Integumentary Dysfunction Worksheet Mrs. Smith needs home

Integumentary Dysfunction Worksheet Mrs. Smith needs home instruction in caring for her 10-year old boy who sustained a deep wound on his foot when he fell off his bike. He has a history of diabetes mellitus. What factors in her son’s life might delay his wound healing? Formulate a nursing diagnosis for him and the situation. Mrs. Ryan brings her 5-year old Sean to the clinic because he has several patches over his legs and arms that are red, swollen, and itching. She reports he was out playing in a wooded area with his father 2 days earlier. On assessment, you discover that Sean has localized, streaked impetiginous lesions typically resulting from poison ivy, sumac, or oak. What is the treatment of choice for this type of rash? Identify 3 nursing interventions for teaching Sean’s family how to immediately respond to this type of incident in the future. Britney, age 8 years, is brought to the pediatric health center by her mother. Her mother states that Britney has been scratching her head and she has found small white specks on Britney’s hair. Britney’s mother brings a note from the school stating that head lice has been found in several children in her classroom. Why are schoolchildren highly susceptible to infestations of head lice? What causes the characteristic itching seen with pediculosis? What is the drug of choice in treatment of pediculosis? What other factors must accompany the treatment of pediculosis for it to be effective? Match the following terms with the definitions. ____a. erythema ____b. ecchymosis ____c. petechiae ____d. Primary lesion ____e. Secondary lesion ____f. macule ____g. plaque ____h. patch ____i. wheal Tiny pinpoint and sharply circumscribed spots in the superficial layers of the epidermis. Localized red or purple discoloration caused by extravasation of blood into the dermis and subcutaneous tissues. Changes that result from alteration in a lesion, such as those caused by rubbing. A reddened area caused by increased amounts of oxygenated blood into the dermal vasculature. Skin changes produced by some causative factor. Elevated, flat topped, and firm; rough, superficial papule greater than 1 cm in diameter. Flat, nonpalpable, and irregular in shape; macule greater than 1 cm in diameter. Flat, nonpalpable, and circumscribed; less than 1 cm in diameter; brown, red-purple, white, tan Elevated, irregular-shaped area of cutaneous edema; solid pale pink with light center. Identify the 4 stages of wound healing and factors that affect it. Identify the layers of the skin. Match the definitions with the skin conditions. ____a. impetigo contagiosa ____b. cellulitis ____c. pyoderma ____d. folliculitis ____e. seborrheic dermatitis ____f. atopic dermatitis (eczema) ____g. diaper dermatitis Inflammation of skin and subcutaneous tissues with intense redness, swelling, and firm infiltration; lymphadenitis, “streaking” frequently seen. Begins as a reddish macule; ruptures easily, leaving superficial, moist erosion; exudate dries to form heavy, honey-crusted crusts Infection of the hair follicle. Deeper extension of infection into the dermis; systemic effects include fever and lymphadenitis. Appears on scalp, face, arms, and legs; lesions are red, have papules and vesicles, and are itchy. Appears on the scalp, eyelids, and external ear canal; lesions are thick, yellowish, and scaly. Appears on convex skin surfaces of buttocks, inner thighs, mons pubis, or scrotum. What factors are considered in assessing the severity of a burn? List the primary concerns in the therapeutic management of major burns? List the definition for the following types of burns. Partial-thickness (second-degree) burn Superficial (first-degree) burn Fourth-degree (Full-thickness) burn Third-degree (Full-thickness) burn

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