Nursing Assessment and Care for Skin Lesions and Wounds Quiz

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Questions and Answers

Which skin gland produces sebum for skin surface lubrication?

Sebaceous glands

What are nails composed of?

Hard keratin

Where are stratified epithelial cells thickest in the skin?

Palms and soles

What is the largest organ in the body that provides a protective covering?

Skin Signup and view all the answers

What are some common terms used to describe skin lesions?

Erythema, ecchymoses, petechiae, wheals Signup and view all the answers

What cofactors can disrupt or delay wound healing?

Compromised perfusion, malnutrition, infection Signup and view all the answers

How are wounds classified based on healing time?

Acute and chronic healing Signup and view all the answers

What are some intrinsic factors that can cause skin lesions?

Infections and medication sensitization Signup and view all the answers

How are skin lesions classified?

Based on distribution pattern, configuration, and arrangement Signup and view all the answers

What types of primary skin lesions are mentioned in the text?

Macules, papules, vesicles, patches Signup and view all the answers

What are some diagnostic techniques used to identify skin issues related to systemic diseases?

Microscopic examination, cultures, skin scrapings or biopsy Signup and view all the answers

How are wounds classified based on their nature?

Surgical and nonsurgical wounds Signup and view all the answers

What is the expected healing time for chronic wounds?

Does not heal within the expected time frame Signup and view all the answers

How can most wounds in children be prevented from becoming chronic wounds?

By appropriate nursing care Signup and view all the answers

What are some examples of secondary skin lesions?

Crusts, lichenification, scars, keloids Signup and view all the answers

What laboratory studies are performed to identify skin issues related to systemic diseases?

Skin biopsy and patch testing Signup and view all the answers

Which layer of the skin is responsible for skin pigmentation?

Stratum germinativum Signup and view all the answers

Which of the following is NOT found in the dermis?

Melanocytes Signup and view all the answers

Which of the following is NOT a function of the skin?

Vitamin synthesis Signup and view all the answers

Which of the following is NOT a skin appendage?

Lymph vessels Signup and view all the answers

What can result in skin lesions according to the text?

External factors like allergens only Signup and view all the answers

What are more than half of the dermatological conditions in children forms of?

Eczema Signup and view all the answers

What are the acute responses to dermatitis according to the text?

Formation of intradermal vesicles Signup and view all the answers

What can affect the permanent effects in chronic skin conditions?

General condition of the affected individual and available therapy Signup and view all the answers

What does the diagnostic evaluation of skin lesions involve?

Exploring history, subjective symptoms, and objective findings Signup and view all the answers

Which of the following is NOT a common local symptom associated with skin lesions?

Numbness Signup and view all the answers

What do objective findings of skin lesions provide significant information for?

Underlying causes Signup and view all the answers

Which layer of the skin contains the stratum lucidum?

Stratum corneum Signup and view all the answers

What type of cells make up epithelial tissue?

Labile cells Signup and view all the answers

How do tissues with permanent cells repair themselves?

By substituting fibrous connective tissue for the injured tissue Signup and view all the answers

What are the contributing factors to pressure injury formation in children?

Impaired mobility, protein malnutrition, and sensory loss Signup and view all the answers

Which assessment scale is used to evaluate the severity of pressure injuries?

Braden QD Signup and view all the answers

What is the main goal of wound treatment?

Prevent further damage, eliminate the cause, prevent complications, and provide relief from discomfort Signup and view all the answers

What type of environment does wound care management aim to promote?

Moist, crust-free environment that enhances epithelial cell migration Signup and view all the answers

What are the effects of moist wound healing?

Increases collagen synthesis and re-epithelialization, while decreasing pain and inflammation Signup and view all the answers

What is a commonly used topical treatment for skin disorders?

Topical corticosteroid therapy Signup and view all the answers

Besides topical corticosteroids, what other topical treatments are mentioned in the text?

Chemical cautery, cryosurgery, electrodesiccation, ultraviolet therapy, laser therapy, and acne therapies Signup and view all the answers

When are systemic medications used in dermatological disorders?

As adjuncts to topical therapy Signup and view all the answers

What can result in dermatitis in children?

Environmental factors, natural elements, home remedies, and medications Signup and view all the answers

What type of cells are constantly destroyed and replaced in epithelial tissue?

Labile cells Signup and view all the answers

What characteristics of skin lesions and wounds should nurses note during assessment?

Color, shape, and distribution of the lesion Signup and view all the answers

How are individual lesions described?

Using standard terminology and may have multiple descriptors for specific characteristics Signup and view all the answers

What characteristics can nurses detect by gently palpating the skin?

Temperature, moisture, texture, elasticity, and edema Signup and view all the answers

What are signs of wound infection?

Increased erythema, edema, and purulent exudate Signup and view all the answers

What is the application of heat usually reserved for?

To reduce inflammation Signup and view all the answers

What do ointments in a petrolatum base provide protection from?

Moisture Signup and view all the answers

What does the frequency of wound assessment depend on?

The severity and complexity of the wound Signup and view all the answers

Is isolation usually necessary for contagious skin diseases?

Yes, in specific cases Signup and view all the answers

How can parents generally manage small skin lesions or wounds at home?

By washing the wound gently with mild soap and water or normal saline Signup and view all the answers

What should be applied to protect the skin when covering open wounds?

Nonalcohol skin barriers Signup and view all the answers

What is the initial nursing intervention for lacerations?

Applying pressure to the area and calming the child before further examination Signup and view all the answers

What does relief of symptoms for skin lesions often involve?

Cooling the affected area Signup and view all the answers

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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