Term
| How long can an occlusive dressing be kept in place? |
|
Definition
| No more than 12 hours per day. |
|
|
Term
| What is the benefit of moisture-retentive dressings over wet dressings? |
|
Definition
| They are more efficient at removing exudate because of their higher moisture-vapor transmission rate. Some also have reservoirs that can hold excessive exudate. |
|
|
Term
| Which dressing is ideal for autolytic debridement of wounds because of the high moisture content? |
|
Definition
|
|
Term
| Which wound dressing requires a secondary dre3ssing to keep them in place? |
|
Definition
| Hydrogels, foam dressings and calcium alginates. |
|
|
Term
| Which dressings are adherent and non permeable to water vapor and oxygen? |
|
Definition
|
|
Term
| What is a big advantage of hydrocolloid dressings? |
|
Definition
| They can be removed without damage to the wound by pouring water over the surface. |
|
|
Term
| If the hydrocolloid dressing starts to produce a foul-smelling, yellowish covering over the wound, what should the nurse do? |
|
Definition
|
|
Term
| How long can hydrocolloid dressings be left in place? |
|
Definition
| As long as seven days, without having to be removed for bathing. |
|
|
Term
| Which dressings are helpful over bony prominences and provide cushioning? |
|
Definition
|
|
Term
| Which dressings work well when packed into a deep cavity, wound or sinus tract with heavy drainage? |
|
Definition
|
|
Term
| What is the effect of apligraf on a wound? |
|
Definition
| When embedded in a dressing, these agents stimulate platelet activity and potentially decrease wound healing time. |
|
|
Term
| When are baths or soaks useful? |
|
Definition
| When large areas of skin are affected. |
|
|
Term
| What should be done in the case of any untoward response to a topical medication? |
|
Definition
| They should be reported immediately and discontinued. |
|
|
Term
| What is typically used to replace lost skin oils and treat pruritis? |
|
Definition
|
|
Term
| How often must lotions be applied for therapeutic affect |
|
Definition
|
|
Term
| How can you reduce the recurrence of skin cancer? |
|
Definition
| Daily use of SPF of at least 15 reduces risk by at least 40%. At least 30 min before leaving house, apply to head, neck, arms and hands, and reapply every 4 hours with sweating. |
|
|
Term
| Why are oil emulsions preferred for drying and flaking dermatoses? |
|
Definition
| Because they are greasier. |
|
|
Term
| Which topical medicines are widely used in treating dermatologic conditions to provide anti-inflammatory, antipruritic, and vasoconstrictive effects? |
|
Definition
|
|
Term
| How can the nurse enhance the absorption of corticosteroids? |
|
Definition
| By hydrating the skin or covering the effected area by an occlusive or moisture-retentive dressing. |
|
|
Term
| What topical skin treatment should not be used with an occlusive dressing? |
|
Definition
|
|
Term
| Which skin lesions are treated with intralesional therapy? |
|
Definition
| Psoriasis, Keloids, and cystic acne |
|
|
Term
| What type of burn destroys the epidermis, dermis and underlying tissues? |
|
Definition
|
|
Term
| How often should dressings containing corticosteroids be removed to prevent skin thinning, striae and tangielectasias? |
|
Definition
|
|
Term
| Patient arrives to the hospital after a burn injury. What lab values would be considered? |
|
Definition
| Hyperkalemia, resulting from massive cell destruction. |
|
|
Term
| What is the leading cause of morbidity and mortality in patients with thermal injuries? |
|
Definition
|
|
Term
| What is the significance of exposure to warm environments, ETOH, and hot foods and liquids in relation to pruritis? |
|
Definition
| They can all increase pruritis b/c of vasodilation. |
|
|
Term
| A small, waxy nodule with rolled, translucent, pearly borders is the beginning of what? |
|
Definition
|
|
Term
| Which skin cancer appears as a rough, thickened, scaly tumor that may be asymptomatic or may involve bleeding? |
|
Definition
|
|
Term
| Does squamous cell carcinoma which arises without overexposure to the sun provide a better or worse prognosis and chance of spread than those that arise with sun exposure? |
|
Definition
| No, prognosis w/o sun exposure is worse. |
|
|
Term
| A patient has just been administered a shot of a medication. what is the nurse's next immediate action? |
|
Definition
| Dispose of the needle in a puncture-resistant container without recapping. |
|
|
Term
| For follow up teaching after removal of a cancerous skin lesion, what should the nurse tell the patient to expect as far as future visits? |
