Skin Book

Question 1

**primary vs secondary lesions, what are they, how do we know the difference, examples of each

Answer 1

primary: arise from previously healthy tissue
- macule, papule, patch, nodule, tumor, vesicle, pustule, bullae, wheals

secondary: results from changes in primary lesions
- crusts, scales, lichenification, scars, keloids, excoriation, fissure, ulcer, erosion

Question 2

tinea infection
know the different ones, how are they treated, nursing considerations associated with treatment

Answer 2

capitis: scalp
Corpis: trunk

both can be treated with selenium sulfide shampoo

educate on leaving shampoo on for 10 minutes

Question 3

** lice, know the treatment, special considerations with treatment, nursing consdirations

Answer 3

peticulide shampoo and fine tooth comb

repeat treatment 7-10 days later due to nits being resistant to first treatment

wash linenes, clothes, stuffed animals in hot water

Question 4

scabies, mode of transmission, treatment and management, nursing consideration

Answer 4

direct contact or sexual contact
scabicide proceeded by a bath, leave lotion on for 8-48 hours and repeat again in one week, oral antihistamine for itch, itching will be worse at night

Question 5

impetigo mode of transmission, treatment and management nursing considerations

Answer 5

direct or indirect skin contact, removal of crust and topical antibiotic 3 times a day for 5 days, infection is communicable 24 hours after antibiotic ointment is begun

Question 6

burns, common burn patterns, what do we look for intention vs accidental, how are they classified, burn treatment, fluid replacement and be able to calculate burn % with diagram

Answer 6

accidental: scald, touch, splash marks
abuse: glove burn, absence of splash, sharp demark, story not matching, not taking child to get care,
depth
IV opioids, fluids, antibacterial, tepid NS bath

4mL x % x kg into 8 and 16 hour increments

Question 7

wound healing steps

Answer 7

hemostasis
tissue formation
maturation

Question 8

hemostasis days

Answer 8

3-5 days

Question 9

hemostasis what is occuring

Answer 9

clot

Question 10

tissue formation day

Answer 10

4 days to 2 weeks

Question 11

tissue formation what is occuring

Answer 11

fibrin matrix, granulation forms

Question 12

maturation time frame

Answer 12

months to 2 years

Question 13

what is occuring in maturation

Answer 13

collagen development and scar formaiton

Question 14

s/s of diaper dermatitis

Answer 14

raw, moist, weeping macule or papule

Question 15

what is the most common bacterial skin infection

Answer 15

impetigo

Question 16

what color crust in impetigo

Answer 16

honey

Question 17

thrush s/s

Answer 17

white patches and may bleed with removed

Question 18

thrush treatment

Answer 18

nystatin

Question 19

tinea capitis s/s

Answer 19

scaly pustular bald area
yellow greasy scales
lighter than skin color

Question 20

tinea corpitis s/s

Answer 20

pink scaly circular patch with expanding borders
slightly raised border with clearing center

Question 21

lice s/s

Answer 21

dandruff that sticks to hair
bugs

Question 22

education on lice peticulide treatment

Answer 22

don’t wash for 1-2 days after treatment

Question 23

when do scabies s/s appear

Answer 23

4 weeks after infection

Question 24

scabies s/s

Answer 24

rash with papule and pustules, restless, and severe puritis that worsens at night
lesions are linear, threadlike gray brown and may end in pin point vesicle

Question 25

what is the most common type of burn in children

Answer 25

thermal

Question 26

types of burns

Answer 26

thermal, chemical, electric, radiation

Question 27

decrease temp in burns means

Answer 27

spesis

Question 28

most important for burns

Answer 28

airway

Question 29

what IV solution is preferred

Answer 29

LR