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Learning Quiz | Integumentary Disorders
Terms in this set (10)
The healthcare provider is teaching a community class about early screening for malignant melanoma. The healthcare provider should be concerned with which questions/concerns raised by audience members?
I have noticed that the mole on my back is changing shape and has developed an irregular border.
An ABCD rule has been developed to aid in early diagnosis and timely treatment of malignant melanoma. The ABCD acronym stands for asymmetry, border irregularity, color variegation, and diameter greater than 6 mm (1/4 inch or pencil eraser size). People should be taught to watch for these changes in existing nevi or the development of new nevi, as well as other alterations such as bleeding or itching. Because of the existence of small-diameter melanomas (i.e., <6 mm in diameter), it has been suggested that people routinely screen their skin for all possible manifestations of skin cancer.
A provider notes a rash on an adult's left thigh that consists of small, fluid-filled blisters following along a dermatome. The client reports noticing the area burned and tingled. The provider likely will diagnose these signs and symptoms as being which type of infection?
The combination of a tingling/burning feeling on a side of the body followed by a rash of small fluid-filled blisters is known as herpes zoster or shingles. It is a reactivation of the chickenpox virus (varicella zoster) and occurs along a nerve pathway (dermatomal). Cutaneous bleeding with purple areas of bruising (purpura) occurs in dependent areas where the capillary pressure is higher. Chickenpox is caused by herpevirus, varicella. It is a common childhood disease. There are three charachteristic skin lesion: macule, vesicle, and granular scab. Herpes simplex virus infections of the skin and mucous membrane are commonly called cold sore or fever blister.
Which term is used to denote the pigmentation disorder in which the skin develops white patches on the face and arms?
The condition described above that comes on suddenly is vitiligo. Albinism is present from birth, and melasma involves dark spots on the skin. Paleness is a term used to denote minimal skin color.
The healthcare provider is assessing a client's skin and notices a few papules. What is the best description to include in the assessment about papules?
Small, raised superficial lesions
Papules are small, raised superficial lesions. Plaque is a flat-topped solid lesion. Cyst is a closed, rounded space containing fluid.
An older adult client has arrived at the physician's office complaining of a rash. Upon further investigation, the client states the rash feels like a burning pain but also has some tingling. It is extremely sensitive to touch. The healthcare provider notes that the rash is made up of vesicles and located on the right thoracic region. The healthcare provider suspects the client has:
All of the characteristics point to herpes zoster. The vesicles erupt for 3-5 days along the nerve pathway (hence the reason for the burning pain). Eruptions usually are unilateral in the thoracic region, trunk, or face. Rubella (German measles) is characterized by a diffuse, punctuate, macular rash that begins on the trunk and spreads to the arms and legs. Varcella (chickenpox) has a macular stage where it develops within hours over the trunk, spreading to the limbs, mucosa, scalp, axillae, upper respiratory tract, and conjunctiva. HPV causes genital warts and is a sexually transmitted infection.
A client has a burn that involves the entire epidermis and various degrees of the dermis. It is painful, moist, and blistered. The healthcare provider recognizes the burn as:
Second-degree partial thickness
Second-degree partial-thickness burns involve the epidermis and parts of the dermis. First-degree partial-thickness burns involve only the outer layers of the epidermis. Third-degree full-thickness burns extend into the subcutaneous tissue and may involve bone and muscle. Second-degree full-thickness burns involve the entire epidermis and dermis.
Which description best summarizes the etiology of pressure injuries?
Unrelieved pressure on the skin causes decreased blood and lymph flow that leads to pressure injury development.
A client has sustained serious first degree, second degree, and third degree burns in a fire. Which best describes this full-thickness burn and the burned area that involves subcutaneous tissue, muscle, and bone?
Constant contact with the skin over the bony prominences causes an increased pressure that impairs the capillary blood and lymph flow, resulting in tissue ischemia. Pressure injuries also can result from prolonged moisture, not dryness, and do not originate from skin tears. Pressure injuries are not always preventable.
Pressure ulcers can occur quickly in the older adults and in those who are immobile. What is a method for preventing pressure ulcers?
Frequent position changes
Methods for preventing pressure ulcers include frequent position change, meticulous skin care, and frequent and careful observation to detect early signs of skin breakdown.
A client comes in with a mild sunburn. Which term best describes the sunburn?
First-degree burns (superficial partial-thickness burns) involve only the outer layers of the epidermis. They are red or pink, dry, and painful. There usually is no blister formation. A mild sunburn is an example.
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