fundamentals > tissue integrity > Flashcards

tissue integrity Flashcards

(58 cards)

Study These Flashcards
1
Q

epidermis

A

outermost layer with 4-5 stratum layers, also contains keratinocytes and melanocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

dermis

A

second layer made of connective tissue, layer has a rich blood supply, nerve fibers, and lymphatic vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

subcutaneous

A

loose connective tissue and fat cells. an insulator and cushion for the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

epidermis tissues

A

keratinocytes
melanocytes
langerhans cells
merkel cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

skin functions

A

-protection
-barrier from virus and bacteria
- insulation
- sensory perception
- control of heat regulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

classifications of skin disorders

A

infections
inflammation
neoplastic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

types of infections

A

bacteria
fungal
viral
parasitic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

inflammation examples

A

acne
burns
eczema
dermatitis
psoriasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

neoplastic examples

A

squamous cell carcinoma, basal cell carcinoma, malignant melanoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

common skin disorders

A

dermatitis
insect + spider bites
infestations
acne vulgaris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

primary lesion

A

arise from previously healthy skin
-macules, patches, papules, nodules, tumors, vesicles, pustules, bullae, and wheals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

secondary lesions

A

result from changes in primary lesions
- crusts, scales, scars, keloids, erosion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

skin turgor

A

pinching the skin near the clavicle, sternum, abdomen or forearm then letting go

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

tenting

A

when during skin turgor test, skin does not return to place but stays up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

closed vs open wound

A

closed: tissues are traumatized w/o break in skin

open: skin or mucous membrane surface is broken

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

6 types of wounds

A

incision
contusion
abrasions
puncture
laceration
penetrating wound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

partial vs full thickness

A

partial: confined to dermis and epidermis

full: involves dermis, epidermis, SQ tissue, and muscle and bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

treatment of wounds shortly after injury

A

control severe bleeding
prevent infection
control swelling
assess for signs of shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

4 phases of wound healing

A
  • hemostasis (many times included in the inflammatory phase
  • inflammatory
  • proliferative
  • maturation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

inflammatory phase

A

localized redness
edema
warmth
throbbing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

proliferative phase

A

wound filled w/ granulation tissue
- would contracts to reduce area that requires healing
- reepithelialziation of the wound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

primary intention healing

A

-minimal or no tissue loss
- formulation of minimal granulation. + scarring
- sutured or stapled

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

secondary intention healing

A

extensive tissue loss, edges cant be closed, greater scarring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

tertiary intention healing aka delayed primary closure

Study These Flashcards
A

wound closure that occurs when a wound is initially left open to heal by secondary intention and then later closed surgically

25
contributing factors to skin breakdown
friction shear
26
pressure injury risk factors
immobility inadequate nutrition incontinence
27
pressure injury preventative measures
assessments providing nutrition + hygiene maintaining skin hygiene
28
braden scale
assesses patient's risk of developing a pressure injury
29
pressure injury nursing interventions
- implement a turn schedule - apply barrier cream - skin assessment - provide ROM exercises
30
stage 1pressure injury
non blanchable erythema of intact skin
31
stage 2 pressure injury
partial thickness loss involving epidermis and/or dermis - blisters!!!
32
stage 3 pressure injury
full thickness skin loss involving damage or necrosis of SQ tissue that may extend down to underlying fascia no muscle or bone
33
stage 4 pressure injury
full thickness skin loss w/ extensive destruction, tissue necrosis, or damage to muscle bone
34
4 aspects of wound care
- tissue management - infection and inflammation control - moisture balance - epithelial edge advancement
35
4 wound bed tissue types
granulation fibrin slough eschar
36
granulation
red, firm, pebbled
37
fibrin
yellow, firm and may represent
38
slough
yellow to gray-green and loose
39
eschar
black, soft and wet or hard and dry. necrotic tissue
40
serous exudate
thin watery, clear to yellow,. odorless
41
serosanguineous exudate
thin watery, pink to light red, usually odorless
42
sanguineous exudate
bright red blood
43
seropurulent exudate
thick watery, white to cream colored and possibly foul odor
44
purulent exudate
thick, translucent to opaque. white to cream and possibly foul odor
45
what do you debride
devitalized tissue, wound edges, presence of biofilm is suspected or confirmed
46
pressure injury diagnostic test
-leukocyte - ESR - hemoglobin - blood coagulation - serum protein analysis - wound cultures
47
what measure would be used to determine protein deficiency in the wound of a patient
serum albumin + prealbumin
48
labs for pressure injuries
albumin, prealbumin, tranferrin- these labs show protein status
49
best lab for pressure injuries
Prealbumin is best because it's the most recent data
50
pressure injuries dressings
hydrocolloid transparent film
51
benefit of elastic bandages over dressings
secures splits prevents edema secures dressings creates pressure
52
binder over abdominal incision purpose
supporting the wound, secure with velcro strips
53
dressing for clean stage TWO injury
hydrocolloid hydrogel polymeric
54
dressing for clean stage THREE injury
calcium alginate foam honey impregnated
55
dressing for unstageable pressure injury
adherent film dressing
56
dressing for deep pressure injury w/ exudates
hydrogel dressings (gauze dressings w/ gel)
57
stage 1 dressig
skin prep granulex transparent film hydrocolloid
58
pressure injury diagnostic test
leukocyte esr hemoglobin blood coagulation serum protein analysis wound cultures
fundamentals
flashcards
Decks in class (43)
# Cards
Brainscape helps you reach your goals faster, through stronger study habits.
© 2026 Bold Learning Solutions. Terms and Conditions