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39 Cards in this Set
- Front
- Back
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Functions of skin system SATA |
Protection, temperature regulation secretion, sensations synthesis of vitamin D and blood reservoir |
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Plaque pg 1187 |
A large 2-3 cm slight elevated redness |
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Pustule |
Lesion with elevated well defined cavity with pus |
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Vesicle |
Fluid filled blister |
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Purpura |
Purple blue discoloration |
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ABCDE |
To monitor skin moles Skin growth Asymmetry Border Color Diameter Evolving |
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First question to ask when assessing a skin disorder |
Past and present occupation Exposure to chemicals or other irritations Skin care habit Sun exposure |
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Tzank smear |
Used on pt who has a cold sore or small blisters to test for shingles especially around the mouth |
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Pruritus(itching) intervention |
Lubricants emollients Advise to avoid bathing in hot water Take antihistamines Avoid irritating fibers such as wool |
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What is a classic sign of psoriasis |
Stress Trauma Hereditary With psoriasis or needs to lower stress level |
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Pruritus(itching) treatment is |
UV light therapy Corticosesteriods Tarzartene Estar coal tar |
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Nursing priority for pt on enbrel (etanercept) |
Monitor for any type of infection because of decreasing T cells |
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Intertrigo friction and moisture between teaching surfaces |
Inflammation where 2 skin surfaces touch (axillae abd skin folds, under breast ) |
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What is tinea cruris? (Groin) |
Fungal infection in the skin of the genitals, inner thighs, and buttocks. |
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Causes of acne |
Androsenic hormones which cause increased sebum production and bacteria |
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Patient is on accutane the pt needs to be on some type of birth control |
Accutane is to treat acne and pregnancy |
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Herpes simplex |
It is sv1 usually in mouth |
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Herpes zoster slide 64 bullet 3 |
Pain itching testicles in area |
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Nursing management |
Is to make sure pt w herpes virus a acyclovir will be given w/in 2- 3 days |
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Nursing management w pt who is taking a acyclovir |
Monitor info Ask for allergies of acyclovir Apply ointment w gloved finger Monitor renal function |
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Pt with herpes |
advice to reduce their stress level |
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Scabies |
Thin red lines and pt complain of itching |
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Kaposi sarcoma |
Red,blue, purple macules w pain , lesions are wide spread and lesion purplish brown |
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Read rule of nines how much per extremitie |
Read |
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Pt has deep partial thickness burn the burn area will have redness and echor (black dead tissue) |
2nd degree burn |
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Pt who has sacral or prenial burn nursing diagnosis is |
Risk for infection |
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Know third degree |
Full |
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Head, neck chest burns the nanda is |
Airway obstruction |
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Know what is acute stages of burn [slide 96] |
When vitals are stable and output is normal 10 percent healed or all |
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Pt has nasal hair shinged |
The pt will have respiratory complications |
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Pts priority |
Is fluid volume and respiratory status |
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Know debridement slide 102 |
Scissors removal of all debris |
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Pt has 2nd 3rd degree burn |
Pt needs high protein Vitamin c High calories Example turkey |
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Vegan diet pt who has burn |
Give beans lentils |
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Pt has wound vac and they want to know healing the tissue is granulating |
When it is pink |
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Herpes zoster |
The lesions will be shaped like a bell in the nerve endings |
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Sun exposure is risk factor for |
Skin cancer |
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What does prsurasis look like #10 |
Bright red with silver scales |
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Dark person |
Asses mucous membranes for diserstion |
