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Medical-Surgical Nursing, 9th Ed., Ignatavicius & Workman, 2018

Unit VI - Interprofessional Collaboration for Patients With Problems of the Skin, Hair, and Nails

Skin Anatomy

Epidermis

Which of the following is considered to be the outside layer of the skin?

Keratinocytes

Which of the following are the barrier cells that protect the body from environmental damage?

Melanocytes

Which of the following is found at the bottom of the epidermis and gives skin its color?

Dendritic Cells

Which of the following are antigen-presenting immune cells located in the epidermis?

Merkel Cells

Which of the following cells are involved in the body's sensation to touch and determination of shapes and textures of objects?

Dermis

Which of the following is considered to be the middle layer of the skin?

Sweat Glands

Which of the following secrete water and help the body decrease temperature during stress, exercise, or fever?

Hair Follicles

Which of the following are rooted in the dermis but extend all the way up to the epidermis?

Sebaceous Glands

Which of the following glands secrete a waxy and oily substance onto the hair and skin?

Hypodermis

Which of the following is composed of connective tissue that attaches the skin to the skeleton?

Characteristics

Skin Functions

Thermoregulation

Which best describes a main function of skin?

Protection

Innate Immune Protection

Synthesize Vitamin D

Which of the following is a characteristic most likely associated with the function of skin?

Water and Salt Excretion

Dilated Capillaries are a Blood Reservoir

ABCDEs of Melanoma

Asymmetry

Which of the following is most likely associated with ABCDEs of melanoma?

Border

Color

Diameter

Evolving

Pressure Ulcers

Types

Stage 1 - Non-Blanchable Redness

What best describes a stage 1 pressure ulcer?

Stage 2 - Partial Thickness

What best describes a stage 2 pressure ulcer?

Stage 3 - Full Thickness Skin Loss

What best describes a stage 3 pressure ulcer?

Stage 4 - Full Thickness Tissue Loss

What best describes a stage 4 pressure ulcer?

Unstageable

What best describes a pressure ulcer that has dead tissue obscuring it like a scab?

Possible Deep Tissue Injury

What should you be concerned about when finding a pressure ulcer that looks like a deep bruise?

Considerations

Skin Color Alterations

Regarding pressure ulcers, what clinical finding cannot be relied upon necessarily in assessing severity?

Remove Necrotic Tissue Before Staging

What is an important diagnostic consideration regarding pressure ulcers?

24 - Assessment of the Skin, Hair, and Nails

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 - Unit VI - Interprofessional Collaboration for Patients With Problems of the Skin, Hair, and Nails - Ignatavicius MedSurg 9th Ed - 24 Assessment of the Skin, Hair, and Nails for Nursing RN

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