|
Definition
| Follow-up exams will be done every 3 months for a year, and will include palpation of adjacent lymph nodes. |
|
|
Term
| Which melanoma appears as a tan, flat lesion, but in time undergoes changes in size and color? |
|
Definition
|
|
Term
|
Definition
| Full thickness skin loss with necrosis of sub q tissue. |
|
|
Term
| Turn with draw sheet to avoid |
|
Definition
|
|
Term
| Explosion at a chemical plant what would you see? |
|
Definition
| Full thickness burns with electrical burn |
|
|
Term
| Don't clean pressure ulcer with? |
|
Definition
|
|
Term
| How do you know if the pressure ulcer is healing? |
|
Definition
| Increase in granulation tissue |
|
|
Term
| hat type of dressing would you use on an autolytic debridement? |
|
Definition
|
|
Term
| A pt. Has partial and full thickness burns. How would the nurse help the pt. remain free of infection? |
|
Definition
| Wear gown, gloves, mask, etc. |
|
|
Term
| What affects in lab values would you expect to see with the use of silvadene? |
|
Definition
|
|
Term
| When assessing a pressure ulcer in a darker skinned person, what would you observe? |
|
Definition
| The area feels warmer than the surrounding tissue |
|
|
Term
| What would you teach a family about a bed bound family member? |
|
Definition
|
|
Term
| What would you increase in a pt. that has the following lab valued: serum albumin <3.0g/dl, urine output of 40cc/hr and 30 lb wt. loss in the past 2 months? |
|
Definition
| Increase fat, protein and fluids |
|
|
Term
| What would you tell a parent that is going to the beach for summer vacation? |
|
Definition
| Use SPF 15 or better and reapply every 4 hours. |
|
|
Term
| A parent is asking about her risk factors for malignant melanoma which her mother has. What would you tell the parent? |
|
Definition
| Avoid excessive exposure to sunlight. |
|
|
Term
| Manifestations of drug induced photosensitivity |
|
Definition
| Exaggerated sunburn with swelling and erythema |
|
|
Term
| Basal cell carcinoma characteristics? |
|
Definition
| Depression of center with rolled boarders |
|
|
Term
|
Definition
| Apply topical antibiotic cream |
|
|
Term
|
Definition
| Acyclovir (zovirax) decreases recurrence and acute pain. |
|
|
Term
| You notice a white, cheesy plaque that resembles milk curds. What would the nurse question the patient about? |
|
Definition
|
|
Term
| Phototherapy with psoralen |
|
Definition
| Wear protective eye wear that blocks 100% of UVL |
|
|
Term
| Topical fluorauracil (5-FU) |
|
Definition
| Pt may complain of pain, burning, and skin that looks worse. Tell the pt that you know this is hard but they must continue using it. |
|
|
Term
| When would a patient with impetigo need more teaching? |
|
Definition
|
|
Term
| Pt. with full and partial thichkness burns has decreased pedal pulses and fingers are tingling? |
|
Definition
|
|
Term
| What would you warn a patient about that is taking systemic antihistamines? |
|
Definition
| Driving due to drowsiness. |
|
|
Term
| A patient comes to the ER with acidic burns. what do you do? |
|
Definition
| Flush them with tap water. |
|
|
Term
| A patient with electrical burns should be assessed for which type of bone abnormality? |
|
Definition
|
|
Term
| What is a complicatio of the emergent phase? |
|
Definition
|
|
Term
| Burn to neck, face, and arms |
|
Definition
| Supine with no pillow and arms extended and elevated on pillows |
|
|
Term
| Adequate fluid therapy includes what type of output? |
|
Definition
|
|
Term
| With hyponatremia in the emergent phase, what would be the treatment of choice? |
|
Definition
|
|
Term
| What shot does an admitting burn patient need? |
|
Definition
|
|
Term
| Cutured epithelial autografts are needed when? |
|
Definition
| When limited unburned skin is available and it is permanent. |
|
|
Term
| A nurse needs to educate a patient about psoriasis when she says: |
|
Definition
| It is caused by an infection and can lead to arthritis |
|
|
Term
| Irregular shaped moles that bleed |
|
Definition
|
|
Term
| To irrigate a yellow wound |
|
Definition
| Use small gauge needle and NS |
|
|
Term
|
Definition
| Maintain CD4 and T-cells above 200 |
|
|
Term
|
Definition
| Reverse rates of CD4 and CD8 |
|
|
Term
| Fat pads except for the limbs |
|
Definition
| expected side effect of ART. |
|
|
Term
| When assessing the homeless for HIV, what would you ask? |
|
Definition
| Have you had unprotected sex? |
|
|
Term
| Is outercourse okay for HIV? |
|
Definition
|
|
Term
| Mast cell stabilizing drug advantages are? |
|
Definition
