©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NURS 236 Exam 3 Study Guide Solutions
Structure of the skin - Ans:✔✔-Largest organ of the body.
Essential for maintaining life.
Two layers:
-Epidermis
-Dermis
· Rests on subcutaneous tissue.
· These layers become thin
What happens to the functions of the skin as we age? - Ans:✔✔--decrease
-harder to regulate
Functions of the skin - Ans:✔✔-Protection - barrier
Page 1/79
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Temperature regulation = compensated for both heat and cold
Psychosocial - external appearance
Sensation - touch, pain, pressure, temperature
Vitamin D production - activated by UV rays from the sun
Immunologic - triggered when skin is broken
Absorption - medications
Elimination - sweat (water, electrolytes, and nitrogenous wastes)
Factors Affecting Skin Integrity - Ans:✔✔-- Developmental considerations
Page 2/79
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
- Changes in Health state
Developmental Considerations - skin integrity - Ans:✔✔-Infant
- Fragile, high risk for injury and infection
Child
- Becomes increasingly resistant to injury and infection
Older adult
- Easily damaged
Changes in health state - Ans:✔✔-Dehydration or Malnutrition
-If fluid, protein and vitamin C is deficient...
· Skin loses elasticity and becomes prone to breakdown.
Reduced Sensation (paralysis, nerve damage)
Page 3/79
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-If patient has an inability to sense temperature extremes, pressure, and friction...
· Not able to heal > can cause paraplegia/quadriplegia
· Increased risk for injury (commonly a pressure injury)
Aging adult - skin integrity - Ans:✔✔-Subcutaneous and dermal tissues become thin.
- Increased risk for injury.
- Less capacity to insulate.
- Sensation of pressure and pain is reduced.
Activity of the sebaceous and sweat glands decreases.
- Skin is dryer and itching may occur.
Cell renewal is decreased.
- Prolonged healing time.
Page 4/79
FIRST PUBLISH OCTOBER 2024
NURS 236 Exam 3 Study Guide Solutions
Structure of the skin - Ans:✔✔-Largest organ of the body.
Essential for maintaining life.
Two layers:
-Epidermis
-Dermis
· Rests on subcutaneous tissue.
· These layers become thin
What happens to the functions of the skin as we age? - Ans:✔✔--decrease
-harder to regulate
Functions of the skin - Ans:✔✔-Protection - barrier
Page 1/79
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Temperature regulation = compensated for both heat and cold
Psychosocial - external appearance
Sensation - touch, pain, pressure, temperature
Vitamin D production - activated by UV rays from the sun
Immunologic - triggered when skin is broken
Absorption - medications
Elimination - sweat (water, electrolytes, and nitrogenous wastes)
Factors Affecting Skin Integrity - Ans:✔✔-- Developmental considerations
Page 2/79
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
- Changes in Health state
Developmental Considerations - skin integrity - Ans:✔✔-Infant
- Fragile, high risk for injury and infection
Child
- Becomes increasingly resistant to injury and infection
Older adult
- Easily damaged
Changes in health state - Ans:✔✔-Dehydration or Malnutrition
-If fluid, protein and vitamin C is deficient...
· Skin loses elasticity and becomes prone to breakdown.
Reduced Sensation (paralysis, nerve damage)
Page 3/79
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-If patient has an inability to sense temperature extremes, pressure, and friction...
· Not able to heal > can cause paraplegia/quadriplegia
· Increased risk for injury (commonly a pressure injury)
Aging adult - skin integrity - Ans:✔✔-Subcutaneous and dermal tissues become thin.
- Increased risk for injury.
- Less capacity to insulate.
- Sensation of pressure and pain is reduced.
Activity of the sebaceous and sweat glands decreases.
- Skin is dryer and itching may occur.
Cell renewal is decreased.
- Prolonged healing time.
Page 4/79
