Tissue Integrity (RNSG 1430) Questions & Answers

What is the largest organ in the body? - ANSWERSSkin (integumentary system) Sub-Concepts of Tissue Integrity - ANSWERSPrimary prevention, 3 stages of wound, self-care behavior Tissue Integrity - ANSWERSthe ability of body tissues to regenerate and/or repair to maintain normal physiological processes Postive consequences - ANSWERSprotection from injury/trauma, protection from infection, adaption to environment Patients don't move because - ANSWERSthey are in pain but can't feel the pain Chain of Infection - ANSWERSInfectious agent A reservoir or source for pathogen growth a port of exit from the source a mode of transmission a port of entry to a host a susceptible host Infectious agents include - ANSWERSbacteria, viruses, fungi, protozoa Impetigo Contagiosa - ANSWERS Is impetigo Contagious? - ANSWERSYes, Impetigo is contagious, meaning it can spread to others. You can catch this infection if the fluid that oozes from the blisters touches an open area on your skin. Diagnostic Tests for Impetigo - ANSWERSPhysical exam Wound culture Treatment for Impetigo - ANSWERSgood hand hygiene and hand washing, warm compresses, burrow solution compresses, topical antibiotics Psoriasis - ANSWERSautoimmune disorder producing red lesions covered with silvery scales what is the most common type of psoriasis - ANSWERSPsoriasis vulgaris Treatment for Psoriasis - ANSWERStopical therapy, steroids, tar, UV light, Tazaroten, biologics that suppress the immune system and cytotoxic agents Goals regarding Trauma and Surgical Wounds - ANSWERSInitial and secondary goals: control bleeding, prevent infection, control pain, assess signs of shock Contaminated vs. Infection - ANSWERSContamination: a wound that is exposed is always contaminated but not always infected. Contamination is the presence of organisms without any manifestations of infection Infection: wound is contaminated with pathogenic organisms to that degree that growth and spread cannot be controlled by the body's immune defense Partial thickness wounds vs. full thickness wounds - ANSWERSpartial thickness: damage to the epidermis and upper layers of dermis. Takes 5-7 days for re-epithelialization full-thickness: damage extends the lower layer of dermis and underlying subcutaneous tissues. Removal of tissue means granulation tissue must be added for full healing Hyperbaric Oxygen Treatment - ANSWERS Factors that delay wound healing - ANSWERSvitamin c, protein, zinc, corticosteroids, infection, smoking, advanced age What is Candida (thrush)? - ANSWERSyeast infection where can you see candida? - ANSWERSskin, orally or vaginally treatment for candida - ANSWERSkeep skin dry medicated powders and creams Nystatin (medicated mouthwash used for cancer patients) Tinea - ANSWERSRingworm; a fungal infection of the skin Treatment for Tinea - ANSWERSAnti-fungal sprays and creams pediculosis? - ANSWERSinfestation of human lice Pressure Ulcers Stages - ANSWERS Mechanical forces that create ulcers - ANSWERSpressure, friction and shear What scale is used to predict risk for pressure ulcers? - ANSWERSBraden Scale Partial Thickness wound repair - ANSWERS1. inflammatory response 2. epithelial proliferation and migration 3. reestablishment of epidermal layers