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NUR 431 - skin disorder Exam Questions with Complete Solutions
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NUR 431 - skin disorder Exam Questions with Complete Solutions
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NUR 431 - skin disorder Exam Questionswith Complete Solutions
skin assessment - Answer-all skin diseases produce characteristics primary skin lesion
exposures - chemical, physical, home and work environment
medications
entire skin surface
rashes
erythmatous - Answer-redness of the skin that is blanchable
purpuric - Answer-redness of the skin that is not blanchable
cyst - Answer-sac containing fluid
fissure - Answer-an opening; a groove; a split
Macule - Answer-flat, colored spot on the skin
nodule - Answer-solid, round or oval elevated lesion 1 cm or more in diameter
papule - Answer-small, solid skin elevation
polyp - Answer-growth extending from the surface of mucous membrane
pustule - Answer-elevation of skin containing pus
vesicle lesion - Answer-small collection (papule) of clear fluid (serum) EX. blister
wheal - Answer-small, round, raised area on the skin that may be accompanied by
itching; usually seen in allergic reactions
Melanocytic nevi (moles) - Answer-small uniform and well-demarcated
may darken and get larger during pregnancy
atypical nevi - Answer-larger
ill-defined
irregular
blue nevi - Answer-common in asian descent
malignancy is rare
small
elevated
blue/black
, Description of lesions - Answer-symmetry, border, color, and diameter
Changes in Skin (aging) - Answer-increases in capillary fragility and collagen stiffens
decreases in melanocytes, function of sweat and subcutaneous glands, sensory nerves,
degeneration of elastic fibers
vitilligo - Answer-pigment disappears from an area of the skin
sudden onset of pernicious anemia, hyperthyroidism usually before 21
most common infectious disorders of the skin - Answer-caused by staph and strep
Folliculitis - Answer-inflammation of the hair follicle
staphylococcal folliculitis most common form - diabetes is risk factor
painful, yellow pustules surrounded by erythema with presence of central hair
hot tub folliculitis - Answer-psuedomanas aeruginosa
1-4 days after poorly chlorinated hot tub use
erythematous pustules on torso, buttocks, limbs
folliculitis - treatment - Answer-cleanse the area - chlorhexidene and apply saline
compress
2% mupirocin ointment for limited bacterial folliculitis
pseudomonas treated with ciprofloxacin
Staph aureus treated with dicloxacillin
Herpes Simplex Virus - Answer-HSV 1 - above the waist
HSV 2 - genital
burning or itching
vesicles and erythema
pustules, ulcers, crusts
persists
treatment with herpes simplex virus - Answer-acyclovir - topical, oral, IV, 400 mg t.i.d
Varicella Zoster Virus - Answer-chicken pox
lives in the nerve root and does not go away - can develop into shingles
herpes zoster - Answer-shingles
inflammatory
follows dermatome
latent in the sensory dorsal ganglia
unilateral severe pain
parathesias - pain in the nerve root even after the lesions are gone
treatment for shingles - Answer-shingrix - inactivated recombinant vaccine
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