Pressure Ulcers
This stage of pressure injury is characterized by visible muscle/bone/tendon, full-thickness loss of skin, and a loss of the subcutaneous tissue.
what is a stage IV pressure injury?
This is the most frequently occurring skin cancer in the United States.
what is skin cancer?
This vocabulary term describes itching and is a manifestation of all 4 inflammatory integumentary disorders (contact dermatitis, atopic dermatitis, urticaria, psoriasis).
what is pruritus?
This is a type of pain that persists even after the rash from shingles (herpes zoster) has disappeared.
what is post-herpetic neuralgia?
This degree of burn is characterized by affects only the epidermis and causes pain, redness and edema.
what is a first-degree burn?
This simple action is often delegated to assistive personnel (nursing assistants, techs, etc.) to prevent the occurence of pressure injuries.
what is patient repositioning?
As a nurse, we should educate our patients to utilize this protective measure while exposed to sun to prevent skin cancer.
what is sunscreen application?
Urticaria is often caused by a Type I hypersensitivity reaction (systemic anaphylaxis), so this airway impairment is the primary concern for patients who have developed blanchable welts after taking a medication or eating food they are allergic to.
what is angioedema?
This bacterial infection is highly contagious and is characterized by ruptured vesicles that form a honey-colored crust.
what is impetigo?
This tool is utilized for burn patients who have major losses to calculate the TBSA (total body surface area) involved.
what is the rule of Nines?
Upon assessment of a pressure injury on the patient's heel there is a black leathery material (eschar) covering the wound bed. How would the nurse best stage this pressure injury?
what is an unstageable pressure injury?
This is crucial for positive outcomes in those with skin cancer.
Your patient develops this inflammatory integumentary disorder due to prolonged direct exposure to their urine-saturated brief. The patient develops erythema, edema and pruritus at the site of contact.
what is contact dermatitis?
These can be used to prevent both varicella virus (chickenpox) and herpes zoster.
what are vaccinations?
When patients have second and third degree burns, the skin is open, which allows pathogens to enter the tissue. Due to this, they are at an increased risk for this complication.
what is a local infection?
This stage of pressure injury is characterized by skin remaining intact, but skin has nonblanchable erythema.
what is a stage 1 pressure injury?
This is the most significant risk factor for skin cancer.
what is exposure to UV?
This condition is seen in 30% of individuals with psoriasis.
what is psoriatic arthritis?
This type bacterial skin infection causes a red, warm, swollen area on the skin and may lead to sepsis/septic shock if left untreated.
what is cellulitis?
These may be administered to prevent dehydration/hypovolemia for patients with major burns.
what are IV (intravenous) fluids?
These are the 4 primary causes of pressure injuries.
what are pressure, friction, shear and moisture?
This acronym is used to monitor suspicious changes to moles that may indicate skin cancer.
what is ABCD
A - asymmetry
B - border irregularity
C- color variation (blue, white, red)
D - Diameter (>6mm)
This is a primary concern for children who have atopic dermatitis (eczema) due to chronic scratching (the scratching may introduce pathogens).
what are secondary bacterial skin infections?
Your 54-yr-old patient has a history of chickenpox when they were 11 yrs old. The patient has developed a silvery-red vesicular rash on their right lower back. They say the area is very sensitive and itches a lot.
what is herpes zoster (shingles)?
Utilizing the rule of Nines, calculate the TBSA affected with burns on the entire right leg and left arm.
what is 27%?