-
the nurse is instructing the pt on proper skin protection from the sun. what are the instructions she/he should give the pt?
wear a wide brim hat, long sleeves, sunscreen with spf 15 or higher 15 mins before going in sun or swimming. avoid direct sunlight from 10am to 4pm
-
what is the purpose of wet drssings and Burrows solution? when would cold compresses be applied and why?
promote healing and vasoconstriction
-
how would you assess a cyanotice pt with dark skin
lips, mucous membranes
-
what is malignant melanoma and how does it appear on the skin? what is a nevous?
-
how do you prevent malignant melanoma?
sunscreen, avoid exposure
-
how would you know if a pt's respiratory system has been affected if they are burned? what would you assess frequently?
- singed facial hair, soat in throat, hoarseness, burnt face, black tinged sputum, stridor
- airway
-
what kind of care would you plan for a pt with eczema?
treat symptoms, use wet dressings to maximize hydration, apply topical steroids, coal tar, lotion
-
when a pt has over 24% of his body burned, the nurse needs to assess the pt for fluid overload. describe what happens.
- initiate IV fluid-amt r/t burn %-weight pt so dr can determine amount
- insert foley cath for hrly output-hourly output of 30-50mL recommended
- IV fluids given to maintain renal profusion
-
what is the tx for genital herpes? how would you know if the tx is effective?
- no cure, Acyclovir-inhibits viral reproduction
- lesions present 7-14 days
-
describe the nursing assessement for tinea corporis.
extreme pruritus and tenderness, lesions flat with clear centers and erythematous borders on nonhairy body parts
-
what are the nursing interventions for dermatitis venenata?
wash affected part ASAP after contact with allergan. cool open dressings
-
what is wound debriding? why is it so important?
removal of damaged tissue and cellular debris from a wound or burn to prevent infection and promote healing
-
what are the txs for severe pruritis with generalized macular papular skin eruptions?
apply anesthetic, loose clothing
-
what is herpes zoster and how is it spread? who has the greatest risk for infection of herpes zoster?
- shingles
- physical contact
- young and elderly
-
what is impetigo and what does it look like? who is more prone to impetigo?
-
what is tinea capitis? what causes tinea capitis?
ringworm on the scalp, warm soak, Borrows solution, antifungal
-
what is urticaria? what does it look like? and what usually causes it?
hives, wheals, histamine
-
what is acne vulgaris? how does it affect people who have it?
-
what ethinic culture is more likely to develop a keloid? what does keloids look like and what causes keloids?
- dark skin
- overgrowth of scar tissue
-
when does the greatest fluid loss occur in a pt who has been badly burned?
12 hours
-
most deaths occur (in the emergent phase of a burn) due to what? why would they be transferred to a burn center?
- hypovelmic shock
- further shock
-
how do you get carbon monoxide poisoning? what does carbon monoxide do to hemoglobin?
-
what is the most common complication of burns? when does it occur?
- infection
- 72 hours after burn
- acute
-
what is Curling's ulcer? when does it develop? what is the first sign?
duodenal ulcer, 8-14 days after burn, blood
-
how do you prevent chilling in a burned pt?
keep room at 85 degrees
-
what is a carbuncle? how is a carbuncle treated? how do you know if tx is successful?
- cluster of boils
- warm compresses
- after rupture pain is decreased
-
know the rule of 9's.
- each part of the body is divided into 9%
- see p. 1332
|
|