Med- Surg Integumenatry

Epidermis

"False" skin; the outermost layer of the skin

Rule of nines (Burn)

A frequently used method to determine the extent of a burn injury; the body is divided into 11 areas of 9% each and 1% for the perineum to help estimate the amount of skin surface burned in an adult

Cellulitis

Inflammation of cellular or connective tissue

Second- degree burn

A partial-thickness burn injury that is more severe than first-degree burn and often involves damage to the dermis

The nurse inspects the skin of a client who is suspected of having psoriasis. Which finding should the nurse note if this disorder is present?

Silvery- white scaly lesions

Eccrine sweat glands

Any of a group of small sweat glands distributed over the total body surface

Autoinoculation

Inoculation with microorganisms from one's own body

Biosynthetic

A biologic substance created by chemical processes. A term used for artificial skin that can be used as a temporary measure for grafting in burn victims

A patient has skin lesions on the face, trunk, palms, extensor surafces of joints, soles of the feet, and dorsum of the hands. On inspection, the lesions are found to have irregular borders and blistered necrotic centers. The provider makes the medical diagnosis of SJS. What is the priority problem for this patient?

Acute pain

A nurse works in the community with the clients whi have been diagnosed with vitilgo. The nurse knows that which cultural group is most likely to be affected by this diagnosis?

African americans

The ___ are sweat glands that can be found in the armpits and produce a thicker secretion.

Apocrine

A nurse is caring for a client who is recovering from chloecystectomy and who has a wound drain in the place. The drainage coming from the wound is thin and dark green in color. Which term best describes this type of drainage?

Bilious

A nurse has ordered a bariatric bed for an obeses client who will be admitted to the hospital unit. In addition to accomodating an obese client, which of the following is the purpose of bariatric bed?

It allows caregivers to reposition the client and provide care easily

As new skin cells approach the surface of the skin, their cytoplasm is replaced by a unique waterproof protein called ____.

Keratin

Biologic dressings

Materials obtained from a patient's intact skin, cadavers, or animals that is used to treat burn victims

Epithelial membrane

Membrane composed of epithelial tissue with an underlying layer of connective tissue

First-degree burn

Minor burn causing only minimal discomfort and ni boistering; the epidermis may peel but no dermal injury occurs

An immobile client has developed an area of skin breakdown on the hip. The nurse recognizes that there are several factors that potentially contributed to the skin breakdown. Select all of the following extrinistic factors that wiukd have contributed to skin breakdown in a client.

Moisture Fricition Shear

The nurse is told that an assigned client is suspected of having methicillin-resistant staphylococcus aureus (MRSA). Which precautions should the nurse institute during the care of the client?

Wear a gown and gloves

Eccrine

relating to an exocrine gland with secretory cells that release secretions by exocytosis without losing part of the cell, as occurs in apoccrine glands

Sebum

secretion of sebaceous glands

Sebaceous gland

Oil-producing gland found in the skin

Carbuncles

A collection of infected hair follicles. They most often occur on the back of the neck, the upper back, and the lateral thighs

The nurse is charting a skin assessement on the newly admitted client. The client has a palpable blood- filled bump on the forehead from a fall. The nurse should chart this using what terminology?

Hematoma

The nurse is receiving a report on an elderly pt who has developed a pressure ulcer from long periods of immobility. The outgoing nurse states the wound is a stage 1 pressure ulcer. Which of the following findings would the nurse expect to see with a stage 1 pressure ulcer?

Intact reddened skin, non-blanchable erythema

Pore

Pinpoint-size opening on the skin that serves as the outlet of small duct from the eccrine sweat glands

The receptors in the skin that respond to light touch are the

Tactile ( meissner) corpuscles

The nurse is caring for a client who has just been admitted to the nursing unit after receiving flame burns to the face and chest. The nurse notes a hoarse cough, and the client is expectorating sputum with black flecks. The client suddenly becomes restless and his color is becoming dusky. Based on this data, which interpretation should the nurse make?

The burn has probably caused laryngeal edema, which has occluded the airway

A nurse is caring for a bedridden client who weighs 450lbs. Which best describes this client's risk of skin breakdown because of this weight?

The client may be moved improperly, which can cause tears in the skin

A nurse is caring for a young client with epidermis pruritus. What assessment finding would the nurse expected expect to find?

The client scratching their skin

A nurse assiting a bedridden client with moving up in bed and repositioning. Which of the following interventions would most likely prevent friction against this clients's skin while transferring? Select all that apply.

Use a slide sheet while moving the client Avoid dragging a client across the bed when moving Apply a barrier dressing over high- risk areas