University:
West Coast University
Course:
NURS 120 | Introduction to Medical Surgical Nursing
Academic year:

2020
Views:

462

Pages:

2
Author:

gydraddolmxla

Answers CHAPTER 53 INTEGUMENTARY SYSTEM FUNCTION, ASSESSMENT, AND THERAPEUTIC MEASURES AUDIO CASE STUDY Hakem Assesses Skin Lesions 1. Both are fluid-filled. A vesicle is less than 1 cm, and bullae are more than 1 cm in size. 2. Psoriasis. 3. Papules. 4. Only on the wound; applying ointment to intact skin can cause maceration. INTEGUMENTARY STRUCTURES 1. (5) 2. (4) 3. (7) 4. (2) 5. (9) 6. (3) 7. (8) 8. (1) 9. (6) DIAGNOSTIC SKIN TESTS 1. (2) 2. (4) 3. (1) 4. (3) PRIMARY SKIN LESIONS 1. (2) 2. (5) 3. (8) 4. (1) 5. (6) 6. (3) 7. (4) 8. (7) CRITICAL THINKING 1. (a) vesicles; (b) pressure ulcer or injury; (c) skin tear; (d) ecchymosis; (e) cyanosis. 2. (a) Alginates will help absorb exudate and maintain a moist healing environment; silver or another antimicrobial agent can help treat the infection; hydrogels can promote healing and maintain a moist environment; other dressings may also be useful. (b) Impregnated gauze or other nonadherent dressing will help heal the skin tear and protect it from further tears or trauma. REVIEW QUESTIONS—CONTENT REVIEW VOCABULARY The correct answers are in boldface. 1. (5) 2. (1) 3. (2) 4. (3) 5. (4) 1. (4) is correct. (1, 2, 3) are incorrect. 2. (3) is correct. (1, 2, 4) are incorrect. 3. (2) is correct. (1, 3, 4) are incorrect. 4. (1) is correct. (2, 3, 4) are incorrect. 5. (3) is correct. (1, 2, 4) are incorrect. 6. Macule. 1 2 Chapter 53 Answers REVIEW QUESTIONS—TEST PREPARATION The correct answers are in boldface. 7. (4) is correct. (1, 2, 3) are younger and have more moisture and elasticity. 8. (1) is correct. Cyanosis is a bluish color resulting from a decrease in tissue oxygen. (2) is a reddish color. (3) is a yellowish color. (4) is a pale color. 9. (3) results in the decreased ability to maintain warmth. (1, 2, 4) do not affect warmth. 10. (4) provides protection for a skin tear. (1) is used for a deep or infected wound. (2) will adhere to the wound. (3) is used to fill in a deep wound. 11. (3) is correct. Petechiae indicate a clotting problem, so the physician must be informed immediately. (1, 2, 4) are not of use because this is a clotting problem. 12. (1, 3, 5, 6) are correct. Use sterile saline to remove excess drainage and debris from the wound. Using a sterile calcium alginate swab in a rotating motion, swab wound and wound edges 10 times in a diagonal pattern across the entire surface of the wound. (2) is incorrect. Do not swab over eschar. (4) is incorrect. The swab should be sterile, not just clean.