NURSE 3280 FULL EXAM WITH COMPLETE SOLUTIONS

NURSE 3280 FULL EXAM WITH
COMPLETE SOLUTIONS



functions of the skin - CORRECT ANSWER- Protection
Temp regulation
Psychosocial- body image etc.
Sensation
Vitamin D production
Immunologic
Absorption
Elimination

epidermis - CORRECT ANSWER- outermost layer contains the
subcutaneous gland.

dermis - CORRECT ANSWER- second most outermost layer.
Contains hair follicle and papilla.

subcutaneous layer - CORRECT ANSWER- bottom layer of the skin
containing fatty tissue

four main pigments of skin - CORRECT ANSWER- Melanin
Carotene
Oxygenated hemoglobin
Reduced hemoglobin

factors affecting skin integrity - CORRECT ANSWER- First line of
defense
Adequately nourished or hydrated
Age or chronic illness
Adequate circulation

,developmental considerations of the skin - CORRECT ANSWER-
Younger than 2 skin is weaker than adults.
Infants' skin and mucous membranes are easily injured.
The structure of the skin as a person ages.
Circulation and collagen are impaired.

causes of skin alterations - CORRECT ANSWER- Obesity
Cachexia
Excessive perspiration
Eczema or psoriasis-

cachexia - CORRECT ANSWER- less than appropriate amount of
body nutrients.

excessive perspiration of the skin - CORRECT ANSWER- skin
constantly being moist. Sweating etc.

eczema or psoriasis - CORRECT ANSWER- autoimmune condition
that can cause itchiness or pain.overgrowth of the epidermis can cause
red or silver plaques.

types of wounds - CORRECT ANSWER- intentional
open
acute

intentional wound - CORRECT ANSWER- a wound that is the result
of a planned surgical or medical intervention
appears to have a previous site. or unintentional- injury

open wound - CORRECT ANSWER- an injury in which the skin is
interrupted, exposing the tissue beneath.
margians no touching or closed- severe

acute wound - CORRECT ANSWER- injury fracture etc. or chronic-
wound that has been attempting to heal over a long period of time.

phases of wound healing - CORRECT ANSWER- Hemostasis

,Inflammatory
Proliferation
Maturation

Hemostasis (wound healing) - CORRECT ANSWER- blood clotting
begins, exudate is formed, swelling and pain can occur.

inflammatory phase (wound healing) - CORRECT ANSWER- lasts 2-
3 days, white blood cells move to the wound. Mild fever and pain.

Proliferative phase (wound healing) - CORRECT ANSWER- several
weeks, new tissue built into wound space. Collagen and capillaries are
repaired.

maturation phase (wound healing) - CORRECT ANSWER- can take
months to years. Scar may form from collagen deposition

scar tissue never - CORRECT ANSWER- works as normal as tissue

factors affecting wound healing - CORRECT ANSWER- Pressure
Desiccation
Maceration
Trauma
Edema
Infection
Excessive bleeding
Necrosis
Biofilm

recognizing differences in skin colors is - CORRECT ANSWER-
important
recognize how symptoms show up on different skin colors

factos affecting wound healing (systemic) - CORRECT ANSWER-
Age
Circulation and oxygenation
Nutritional status
Wound etiology

, Medications and health status
immunosuppression
Adherence to treatment plan.

wound complications - CORRECT ANSWER- infection
drainage
hemorrhage
dehiscence and evisceration
fistula formation

infection - CORRECT ANSWER- wound drainage

hemorrhage - CORRECT ANSWER- bright red bleeding on wound
site

Dehiscence and evisceration - CORRECT ANSWER- surgical wound
becomes open

pressure injury - CORRECT ANSWER- Localized damage to the skin
and underlying tissue that usually occurs over a bony prominence.

factors affecting pressure injury development - CORRECT ANSWER-
External pressure: bony prominences
Friction: two surfaces rub together
Shear- one layer of tissue slides over another.
Aging skin
Chronic illnesses
Immobility
Malnutrition Fecal and urinary continence
Altered level of consciousness
Spinal cord and brain injuries
Neuromuscular disorders.

at risk for pressure injury - CORRECT ANSWER- Elderly
ICU patients
Ability or sensory deficit patients.