Integumentary system chapters 56/57
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Integumentary system chapters 56/57 - Leaderboard
Integumentary system chapters 56/57 - Details
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135 questions
| 🇬🇧 | 🇬🇧 |
| What are three types of ultraviolet light? | UVA, UVB, UVC |
| Test used to diagnose fungal infections of the skin and nails. Skin scrapings and a nail clipping are used for cultures. Painless procedure. | KOH potassium hydroxide examination and culture |
| Test used to diagnose viral infections | Tzanck test |
| Test to assess skin lesions for the presence of scabies eggs or feces excreted by mites | Scabies scraping |
| Examination using black light in a dark room to reveal superficial skin infections and changes in pigmentation. It is noninvasive and painless. | Wood's light examination |
| Removal of tissue for microscopic examination. May require just a dressing, may require sutures. | Biopsy |
| Biopsy post procedural care | Inspect for bleeding. Apply direct pressure if needed. Return for suture removal if needed. |
| The top of a lesion is taken off to test for the presence of mites, eggs, or their feces, and may be briefly uncomfortable. | Scabies scraping |
| What must a patient avoid taking 48 hours before a biopsy to prevent excessive bleeding? | NSAIDs or aspirin |
| A type of biopsy where a circular tool cuts around the lesion which is lifted and severed | Punch biopsy |
| A wedge of tissue is removed from a lesion | Incisional biopsy |
| Removal of an entire lesion, deep specimen. Sutures will be required to close the site. | Excisional biopsy |
| Acyclovir, famciclovir, valacyclovir, foscarnet are oral _____, used to treat _________ | Antivirals Herpes(simplex I, II, zoster) |
| Doxycycline, minocycline, tetracycline, and erythromycin are oral ______ used to treat ______. They can cause a sensitivity to _______. | Antibiotics acne UV light |
| When applying topical _______, avoid occlusive dressings, keep away from mouth and eyes. temporary skin irritation is common. | Antimicrobials |
| Thick, dried exudate remaining after vesicles rupture (impetigo, weeping eczematous dermatitis) | CRUST |
| Waxy, raised lesions that are flesh colored to dark brown or black and variously sized | SEBORRHIC KERATOSIS |
| 6 Aging changes of the skin | 1 Thinning skin layers and degeneration of elastin resulting in wrinkles 2 decreased size and number of sweat glands 3 decreased sebum production 4 dryness and pruritus (itching) increased 5 decreased melanin production, increased paleness 6 development of skin lesions |
| What conditions may be treated with phototherapy? | Psoriasis, vitiligo, chronic eczema |
| What are contraindications to phototherapy because the conditions are aggravated by the treatment? | History of herpes simplex infection skin cancer cataracts lupus erythematosus |
| After phototherapy the patient may have _____ and _____ | Pruritus and dry skin |
| Signs of phototoxicity are _____,_____ and _____, and should be assessed | Redness, vesicles, pain |
| This is used with UVA phototherapy to treat vitiligo, psoriasis, and cutaneous T-cell lymphoma | PSORALIN/ 8 methoxypsoralen |
| Phototherapy patient education. What should the patient do 8 hr before and after treatment? | Wear sunscreen wear protective clothing wear dark glasses *decreases exposure to other sources of ultraviolet light |
| The type of phototherapy specifically used to treat psoriasis and atopic dermatitis | GOECKERMAN REGIMEN |
| The Goeckerman regimen uses ____ _____ bath and topical _____ product before exposure to _______ light. | Tar emulsion tar ultraviolet |
| What are 4 keratolytics? | Benzoyl peroxide salicylic acid sulfur coal tar |
| What are the side effects for keratolytic drugs? | Dryness, irritation, scaling, edema, photosensitivity |
| Nursing interventions for keratolytics? | Avoid excessive sun exposure Assess effects |
| What are 3 topical antibacterial agents used to treat skin disorders? | Bacitracin polysporin(bacitracin and polymixin B) silver sulfadiazine (Silvadine) |
| The topical antibacterial agents ______ and _____ treat skin infections and partial-thickness (first degree burns) | Bacitracin and polysporin |
| The antibacterial agent __________ treats wound infection with serious burns | Silver Sulfadiazine (Silvadene) |
