Podcast
Questions and Answers
A patient presents with a pressure injury characterized by intact skin with nonblanchable redness over a bony prominence. Which stage of pressure injury is this?
A patient presents with a pressure injury characterized by intact skin with nonblanchable redness over a bony prominence. Which stage of pressure injury is this?
- Stage 4
- Stage 2
- Stage 1 (correct)
- Stage 3
In which stage of pressure injury would you observe full thickness tissue loss with exposed bone, tendon, cartilage, or muscle?
In which stage of pressure injury would you observe full thickness tissue loss with exposed bone, tendon, cartilage, or muscle?
- Stage 4 (correct)
- Stage 1
- Stage 2
- Stage 3
A wound is described as having full thickness tissue loss with the base of the wound covered by slough and/or eschar. Which of the following is the most appropriate action?
A wound is described as having full thickness tissue loss with the base of the wound covered by slough and/or eschar. Which of the following is the most appropriate action?
- Apply a hydrocolloid dressing to promote autolytic debridement.
- Do not remove the eschar, particularly if located on the heels, as it provides natural biological cover. (correct)
- Debride the wound aggressively to remove all non-viable tissue.
- Refer the patient to a support group.
Which of the following is the most common cause of cold sores?
Which of the following is the most common cause of cold sores?
A patient presents with lesions in the genital area and is diagnosed with herpes. Which type of herpes simplex virus is most likely the cause?
A patient presents with lesions in the genital area and is diagnosed with herpes. Which type of herpes simplex virus is most likely the cause?
A patient is diagnosed with shingles. What pre-existing condition must the patient have a history of?
A patient is diagnosed with shingles. What pre-existing condition must the patient have a history of?
Which statement accurately describes the pathophysiology of herpes zoster (shingles)?
Which statement accurately describes the pathophysiology of herpes zoster (shingles)?
Which medication, when administered within 72 hours of the onset of symptoms, is most effective in reducing the pain and duration of the herpes zoster virus?
Which medication, when administered within 72 hours of the onset of symptoms, is most effective in reducing the pain and duration of the herpes zoster virus?
A patient with shingles is experiencing significant pain and edema. Which of the following medications would be most appropriate to address both of these symptoms?
A patient with shingles is experiencing significant pain and edema. Which of the following medications would be most appropriate to address both of these symptoms?
Which of the following statements is correct regarding cellulitis?
Which of the following statements is correct regarding cellulitis?
Flashcards
Pressure Injury Stage 1
Pressure Injury Stage 1
Localized area of skin, normally over bony prominence, intact with nonblanchable redness.
Pressure Injury Stage 2
Pressure Injury Stage 2
Partial thickness loss of dermis. Appears as shallow open injury, usually shiny or dry, with a red/pink wound bed without slough or bruising.
Pressure Injury Stage 3
Pressure Injury Stage 3
Full thickness tissue loss, subcutaneous fat sometimes visible, bone, tendon, and muscle are not.
Pressure Injury Stage 4
Pressure Injury Stage 4
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Unstageable Pressure Injury
Unstageable Pressure Injury
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Herpes Simplex
Herpes Simplex
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Herpes Zoster (Shingles)
Herpes Zoster (Shingles)
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Herpes Zoster Pain
Herpes Zoster Pain
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Treatment for Skin Disorders
Treatment for Skin Disorders
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Cellulitis
Cellulitis
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Study Notes
- Refer patients to support groups ASAP for pressure injuries
Pressure Injuries
- Stage 1: features a localized area of skin, usually over a bony prominence, that is intact with nonblanchable redness
- Stage 2: involves partial thickness loss of the dermis, appearing as a shallow open injury that is usually shiny or dry, with a red/pink wound bed that may or may not have slough or bruising
- Stage 3: shows full thickness tissue loss, where subcutaneous fat is sometimes visible, but bone, tendon, and muscle are not
- Stage 4: full thickness tissue loss, with exposed bone, tendon, cartilage, or muscle, and sometimes, slough or eschar are present
- Unstageable/Unclassified: involves full thickness tissue loss where the wound base is covered by slough or eschar in the wound bed, and eschar on the heels should not be removed because it provides natural biological cover
Herpes Simplex
- Causes cold sores and genital herpes
- Type 1: most common, causes cold sores, and is associated with febrile conditions, usually clears up by itself
- Type 2: causes lesions in the genital area, and is also a member of the herpesvirus family and type 1
- Type 1 is characterized by a vesicle at the corner of the mouth, lips, or nose known as a "cold sore"
Herpes Zoster (Shingles)
- Individuals with shingles have a history of chickenpox, with 1 in 3 people developing shingles
- The virus leads to inflammation of the spinal ganglia and produces skin lesions of small vesicles along the peripheral nerve fibers, sometimes affecting a single nerve
- Eruption of vesicles is preceded by pain
- Acyclovir, when administered within 72 hours, reduces pain and duration of the virus
- Analgesics are used for pain relief
- Steroids decrease inflammation and edema
- Steroid lotions relieve pruritus
- Corticosteroids relieve pruritus and inflammation
Cellulitis
- It is not contagious, but the bacteria can be spread by direct contact with an open area of a person who has the infection
- Common causes in adults include Streptococcus A and Staphylococcus aureus, while influenza B is common in children
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