Unit Two: Tissue Integrety

Question 1

Six Functions of the skin

Answer 1

Protection
Body temperature regulation
Sensation
Excretion
Maintenance of water and electrolyte imbalance
Vitamin D production and absorption

Question 2

Normal skin presentation

Answer 2

Epidermis, dermis, subcutaneous

Question 3

Epidermis

Answer 3

Outer layer

Question 4

Dermis

Answer 4

Deeper layer of skin

Question 5

Subcutaneous

Answer 5

Deepest layer of skin

Question 6

Infants skin

Answer 6

Is thinner, better for topical medication absorption or any chemical absorption. More sensitive

Question 7

Childs skin

Answer 7

Skin becomes increasingly resistant to injury and infection.
Requires special care because of toilet and play habits.

Question 8

Adolescence skin

Answer 8

Enlarged subcutaneous glands and increased secretions

Question 9

Normal changes in skin with aging

Answer 9

Skins thickness and collagen content decrease with age
Elastin declines
Epidermal cell turn over is slow
Problems with thermoregulation

Question 10

Dry vs. Moist

Answer 10

Skin needs to be moist but make sure crevices and folds are dry not too moist.

Question 11

Types of wounds

Answer 11

Intentional/unintentional wounds
Open/closed
Clean wounds
Clean-contaminated wounds
Contaminated
Dirty or infected 
Acute or chronic 
Partial thickness, full thickness, complex

Question 12

Prevention of skin alterations

Answer 12

Proper skincare maintenance
Skin is clean dry, and moisturized 
Avoidance of irritants or allergens
Care of impaired skin integrity 
Screenings

Question 13

Intentional wound

Answer 13

Surgical wound

Question 14

Contusion

Answer 14

Closed wound

Question 15

Laceration

Answer 15

Not even and clean wound

Question 16

Puncture

Answer 16

Stabbing

Question 17

Factors effecting healing

Answer 17

Age
Circulation and oxygenation
Good nutritional status
Wound condition
Health status
Medications (Corticosteroids)

Question 18

Interal feeding

Answer 18

Tube feeding

Question 19

Perenteral feeding

Answer 19

Nutrition through IV

Question 20

Diagnostic tests

Answer 20

Skin Biopsy—-> Tumors/cancer
Wound culture—->best test to verify infection/identify cause
Immunoflouresent studies
Patch/scratch tests—->Allergies

Question 21

Dehiscence

Answer 21

Separation or splitting open of layers of a surgical wound

Question 22

Evisceration

Answer 22

Extrusion of viscera or intestines through a surgical wound

Question 23

Irritant reaction

Answer 23

Usually goes away if irritant is removed; tends to take on irritants shape.

Question 24

Older adults are at ___________ risk for contact dermatitis and _________ risk for irritant allergies.

Answer 24

Increased, decreased

Question 25

Younger people are at ____________ risk for irritant allergies and ___________ risk for allergen contact dermatitis.

Answer 25

Increased, decreased risk

Question 26

Puritis

Answer 26

Itching

Question 27

Hot water _________ skin making itching worse

Answer 27

Dries out