| When treating a skin infection with bacitracin or polysporin, what potential side effects may occur? | Contact dermatitis Allergy (rare) itching burning anaphylaxis |
| What are nursing interventions for the use of bacitracin and polysporin? | Ask about allergies apply as prescribed report itching, burning, rash, redness |
| Possible side effects of silver sulfadiazine include | Rash pruritus burning pain nephritis, anorexia (rare) blood dyscrasias hepatitis nephrosis hypoglycemia |
| Nursing interventions for the use of silver sulfadiazine | Apply using gloves to clean burn surface use a 4x4 gauze or tongue blade, do not double dip cover burn completely and continuously Monitor: renal and GI distress headache joint pain hepatic function vital signs CBC serum glucose |
| Name 5 topical antifungals | Nystatin clotrimazole (mycostatin, Mycelex) oxiconazole (Oxistat) naftifine (Naftin) terbinafine (Lamisil) |
| Side effects of topical antifungals? | Irritation erythema burning rash abdominal cramps and cystitis for vaginal preparations |
| What are nursing interventions for topical antifungals? | Apply as ordered do not use occlusive dressings unless ordered |
| Name 3 topical anti-inflammatory agents | Hydrocortisone (Cortizone) triamcinolone (Aristocort) fluocinolone (Bio-Syn) |
| Side effects of ________agents include itching, erythemia, irritation, severe allergic reactions (rare), systemic drug absorption | Anti-inflammatory |
| What are nursing interventions for anti-inflammatory agents? | Do not use occlusive dressing without order apply sparingly, rub in thoroughly |
| Azelaic acid (Azelex), clindamycin (Cleocin), erythomycin (Eryderm), and benzoyl peroxide are topical ________agents | Antimicrobial |
| Pruritus, burning, stinging, tingling, and mild to moderate inflammatory acne vulgaris are side effects for topical ______ | Antimicrobials |
| Eczema has _____ stages. _____, _____, and _____. | Three Acute Sub-Acute Chronic |
| The acute stage of eczema is characterized by _____ | Red, oozing, crusty rash and intense pruritus |
| The sub-acute stage of eczema is characterized by ____ | Redness excoriations scaling plaques pustules |
| In the chronic stage of eczema, the skin becomes | Dry thickened scaly and brownish-gray in color |
| Personal or family history of asthma hay fever or food allergies are risk factors for _____? | Eczema (atopic dermatitis) |
| Which is/are included in the teaching plan for a patient with atopic dermatitis? Avoid constrictive clothing Use sunscreen and moisturizers Topical corticosteroids provide the best control of inflammation Take nystatin for itching Malaise, chills, and fever may occur with local tenderness and redness, | Avoid constrictive clothing Use sunscreen and moisturizers Topical corticosteroids provide the best control of inflammation |
| Allergies, bathing practices, and medications can be contributing factors for _____. | Atopic dermatitis |
| _____ can cause skin atrophy, loss of pigmentation, permanent red lesions, and adrenal suppression. | Steroids |
| This can be ordered to relieve itching with atopic dermatitis | Systemic antihistamines |
| Immunosuppressants that may be used to treat atopic dermatitis when safer methods fail are _____ and _____, but they may increase the risk of skin cancer and lymphoma. | Pimecromilus cream (Elidel) tacromilus ointment (Protopic) |
| This is an inflammatory condition caused by contact with a substance that triggers an allergic response. | Contact dermatitis |
| This is a chronic inflammatory disease of the skin that May have fine, powdery scales, thick crusts, or oily patches. The scales may be white, yellowish, or reddish. | Seborrheic dermatitis |
| Seborrheic dermatitis is aggravated by_____ | Stress and neurologic disease |
| Topical ketoconazole (Nizoral), topical corticosteroids are used to treat ______. | Seborrheic dermatitis |
| A systemic effect of Psoriasis | Psoriatic arthritis |
| Which 2 drugs used to treat Psoriasis are contraindicated during pregnancy? | Methotrexate and oral retinoids |
| Which are problems for a patient with psoriasis? A. injury related to improper nail trimming, poor peripheral circulation B. Impaired tissue perfusion C. Altered self-concept related to skin lesions and scales D. Decreased socialization related to embarrassment | C. Altered self-concept related to skin lesions and scales D. Decreased socialization related to embarrassment |