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PNR201 - MED SURG UNIT 1 EXAM REVIEW QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Practice questions for this set
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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
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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
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, 3/25/25, 7:38 PNR201 - Med Surg Unit 1 Exam Review Flashcards |
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- 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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