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PNR201 - MED SURG UNIT 1 EXAM REVIEW QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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PNR201 - MED SURG UNIT 1 EXAM REVIEW QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Practice questions for this set Terms in this set (79) Critical Thinking A method for solving problems. It is a directed, purposeful mental activity by which you evaluate ideas, construct plans, and determine desired outcomes. The Nursing Process Critical thinking, clinical reasoning, and clinical judgement in the language of nursing. Data Collection Assist the RN by systematically gathering and reviewing information about the patient and communicating it to appropriate members of the health care team. Planning Assist the RN in the development of expected outcomes and interventions for a patient's plan of care. Implementation Provide planned nursing care to accomplish expected outcomes. Evaluation Compare actual outcomes of nursing care to expected outcomes and assist with updating the nursing care plan. Risk for Skin Tears - Dry skin with dehydration - Areas of ecchymosis (bruising/bleeding) - Presence of friction, shearing, or pressure from bed or chair - Impaired sensory perception and mobility - Different types of medications - Extended use of corticosteroids Changes in the Integumentary System with Age: - Loss of collagen fibers in the dermis makes the skin fragile and slower to heal. - Skin becomes thinner and more transparent. - Reduced sebaceous gland activity causes dry skin that may itch. - Thinned skin and decreased sebaceous gland activity reduce temperature control. Interventions for Skin Tears - Continuously cleanse the wound. - Conform to the wound. - Absorb exudates. - Keep the wound bed moist and reduce pain and discomfort. Cellulitis Definition is an infection of the dermis and subcutaneous tissue and is generally caused by Staphylococcus Treatment of Cellulitis systemic antibiotics and burrow soaks may be used to relieve pain Signs and Symptoms Cellulitis an area will be erythematous, swollen, and painful. Macule Circumscribed, flat area with a change in skin color - Examples: freckles, petechiae, measles, flat mote (nevus) Papule solid lesion; it is a nodule - Examples: wart (verruca), elevated moles, lipoma, basal cell carcinoma Vesicle circumscribed, superficial collection of serous fluid - Example: varicella (chickenpox), herpes zoster (shingles), second degree burn Plaque circumscribed, elevated superficial, solid lesion - Examples: psoriasis, seborrheic, and actinic keratoses Wheal firm, edematous, irregularly shaped area; diameter variable - Examples: insect bite, urticaria Pustule elevated, superficial lesion filled with purulent fluid - Examples: acne and impetigo Herpes Zoster Definition herpes varicella-zoster causes chickenpox (varicella); mostly in young children, and shingles zoster in all ages. Signs and Symptoms Herpes Zoster Begins with vague symptoms of fatigue and low-grade fever and possibility loss of appetite. They usually are found on the trunk and spread halfway around the body, following the nerve pathways leading from the spinal nerve to the skin. Treatment of Herpes Zoster Symptomatic treatment typically involves administrating analgesic to relieve pain. Capsaicin, an over-the-counter analgesic that is applied topically 5 times a day, decreases pain for some patients. Antibiotics may be prescribed prophylactically against secondary bacterial infection of the lesions. Category 1 Skin Tear a skin tear without tissue loss. Category 2 Skin Tear a skin tear with partial tissue loss. Category 3 Skin Tear a skin tear with complete tissue loss in which the epidermal tissue flap is missing. Contact Dermatitis A delayed allergic response involving cell-mediated immunity Signs and Symptoms of Contact Dermatitis Local skin irritation is evident within a few hours or days after exposure to an antigen. Erythema and swelling, pruritus, and the appearance of vesicular lesions follow. Treatment of Contact Dermatitis Aimed at avoidance of contact irritants or allergens, good skin lubrication, preservation of skin moisture, and control of inflammation and itching. Psoriasis is a noncontagious, chronic, recurring skin disorder that typically appears as inflamed, edematous skin lesions covered with adherent slivery-white scales Signs and Symptoms of Psoriasis plaques most often appear on the skin of the elbows, knees, and base of the spine.

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3/25/25, 7:38 PNR201 - Med Surg Unit 1 Exam Review Flashcards |
AM




PNR201 - MED SURG UNIT 1 EXAM REVIEW QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED

Practice questions for this set


Learn 1/7 Study using Learn




Compare actual outcomes of nursing care to expected outcomes and assist with
updating the nursing care plan.



