Ch 64 Caring for Clients with Integumentary
Disorders: Epidermal and Dermal Structure,
Keratinization and Melanin Pigmentation,
Cutaneous Sensory Receptors, Thermoregulation
Mechanisms (Radiation, Conduction, Convection,
Evaporation), Glandular Secretions (Sebaceous,
Eccrine, Apocrine), Hair Variations, Pressure Injury
Staging, Skin Lesion Classification, Color Variations
and Pathophysiologic Indicators, Mechanical Tissue
Forces (Friction and Shearing), and Diagnostic and
Therapeutic Dermatologic Interventions Including
Cryosurgery, Laser Therapy, Electrodesiccation,
Wood’s Light Evaluation, and Photochemotherapy
Exam Questions Verified and Provided with A+
Graded Rationales Latest Updated 2026
integument
includes structures that cover the bodys exterior surface
epidermis
the outermost layer
dermis
lies below the epidermis, true skin
stratum corneum
outer layer of dead skin cells that forms a tough protective protein (keratin)
keratin
hard protein material found in the epidermis, hair, and nails
How often is the epidermis replaced?
, approx 35-45 days
subcutaneous tissue
layer of skin attached to muscle and bone that is primarily composed of connective tissue and
fat cells
melanin
A pigment that gives the skin its color
radiation
the transfer of surface heat in the environment
conduction
the transfer of heat through contact
evaporation
the loss of moisture or water
convection
the transfer of heat by means of currents of liquids or gases
mechanoreceptors
detect touch, location, pressure, motion, vibration, size and texture
Thermoreceptors
perceive sensations of heat and cold
nociceptors
sense and transmit the location of pain stimuli
vellus hair
wooly or wispy texture
terminal hair
coarser variety that develops at puberty under the influence of androgens in the axillae, pubic,
face, arms, chest, and legs
sebaceous glands
are connected to each hair follicle and secrete an oily substance