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Skin's appearance, function and texture can be altered by - 🧠 ANSWER
✔✔emotional stress, systemic disease, drugs, and injury
What is the main componant of dermal tissue? - 🧠 ANSWER ✔✔collagen
When skin fragility and transparency present - 🧠 ANSWER ✔✔handle
patients carefully
assess for excessive dryness or moisture
avoid taping skin
,With delayed wound healing the nurse should - 🧠 ANSWER ✔✔avoid skin
trauma and protect open areas
with skin hyperplasia (increase in cell reproduction) and skin cancers the
nurse should - 🧠 ANSWER ✔✔assess non sun exposed areas for baseline
skin features
assess exposed skin areas for sun induced changes
with increased risk for irritation the nurse should - 🧠 ANSWER ✔✔teach
patients how to avoid exposure to skin irritants
with decreased skin inflammatory response the nurse should - 🧠 ANSWER
✔✔make sure to NOT RELY on degree of redness answelling to correlate
with the severity of skin jury or localized infection
with increased risk of sunburn the nurse should - 🧠 ANSWER ✔✔teach
patients to wear hats, sunscreen, protective clothing
teach to avoid sun between 10-4
with changes in pigmentation (liver spots) then nurse should - 🧠 ANSWER
✔✔teach patients to keep track of pigmented lesions
teach them what changes should be evaluated for malignancy
,with increased risk for osteomalcia (soft bones) the nurse should - 🧠
ANSWER ✔✔urge patients to take vitamin or calcium supplement with
vitamin D
With increased risk for shearing forces (causing blisters,purpura, tears,
pressure problems) the nurse should - 🧠 ANSWER ✔✔avoid pulling or
dragging patients.
change positions every two hours
use care when removing adhesive
with increases susceptability to dry skin the nurse should - 🧠 ANSWER
✔✔teach patients to apply moisturizer when skin is still MOIST
avoid drying agents
with increased risk for heat stroke and hypothermia the nurse should - 🧠
ANSWER ✔✔teach patients to dress for enviornmental temps
with paper thin translucent skin the nurse should - 🧠 ANSWER ✔✔avoid
tape/tight dressings
handle carefully
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, with decreased tone and elasticity the nurse should - 🧠 ANSWER ✔✔check
skin turgor on FOREHEAD or CHEST
with cherry hemangiomas the nurse should - 🧠 ANSWER ✔✔teach patient
these are benign
with reduced sensory perception the nurse should - 🧠 ANSWER ✔✔teach
patients to reduce water heater temp and use bath themometer
with increased hair thinning the nurse should - 🧠 ANSWER ✔✔suggest
wearing hats to avoid sunburn and prevent heat loss in winter
with gradual loss of hair color (graying) the nurse should - 🧠 ANSWER
✔✔teach patients that hair color loss can happen at any age
with increased risk for nail fungal infections the nurse should - 🧠 ANSWER
✔✔inspect nails and teach patients to keep feet warm and dry
with longitudinal nail ridges the nurse should - 🧠 ANSWER ✔✔use the
mucosa to assess for nail ridges
with thickened toenails that may overhang the toes the nurse should - 🧠
ANSWER ✔✔use fingernails to assess capillary refill
do not use nail appearance alone to assess for fungal