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NSG 331 Med-Surg Final Exam
Review 2025: Cardiac, Neuro &
Respiratory System Mastery
*(400+ NCLEX®-Style Practice
Questions, 6 Simulated Exams,
Pharmacology Cheat Sheets & 98%
Pass Rate Strategies)
TOPICS
,NSG 331 Med-Surg Final Exam Review
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CHAPTER 13
Dermatitis (p. 200)
1. Allergic contact dermatitis
2. Irritant dermatitis
3. Nummular eczema
4. Seborrheic dermatitis
5. Stasis dermatitis
6. Atopic dermatitis
• Usually called eczema
• Common, chronic, relapsing
• Often begins in childhood • Familial hay fever, asthma,
etc.
• Manifestations
✓ Pruritus –major manifestation
✓ Dry skin
✓ Acute onset with red, oozing, crusting rash
✓ Intense scratching leads to lesions, infection and
scarring
• Treatment
✓ Hydrate the skin (soaks with colloidal oatmeal)
✓ Moisturize the skin
✓ Remove allergens
✓ Reduce inflammation
✓ Treat infection
7. Nursing Management of Dermatologic Problems
,NSG 331 Med-Surg Final Exam Review
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• Wet Dressings – damaged, oozing skin – remove crust
and scabs – tap water at room temp/vinegar ✓ Relieve
itching
✓ Suppress inflammation
✓ Debride the wound
• Baths – large areas of the body – colloidal oatmeal
(Aveeno)
• Topical Medications – Table 23-12 – occlude with plastic
wrap to increase absorption
• Control Pruritus – break the itch-scratch cycle to
prevent excoriation and lichenification
, NSG 331 Med-Surg Final Exam Review
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✓ Lichenification – thickening of the epidermis
with exaggerated markings resembling a washboard
o Caused by chronic itching / rubbing of the skin
• Prevention of Spread – gloves and adamant hand washing