week 9: integ sys

Question 1

describe wound care basics

Answer 1

• wash wound w mild soap and water and rinse
• avoid povidone-iodine, alc, and hydrogen peroxide (toxic to wounds)
• cover open wound; leave wide margin of intact skin around dressing, remove dressing if leakage; remove carefully

Question 2

pruritus

Answer 2

most common complaint w skin lesions
itching

Question 3

describe some relief of symptoms for integ sys

Answer 3

prevent scratching; mittens/covering for younger children, short nails, antipruritic meds
cooling baths or compresses
prevent scratching
- mittens/covering for younger children
- short nails
- antipruritic meds

Question 4

infection of the skin

Answer 4

• bacterial infections
• abscess formation
• severity varies w skin integrity, immune and cellular defenses

Question 5

what causes diaper dermatitis, describe some nursing considerations

Answer 5

• usually from irritation of urine and feces
• detergents inadequately rinsed from clothing
• chem irritation (from diaper wipes)
• nursing considerations: alter wetness, pH, and fecal irritants
• candidiasis of diaper area

Question 6

describe atopic dermatitis (eczema)

Answer 6

• type of pruritic eczema that begins during infancy
• hereditary tendency
• often associated w history of food allergies, allergic rhinitis, and asthma

Question 7

potential causes of burns in toddlers, older children

Answer 7

toddler: hot-water scalds
older children: flame-related burns
child abuse
child w matches or lighters accounts for 1 in 10 house fires

Question 8

describe a first degree injury

Answer 8

superficial

sunburn, low-intensity flash, brief scald

looks dry surface; red; blanches on pressure and refills; minimal or no edema

painful; sensitive to touch

Question 9

2nd degree burn

Answer 9

partial thickness

scalds; flash flame

blistered; moist; serious drainage; edema; mottled pink or red, reddened; blanches on pressure and refills

very painful; sensitive to touch

Question 10

3rd degree burn

Answer 10

full thickness

fire; contact w hot objects

touch, leathery; marbled, pale, white, brown, tan, black, or red, does not blanch on pressure; dull, dry; edema

variable pain, often severe

Question 11

4th degree burn

Answer 11

full thickness + underlying tissue

Question 12

emergency care priorities for burns

Answer 12

• stop burning process
• assess victim’s condition
• cover burn to prevent contamination
• transport child to appropriate level of care
• provide reassurance

Question 13

first priority for burn management

Answer 13

airway maintenance

Question 14

when is fluid management replacement crucial in for burns

Answer 14

first 24 hrs

Question 15

describe nutrition for burns

Answer 15

enhanced metabolic demands

Question 16

what medications are good for burns

Answer 16

antibiotics, analgesics, anesthetics for procedural pain

Question 17

what environment promotes wound healing for burns

Answer 17

moist