| Low occurrence of side effects |
|
|
Term
| Cardinal principle in the therapeutic managment of allergic (anaphylaxis)? |
|
Definition
| Teach patient to avoid allergen, and speedy recognition of signs and symptoms. |
|
|
Term
| For type I latex allergies, when do they occur, and how can they prevent mortality? |
|
Definition
| Within hours of treatment. Carry an epi-pen and wear a medic alert bracelet. |
|
|
Term
| What is the most important thing that can predispose a patient to an allergy? |
|
Definition
|
|
Term
| What is one of the first things you may notice in an anaphylactic reaction? |
|
Definition
|
|
Term
| A patient has been takin antihistamines for the past few days and comes in for an allergy test. What should you tell them? |
|
Definition
|
|
Term
| Which of the following means the patient understands immunotherapy? |
|
Definition
| The patient will remain in the office 30 minutes after the injection to be monitored for complications. |
|
|
Term
| An immunocompromised patient is being taught the importance of good nutrition,exercise, and stress reduction. Which of the following does adhering to these guidelines help with? |
|
Definition
| Increasing immune function |
|
|
Term
| Which of the follwoing is a good education for an immunocompromised patient to know? |
|
Definition
|
|
Term
| Which of the following is a good precaution to follow? |
|
Definition
|
|
Term
| Which of the following would you put an immunocompromised patient on? |
|
Definition
| Reverse contact isolation |
|
|
Term
| A patient who has a decreased immune function is scheduled to have an x-ray. Which of the following should you the nurse schedule for that patient to be able to have it? |
|
Definition
| Schedule for portable x-ray machine to be brought into their room. |
|
|
Term
| A patient comes in and they have a positive EIA. What would you expect to order next? |
|
Definition
|
|
Term
| A patient comes in and they have been in fected with HIV. After about 3 weeks with the virus, what symptoms would you expect them to see? |
|
Definition
|
|
Term
| A man and his partner are on vacation and he comes to the ER with Pneumocystis. What would you expect the doctor to order? |
|
Definition
|
|
Term
| A patient with AIDS has been experiencing diarrhea. What would you expect to teach them to help with this? |
|
Definition
| BRAT (bananas, rice, applesauce and toast) |
|
|
Term
| Which of the following is true about skin changes in adults? |
|
Definition
-Dry skin
-Increased fragility and increased potential for injury
-Diminished hair (not alopecia)
-Reduced healing ability |
|
|
Term
| What is the most important thing when assessing a patient with impetigo? |
|
Definition
|
|
Term
| Which statement by the client with psoriasis indicates they need further teaching? |
|
Definition
| She states they need to buy separate beds to sleep in. |
|
|
Term
| a lady is in her garden when she states she has a flare up of dermatitis. what would you tell er to do to help with the itching? |
|
Definition
| apply a cool moust dressing and take warm baths. |
|
|
Term
| what is the most important for a nurse to ask family members of a patient with herpes zoster (shingles)? |
|
Definition
| Have they had chickenpox? |
|
|
Term
| What would you tell a patient wit pediculosis to look for? |
|
Definition
| See white ovals in the hair shaft. |
|
|
Term
| A lady comes in to the ER from a nursing home. She has webs on her fingers and is dirty. What do you expect? |
|
Definition
|
|
Term
| What is the best prevention of skin cancer? |
|
Definition
| To avoid excessive sun exposure. |
|
|
Term
| A pt comes in with a central ulceration to the face. What would you expect them to have? |
|
Definition
| Basal cell carcinoma (remember, they are most common on the face) |
|
|
Term
| A patient with squamos cell carcinoma, what would be a characteristic of it? |
|
Definition
| A person with a history of smoking. |
|
|
Term
| What should you educate a person to do about malignant melanoma? |
|
Definition
| Tell the doctor if there are any changes in moles. |
|
|
Term
| What is the most important factor to determine how bad the moles are? |
|
Definition
|
|
Term
| A patient has a burn with dry pale leathery skin. What type is this? |
|
Definition
|
|
Term
| What is the most important indicator of shock? |
|
Definition
|
|
Term
| In a patient with a stage 1 pressure ulcer, which dressing would you use? |
|
Definition
|
|
Term
| When applying silver sulfadiazine what would you do? |
|
Definition
Wear sterile gloves
wear mask, gown and gloves when handling
toes? |
|
|
