to bacteria.
A child goes to the school nurse with a c/o raised circular lesions on their chest and trunk. What will the nurse recognize this as?
Ringworm
Cats can cause this fungus on humans.
Ringworm
What do scabies look like on a patients skin?
Linear fashion, vesicles, postules in consolidated regions.
What is the reason behind an escharotomy?
a surgical procedure that cuts through burnt skin to release theeschar,or tough tissue left after a full-thickness burn, and restorecirculationand ventilation.
What type of immunity are immunizations?
Artificial active acquired immunity
What does TDAP stand for?
Tetanus, Diphtheria, Acellular Pertusis
What is another name for Pertusis?
Whooping cough
What vaccines are given during the first year of a child?
Birth: Hep B.
2mo: Hep B, Diphtheria, Tetanus, Acellular Pertusis (DTap), Rotavirus(RV) , Hemophilia Influenza(Hib), Inactivated Polio Virus(IPV), Pneumococcal Conjugate(PVC13)
4mo: DTap, RV, Hib, IPV, PVC13
6mo: HepB, DTap, RV, Hib, IPV, PVC13, Influenza (IIV)
1yr to 1.5yr: Measles, Mumps, Rubella(MMR), Hepatitis A(HepA), DTap,
Hib, PVC13, Varicella(VAR)
PNEUMONIC
B=Birth
2 B DR HIP
4 DR HIP NO B
B DR HIP IN 6mo
1 to 1.5yr: MAD HPV
What are ways for an underserved populations to get vaccinated?
Mobile clinics, mobile vaccine clinic, home visits.
If a child that is on neutropenic precautions asks why the nurse is wearing all the PPE. What will the nurse respond?
It is to protect you from all of our germs.
What skin condition causes a rash on the trunk, extremities and face? Characterized by a rash that looks like a slap on the cheeks.
Fifth disease.
When is the next Hep B dose given to a child that just received their first Heb B vaccine at birth?
2 months
If a child is feverish after their first vaccine, what happens to the vaccine?
The vaccine working ability is delayed due to fever
A child has swollen throat bumps and a fever. What could the child be experiencing?
Mumps
Varicella precautions are?
Airborne precautions
How long does a child need to be out of school when they have chicken pox?
Until lesions have scabbed over approximately 6 to 7 days
What are interventios for a patient with a post upper GI with barium procedure?
Presence of gag reflex, increase Intake, monitor Is and Os, monitor abdominal distension.
What is one concern for elderly patients preparing for a colonoscopy?
Dehydration
What are things to tell patient to watch out for post-coloniscopy?
Excessive amount of blood in stool or rectum, no bowel movement in a couple of days.
Best way to expel flatulence?
Walking, exercise
How do you administer a tetanus vaccine?
Intramuscular (IM)
