NU272 EXAM 3: The Concept of Tissue Integrity
m:
- leathery/rigid crust over wound
- circumferential constriction of torso or extremity
- gangrene (severe)
what are the
manifestations/interventions i:
for eschar? - remove eschar (debridement)
- assist in preforming escharotomy
- use hydrotherapy
m:
- swelling
- spongy/boggy skin palpated
- increased compartment pressure
- pitting upon pressure
- in lungs: atelectasis, labored breathing, stridor
what are the
i:
manifestations/interventions
- elevate edematous area
for edema? - apply compression to stimulate blood flow
- admin diuretics
- maintain pt airway
- ensure adequate fluid intake
- use vacuum-assisted closure
m:
- clear/straw-colored exudate (serous)
- milky exudate (purulent)
- bright/dark red exudate (sanguineous)
what are the i:
manifestations/interventions - cleanse exudate from wound
for exudate? - cover with sterile, absorptive bandage
- collect purulent exudate for culture/sensitivity testing
- apply antibacterial ointments
-apply pressure to bleeding wound or cover with procoagulant
, bandage
m:
- darkening of skin at site of injury (blue/black, red, purple, green,
yellow)
what are the
manifestations/interventions i:
for bruising? - apply ice
- admin analgesics
- most heal on their own
what are the classifications infectious, inflammatory, neoplastic
of skin disorders?
infectious skin disorders caused by bacterial, fungal, viral, or parasitic agents
- caused by exposure to environmental stresses
inflammatory skin disorders
- injury to skin
what are primary lesions? macule, patch, papule, plaque, nodule, tumor, vesicle, pustule,
bullae, wheal
- result from primary lesions
what are secondary lesions?
- crusts, scales, lichenification, scars, keloids, excoriation, tissue,
erosion, ulcers
what is impetigo? contagious bacterial infection marked by clusters of small
blisters
what is folliculitis? infection of hair follicle
- furuncles: caused by staphylococcal bacteria and involve hair
what are furuncles and follicle
carbuncles? - carbuncles: clusters of furuncles connected beneath
the skin that cause deep pus formation and scarring
what is paronchyia? tissue infection around fingernail that forms an abscess
yeast infection of the mouth or vagina
what is candidiasis?
RF: hot weather, poor hygiene, infrequent
diaper/undergarment changes, altered flora due to
antibiotics, immunosuppression
what is tinea capitis? ringworm of the scalp
, 11/9/25, 12:50 PM NU272 EXAM 3: The Concept of Tissue Integrity
what is tinea corporis? ringworm of the body
what is tinea cruris? fungal infection of the groin
what is tinea pedis? athlete's foot
an inflammation caused by contact with a substance
what is contact dermatitis?
or chemical (allergic/irritant)
- inflammationof skin caused by excessive secretions of
sebaceous glands
what is seborrheic dermatitis?
- incidence/severity affected by climate (worse in cold
weather), genetic factors, neurologic disorders
(especially PD) and emotional/physical stress
results from release of histamine, bradykinin and other
what is uticaria (hives)?
vasoactive substances with the superficial dermis
chronic inflammatory dermatosis involving the skin and mucous
membranes
what is lichen planus?
- is intensely pruritic and can be induced by drugs
(NSAIDs, ACEI, beta blockers, sulfonylureas)
- burning, transient pain and pruritus, an erythematous area,
swelling
bee and wasp stings
- allergic reaction can present urticaria, angioedema,
bronchospasm, refractory hypotension or
combination of these symptoms → known
hypersensitivity should carry an epinephrine auto
injector
impaired skin integrity pain
inflammation infection pruritus
eschar edema exudate brusing
alterations and therapies
(9)
/ 2/19
m:
- leathery/rigid crust over wound
- circumferential constriction of torso or extremity
- gangrene (severe)
what are the
manifestations/interventions i:
for eschar? - remove eschar (debridement)
- assist in preforming escharotomy
- use hydrotherapy
m:
- swelling
- spongy/boggy skin palpated
- increased compartment pressure
- pitting upon pressure
- in lungs: atelectasis, labored breathing, stridor
what are the
i:
manifestations/interventions
- elevate edematous area
for edema? - apply compression to stimulate blood flow
- admin diuretics
- maintain pt airway
- ensure adequate fluid intake
- use vacuum-assisted closure
m:
- clear/straw-colored exudate (serous)
- milky exudate (purulent)
- bright/dark red exudate (sanguineous)
what are the i:
manifestations/interventions - cleanse exudate from wound
for exudate? - cover with sterile, absorptive bandage
- collect purulent exudate for culture/sensitivity testing
- apply antibacterial ointments
-apply pressure to bleeding wound or cover with procoagulant
, bandage
m:
- darkening of skin at site of injury (blue/black, red, purple, green,
yellow)
what are the
manifestations/interventions i:
for bruising? - apply ice
- admin analgesics
- most heal on their own
what are the classifications infectious, inflammatory, neoplastic
of skin disorders?
infectious skin disorders caused by bacterial, fungal, viral, or parasitic agents
- caused by exposure to environmental stresses
inflammatory skin disorders
- injury to skin
what are primary lesions? macule, patch, papule, plaque, nodule, tumor, vesicle, pustule,
bullae, wheal
- result from primary lesions
what are secondary lesions?
- crusts, scales, lichenification, scars, keloids, excoriation, tissue,
erosion, ulcers
what is impetigo? contagious bacterial infection marked by clusters of small
blisters
what is folliculitis? infection of hair follicle
- furuncles: caused by staphylococcal bacteria and involve hair
what are furuncles and follicle
carbuncles? - carbuncles: clusters of furuncles connected beneath
the skin that cause deep pus formation and scarring
what is paronchyia? tissue infection around fingernail that forms an abscess
yeast infection of the mouth or vagina
what is candidiasis?
RF: hot weather, poor hygiene, infrequent
diaper/undergarment changes, altered flora due to
antibiotics, immunosuppression
what is tinea capitis? ringworm of the scalp
, 11/9/25, 12:50 PM NU272 EXAM 3: The Concept of Tissue Integrity
what is tinea corporis? ringworm of the body
what is tinea cruris? fungal infection of the groin
what is tinea pedis? athlete's foot
an inflammation caused by contact with a substance
what is contact dermatitis?
or chemical (allergic/irritant)
- inflammationof skin caused by excessive secretions of
sebaceous glands
what is seborrheic dermatitis?
- incidence/severity affected by climate (worse in cold
weather), genetic factors, neurologic disorders
(especially PD) and emotional/physical stress
results from release of histamine, bradykinin and other
what is uticaria (hives)?
vasoactive substances with the superficial dermis
chronic inflammatory dermatosis involving the skin and mucous
membranes
what is lichen planus?
- is intensely pruritic and can be induced by drugs
(NSAIDs, ACEI, beta blockers, sulfonylureas)
- burning, transient pain and pruritus, an erythematous area,
swelling
bee and wasp stings
- allergic reaction can present urticaria, angioedema,
bronchospasm, refractory hypotension or
combination of these symptoms → known
hypersensitivity should carry an epinephrine auto
injector
impaired skin integrity pain
inflammation infection pruritus
eschar edema exudate brusing
alterations and therapies
(9)
/ 2/19
