Podcast
Questions and Answers
Which skin gland produces sebum for skin surface lubrication?
Which skin gland produces sebum for skin surface lubrication?
- Sebaceous glands (correct)
- Apocrine glands
- Ceruminous glands
- Sweat glands
What are nails composed of?
What are nails composed of?
- Elastin
- Hard keratin (correct)
- Collagen
- Soft keratin
Where are stratified epithelial cells thickest in the skin?
Where are stratified epithelial cells thickest in the skin?
- Back
- Face
- Palms and soles (correct)
- Chest
What is the largest organ in the body that provides a protective covering?
What is the largest organ in the body that provides a protective covering?
What are some common terms used to describe skin lesions?
What are some common terms used to describe skin lesions?
What cofactors can disrupt or delay wound healing?
What cofactors can disrupt or delay wound healing?
How are wounds classified based on healing time?
How are wounds classified based on healing time?
What are some intrinsic factors that can cause skin lesions?
What are some intrinsic factors that can cause skin lesions?
How are skin lesions classified?
How are skin lesions classified?
What types of primary skin lesions are mentioned in the text?
What types of primary skin lesions are mentioned in the text?
What are some diagnostic techniques used to identify skin issues related to systemic diseases?
What are some diagnostic techniques used to identify skin issues related to systemic diseases?
How are wounds classified based on their nature?
How are wounds classified based on their nature?
What is the expected healing time for chronic wounds?
What is the expected healing time for chronic wounds?
How can most wounds in children be prevented from becoming chronic wounds?
How can most wounds in children be prevented from becoming chronic wounds?
What are some examples of secondary skin lesions?
What are some examples of secondary skin lesions?
What laboratory studies are performed to identify skin issues related to systemic diseases?
What laboratory studies are performed to identify skin issues related to systemic diseases?
Which layer of the skin is responsible for skin pigmentation?
Which layer of the skin is responsible for skin pigmentation?
Which of the following is NOT found in the dermis?
Which of the following is NOT found in the dermis?
Which of the following is NOT a function of the skin?
Which of the following is NOT a function of the skin?
Which of the following is NOT a skin appendage?
Which of the following is NOT a skin appendage?
What can result in skin lesions according to the text?
What can result in skin lesions according to the text?
What are more than half of the dermatological conditions in children forms of?
What are more than half of the dermatological conditions in children forms of?
What are the acute responses to dermatitis according to the text?
What are the acute responses to dermatitis according to the text?
What can affect the permanent effects in chronic skin conditions?
What can affect the permanent effects in chronic skin conditions?
What does the diagnostic evaluation of skin lesions involve?
What does the diagnostic evaluation of skin lesions involve?
Which of the following is NOT a common local symptom associated with skin lesions?
Which of the following is NOT a common local symptom associated with skin lesions?
What do objective findings of skin lesions provide significant information for?
What do objective findings of skin lesions provide significant information for?
Which layer of the skin contains the stratum lucidum?
Which layer of the skin contains the stratum lucidum?
What type of cells make up epithelial tissue?
What type of cells make up epithelial tissue?
How do tissues with permanent cells repair themselves?
How do tissues with permanent cells repair themselves?
What are the contributing factors to pressure injury formation in children?
What are the contributing factors to pressure injury formation in children?
Which assessment scale is used to evaluate the severity of pressure injuries?
Which assessment scale is used to evaluate the severity of pressure injuries?
What is the main goal of wound treatment?
What is the main goal of wound treatment?
What type of environment does wound care management aim to promote?
What type of environment does wound care management aim to promote?
What are the effects of moist wound healing?
What are the effects of moist wound healing?
What is a commonly used topical treatment for skin disorders?
What is a commonly used topical treatment for skin disorders?
Besides topical corticosteroids, what other topical treatments are mentioned in the text?
Besides topical corticosteroids, what other topical treatments are mentioned in the text?
When are systemic medications used in dermatological disorders?
When are systemic medications used in dermatological disorders?
What can result in dermatitis in children?
What can result in dermatitis in children?
What type of cells are constantly destroyed and replaced in epithelial tissue?
What type of cells are constantly destroyed and replaced in epithelial tissue?
What characteristics of skin lesions and wounds should nurses note during assessment?
What characteristics of skin lesions and wounds should nurses note during assessment?
How are individual lesions described?
How are individual lesions described?
What characteristics can nurses detect by gently palpating the skin?
What characteristics can nurses detect by gently palpating the skin?
What are signs of wound infection?
What are signs of wound infection?
What is the application of heat usually reserved for?
What is the application of heat usually reserved for?
What do ointments in a petrolatum base provide protection from?
What do ointments in a petrolatum base provide protection from?
What does the frequency of wound assessment depend on?
What does the frequency of wound assessment depend on?
Is isolation usually necessary for contagious skin diseases?
Is isolation usually necessary for contagious skin diseases?
How can parents generally manage small skin lesions or wounds at home?
How can parents generally manage small skin lesions or wounds at home?
What should be applied to protect the skin when covering open wounds?
What should be applied to protect the skin when covering open wounds?
What is the initial nursing intervention for lacerations?
What is the initial nursing intervention for lacerations?
What does relief of symptoms for skin lesions often involve?
What does relief of symptoms for skin lesions often involve?
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Study Notes
Nursing Assessment and Care for Skin Lesions and Wounds
- Nurses need to describe and assess skin lesions and wounds, noting their color, shape, and distribution.
- Individual lesions are described using standard terminology and may have multiple descriptors for specific characteristics.
- Nurses may gently palpate the skin to detect characteristics such as temperature, moisture, texture, elasticity, and edema to confirm findings made by inspection.
- Wounds need to be assessed for depth of tissue damage, evidence of healing, and signs of infection.
- Signs of wound infection include increased erythema, edema, purulent exudate, pain, and increased temperature.
- Application of heat is usually reserved for specific inflammatory processes, and ointments in a petrolatum base provide protection from moisture.
- The frequency of wound assessment depends on the severity and complexity of the wound, and therapeutic programs include general and specific treatments.
- Only a few skin diseases are contagious, and isolation of the affected child is usually not necessary, except in specific cases.
- Parents can generally manage small skin lesions or wounds at home by washing the wound gently with mild soap and water or normal saline.
- Open wounds are covered with a dressing, and nonalcohol skin barriers can be applied to protect the skin.
- Lacerations present a special challenge, and initial nursing intervention includes applying pressure to the area and calming the child before further examination.
- Relief of symptoms for skin lesions often involves cooling the affected area, increasing skin pH, and protecting both affected and unaffected skin from damage and secondary infection.
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