100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 341 Final Exam Study Guide. Latest 2023 $12.49   Add to cart

Exam (elaborations)

NURS 341 Final Exam Study Guide. Latest 2023

 1 view  0 purchase
  • Course
  • Institution

Nurs 341 – Final Exam Study Guide Chapter 23: Nursing Care of the Child with an Alteration in Tissue Integrity/Integumentary Disorder  Know the skin differences of infants/children and adults - The infant’s epidermis is thinner than the adult’s, and the blood vessels lie closer to the ...

[Show more]

Preview 2 out of 13  pages

  • July 19, 2023
  • 13
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
avatar-seller
Nurs 341 – Final Exam Study Guide
Chapter 23: Nursing Care of the Child with an Alteration in Tissue Integrity/Integumentary
Disorder
 Know the skin differences of infants/children and adults
- The infant’s epidermis is thinner than the adult’s, and the blood vessels lie closer to the
surface because there is a decreased amount of subcutaneous fat. Thus, the infant loses
heat more readily through the skin’s surface than the older child or adult does; less
pigmented than that of the adult (in all races), placing the infant at increased risk of skin
damage from ultraviolet radiation.

 Know the causes of skin disorders
 Know common meds and lab tests
- COMMON LABORATORY AND DIAGNOSTIC TESTS 23.1 P875
- Atopic dermatitis: Serum immunoglobulin E (IgE) levels may be elevated in the child
with atopic dermatitis. Skin prick allergy testing may determine the food or
environmental allergen to which the child is sensitive.
- Burn:
Pulmonary status may be evaluated via pulse oximetry and end-tidal CO2 monitoring,
arterial blood gases, carboxyhemoglobin levels, and chest radiography.
Fiberoptic bronchoscopy and xenon ventilation–perfusion scanning may be used to
evaluate inhalation injury.
Electrocardiographic monitoring is important for the child who has suffered an
electrical burn to identify cardiac arrhythmias, which can be noted for up to 72 hours
after a burn injury.

 Know Burns – assessment, management, prevention

EMERGENCY ASSESSMENT OF THE BURNED CHILD
PRIMARY SURVEY
• Assess the child’s airway, noting whether it is patent, maintainable, or unmaintainable.
• Suspect airway injury from burn or smoke inhalation if any of the following are present: burns
around the mouth, nose, or eyes; carbonaceous (black-colored) sputum; hoarseness or stridor.
• Evaluate the child’s skin color, respiratory effort, symmetry of breathing, and breath sounds.
• Determine the pulse strength, perfusion status, and heart rate. Note extent and location of edema.
SECONDARY SURVEY
• Determine burn depth.
• Estimate burn extent by determining the percentage of body surface area affected. Use a chart
for estimation (see Fig. 23.21) or rapidly estimate by using the child’s palm size, which is
equivalent to about 1% of the child’s body surface area.
 Inspect the child for other traumatic injuries (children who have jumped or fallen from a
house fire may suffer cervical spine or internal injuries).

- Superficial burn—painful but without blisters.

, - Partial-thickness burn—very painful, with blistering.
- Full-thickness burn—color ranges from red to charred, or white, minimal pain, marked
edema.

 Know your infectious disorders – assessment & management


Nonbullous • Papules progressing to vesicles, • Limited amount: treat topically with
impetigo then painless pustules with a narrow mupirocin ointment.
erythematous border • Honey- • If numerous lesions, oral first-generation
colored exudate when the vesicles cephalosporin is indicated.
or pustules rupture, which forms a • Clindamycin may be needed for MRSA.
crust on the ulcer-like base (see Fig. • Remove honey-colored crust with cool
23.2) compresses twice daily.
Bullous impetigo • Red macules and bullous • Oral first-generation cephalosporin.
eruptions on an erythematous • Good hygiene.
base
• Size may be from a few
millimeters to several
centimeters
Folliculitis • Red, raised hair follicles • Treat with aggressive hygiene: warm
compresses after washing with soap and
water several times a day.
• Topical mupirocin is indicated; occasionally
oral antibiotics are required.
Cellulitis • Localized reaction: erythema, • Mild cases are usually treated with cephalexin
pain, edema, warmth at site of skin or amoxicillin/clavulanic acid.
disruption (see Fig. 23.3) • More severe cases and periorbital or orbital
cellulitis require IV cephalosporins.
Staphylococcal • Flattish bullae that rupture within • Mild to moderate cases are treated with oral
scalded skin hours • Red, weeping surface is cephalexin, dicloxacillin, or
syndrome left, most commonly on face, groin, amoxicillin/clavulanic acid.
neck, and axillary region (see Fig. • Severe cases are managed similar to burns
23.4) with aggressive fluid management and IV
oxacillin or clindamycin.



Tinea corporis • Annular lesion with raised • Topical antifungal cream is required for at
(ringworm) peripheral scaling and central least 4 weeks.
clearing (looks like a ring) (Fig.
23.5)
Tinea capitis • Patches of scaling in the scalp • Oral griseofulvin for 4–6 weeks.
with central hair loss • Risk of • Selenium sulfide shampoo may be used to

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller StudyConnect. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

78998 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart