NUR 265: Exam 2 questions with Complete solutions

61.3 Identify the management and nursing care of the pt with infectious and inflammatory dermatoses--Psoriasis Correct Answer-Medical Management: -Goals: slow rapid turn of epidermis, promote resolution of psoriatic lesions, control disease cycle -Removes scares during bath using a soft brush and apply emollient creams after--maintain routine, -Pharmacologic therapy:topical/phototherapy/systemic Interventions: -pt education regarding the disease, skin care, and treatment regimen -measures to prevent skin injury (avoid picking/scratching) -measures to prevent skin dryness: use of emollients, avoid excessive washing, and use warm water and pat dry -use of the therapeutic relationship for support and to aid coping 61.4 Use the nursing process as a framework for care of pts with Stevens-Johnson Syndrome Correct Answer-Assessment: skin and oral cavity inspection, vital signs (fever, resp status, tachycardia), fatigue, pain levels, urine volume/specific gravity/color monitored, local s/s infection at IV site, daily weight, eval for anxiety and coping mechanisms Dx: impaired tissue integrity (oral, eye, skin) related to epidermal shedding, deficient fluid volume and electrolyte losses related to loss of fluids from denuded skin, risk for imbalanced body temp (hypothermia) related to heat loss secondary to skin l