Select the correct term


1Critical Thinking
2Wheal




3Category 1 Skin Tear 4Evaluation




Don't know?




Terms in this set (79)


A method for solving problems. It is a directed, purposeful mental activity by which
Critical Thinking
you evaluate ideas, construct plans, and determine desired outcomes.

The Nursing Process Critical thinking, clinical reasoning, and clinical judgement in the language of nursing.

Assist the RN by systematically gathering and reviewing information about the
Data Collection
patient and communicating it to appropriate members of the health care team.

Assist the RN in the development of expected outcomes and interventions for a
Planning
patient's plan of care.

Implementation Provide planned nursing care to accomplish expected outcomes.

Compare actual outcomes of nursing care to expected outcomes and assist with
Evaluation
updating the nursing care plan.

- Dry skin with dehydration
- Areas of ecchymosis (bruising/bleeding)
- Presence of friction, shearing, or pressure from bed or chair
Risk for Skin Tears
- Impaired sensory perception and mobility
- Different types of medications
- Extended use of corticosteroids




1/
5

, 3/25/25, 7:38 PNR201 - Med Surg Unit 1 Exam Review Flashcards |
AM
- Loss of collagen fibers in the dermis makes the skin fragile and slower to heal.
Changes in the Integumentary System with - Skin becomes thinner and more transparent.
Age: - Reduced sebaceous gland activity causes dry skin that may itch.
- Thinned skin and decreased sebaceous gland activity reduce temperature control.

- Continuously cleanse the wound.
- Conform to the wound.
Interventions for Skin Tears
- Absorb exudates.
- Keep the wound bed moist and reduce pain and discomfort.

is an infection of the dermis and subcutaneous tissue and is generally caused by
Cellulitis Definition
Staphylococcus

Treatment of Cellulitis systemic antibiotics and burrow soaks may be used to relieve pain

Signs and Symptoms Cellulitis an area will be erythematous, swollen, and painful.

Circumscribed, flat area with a change in skin color
Macule
- Examples: freckles, petechiae, measles, flat mote (nevus)

solid lesion; it is a nodule
Papule
- Examples: wart (verruca), elevated moles, lipoma, basal cell carcinoma

circumscribed, superficial collection of serous fluid
Vesicle
- Example: varicella (chickenpox), herpes zoster (shingles), second degree burn

circumscribed, elevated superficial, solid lesion
Plaque
- Examples: psoriasis, seborrheic, and actinic keratoses

firm, edematous, irregularly shaped area; diameter variable
Wheal
- Examples: insect bite, urticaria

elevated, superficial lesion filled with purulent fluid
Pustule
- Examples: acne and impetigo

herpes varicella-zoster causes chickenpox (varicella); mostly in young children, and
Herpes Zoster Definition
shingles zoster in all ages.

Begins with vague symptoms of fatigue and low-grade fever and possibility loss of
Signs and Symptoms Herpes Zoster appetite. They usually are found on the trunk and spread halfway around the
body, following the nerve pathways leading from the spinal nerve to the skin.

Symptomatic treatment typically involves administrating analgesic to relieve pain.
Capsaicin, an over-the-counter analgesic that is applied topically 5 times a day,
Treatment of Herpes Zoster
decreases pain for some patients. Antibiotics may be prescribed prophylactically
against secondary bacterial infection of the lesions.

Category 1 Skin Tear a skin tear without tissue loss.


Category 2 Skin Tear a skin tear with partial tissue loss.

Category 3 Skin Tear a skin tear with complete tissue loss in which the epidermal tissue flap is missing.

Contact Dermatitis A delayed allergic response involving cell-mediated immunity

Local skin irritation is evident within a few hours or days after exposure to an
Signs and Symptoms of Contact Dermatitis
antigen. Erythema and swelling, pruritus, and the appearance of vesicular lesions
follow.
Aimed at avoidance of contact irritants or allergens, good skin lubrication,
Treatment of Contact Dermatitis
preservation of skin moisture, and control of inflammation and itching.

is a noncontagious, chronic, recurring skin disorder that typically appears as
Psoriasis
inflamed, edematous skin lesions covered with adherent slivery-white scales

Signs and Symptoms of Psoriasis plaques most often appear on the skin of the elbows, knees, and base of the spine.




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