Basic Skin
Diagnostic Testing
Skin Tears
Wound/Tear Tx
Misc.
100
Protection, waterproofing, water loss prevention, and acts as first line of defence against outside sources
What is the function of the Skin?
100
This test requires the removal of the core of the center of lesion
What is Punch biopsy
100
Payne-Martin classification of skin tears
What is the name of the skin tear categories?
100
This type of skin tear will require the nurse to cut off the nonviable flap with sterile scissors
What is Cat. III skin tear?
100
Used in rinse water of laundry to remove soap residue for those who have skin irritation problems
What is Vinegar
200
Causes elastic fibers and adipose tissue to decrease in dermis & SQ layers causing wrinkles and sagging
What is age related changes?
200
used to identify causative organism so meds can be prescribed appropriately
What is C&S
200
Avoid wearing sharp jewelry, moving patient too quickly, etc.
What is how a nurse can prevent causing skin tears to a patient?
200
Treatment includes using steri-strips, vaseline gauze, as a barrier if wound isn't healing
What is Cat. II skin tear
200
medicated baths, laundry, application of wet compresses or dressings, application of topical therapy
What is types of general skin treatments?
300
Includes: Hygiene, Diet, Age, and Environment
What is Skin Disorder Prevention?
300
Location on older adults where skin turgor should be checked
What is upper chest
300
Defined as a skin tear w/o tissue loss
What is Category I skin tear?
300
This type of dressing should be applied to a skin tear that is bleeding (Type II)
What is Alginate dressing?
300
This type of dressing is NEVER to be used over a skin tear.
What is Tegaderm?
400
Apply while skin is still damp helps to seal in moisture and should be reapplied at bedtime
What is appropriate way to apply lotions and creams?
400
On admission, q24hrs, preferrably during bath/shower time if possible
When are Skin Assessments performed?
400
Defined as skin tear w/ complete tissue loss missing epidermal flap
What is Category III skin tear?
400
This type of skin tear requires the nurse to replace skin flap and leave in place for?
What is 5 days (w/o peaking)
400
This type of dressing is soaked w/ prescribed solution and wrapped in airtight waterproof material
What is Closed Dressing
500
Should have a full bath once a week and a "bird bath" daily of armpits and genital/rectal areas.
How often older adults should bathe?
500
Including getting consent signed, reinforcing procedure info to pt, checking allergies, apply dressing, give verbal/written discharge instructions
What is Nsg responsibilities for diagnostic testing & procedures?
500
Defined as a skin tear w/ partial tissue loss
What is Category II skin tear?
500
Includes long sleeves, pants, padding on bed, wheelchairs, etc
What is protection against skin tears?
500
ABCD's used for?
What is checking asymmetrical, irregular border, color, diameter change
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