NUR 265 Exam 2 REAL EXAM
Study online at https://quizlet.com/_hlzm8b
(cellulitis)
pt education: antibiotic use, skin care and
Identify the management and nursing
lesion care, don't share personal items,
care of the pt with infectious and inflam-
bath daily with antibacterial soap, DO
matory dermatoses (Bacterial)
NOT squeeze furuncles, boils, or pim-
ples
-herpes zoster: prescribed antivirals, le-
sion care, dressings, and hand hygiene
Identify the management and nursing -herpes simplex: prescribed antivirals
care of the pt with infectious and inflam- and prophylactic use, information regard-
matory dermatoses (Viral) ing spread of herpes, measures to re-
duce spread to partner or neonates born
to mothers with genital herpes
(candidiasis)
pt education: use of--oral, topical agents,
and shampoos, hygiene, using clean
towels and wash clothes each day, DO
Identify the management and nursing
NOT share personal items, keep skin
care of the pt with infectious and inflam-
folds and feet dry, wear clean dry clothing
matory dermatoses (Fungal)
(underwear and socks also), avoid syn-
thetic, tight-fitting garments, wet bathing
suits, and plastic shoes, avoid excessive
heat and humidity
Use the nursing process as a framework
for care of its with Stevens-Johnson syn-
drome
, NUR 265 Exam 2 REAL EXAM
Study online at https://quizlet.com/_hlzm8b
A: skin and oral inspection, VS (fever, rest
status, tachycardia), fatigue, pain levels,
urine--volume/specific gravity/color, local
s/s infection at IV site, daily weight eval-
uate anxiety and coping mechanism
Dx: impaired tissue integrity, deficient flu-
id volume and electrolyte loss related
to loss of fluids from denuded skin, risk
for imbalanced body temp--hypother-
mia--related to heat loss secondary to
skin loss, acute pain related to denud-
ed skin/oral lesions/ possible infections,
anxiety related to physical appearance
P: maintain skin and mucous integrity,
attain fluid balance, preventing hypother-
mia, pain relief, preventing infection, re-
duce anxiety, monitor/manage for com-
plications, and promote home and com-
munity based care
Implement: keep skin moisturized, use
barrier cream if needed, keep skin clean,
oral care, provide plenty of fluids, ensure
enough sodium is in the diet, provide
warm blankets/proper clothing, provide
pain meds or other non pharmacologi-
cal pain interventions, teaching on how
to prevent infection, proper hygiene, pro-
vided anxiety meds, promote a relax-
ing environment, teach about relaxation
techniques, check in on pt every 15-30
mins, monitor VS, talk about living sit-
uation/special services available (meals
programs, safety measures, etc.), and
meet with social worker/family
E: skin and mucous integrity has im-
proved, proper fluid balance, maintain
body temp, pain relief, no infection m
anxiety has reduced, no complications
Compare the various types of vaginal
infections and the signs, symptoms, and
treatments of each (Vaginitis)
Study online at https://quizlet.com/_hlzm8b
(cellulitis)
pt education: antibiotic use, skin care and
Identify the management and nursing
lesion care, don't share personal items,
care of the pt with infectious and inflam-
bath daily with antibacterial soap, DO
matory dermatoses (Bacterial)
NOT squeeze furuncles, boils, or pim-
ples
-herpes zoster: prescribed antivirals, le-
sion care, dressings, and hand hygiene
Identify the management and nursing -herpes simplex: prescribed antivirals
care of the pt with infectious and inflam- and prophylactic use, information regard-
matory dermatoses (Viral) ing spread of herpes, measures to re-
duce spread to partner or neonates born
to mothers with genital herpes
(candidiasis)
pt education: use of--oral, topical agents,
and shampoos, hygiene, using clean
towels and wash clothes each day, DO
Identify the management and nursing
NOT share personal items, keep skin
care of the pt with infectious and inflam-
folds and feet dry, wear clean dry clothing
matory dermatoses (Fungal)
(underwear and socks also), avoid syn-
thetic, tight-fitting garments, wet bathing
suits, and plastic shoes, avoid excessive
heat and humidity
Use the nursing process as a framework
for care of its with Stevens-Johnson syn-
drome
, NUR 265 Exam 2 REAL EXAM
Study online at https://quizlet.com/_hlzm8b
A: skin and oral inspection, VS (fever, rest
status, tachycardia), fatigue, pain levels,
urine--volume/specific gravity/color, local
s/s infection at IV site, daily weight eval-
uate anxiety and coping mechanism
Dx: impaired tissue integrity, deficient flu-
id volume and electrolyte loss related
to loss of fluids from denuded skin, risk
for imbalanced body temp--hypother-
mia--related to heat loss secondary to
skin loss, acute pain related to denud-
ed skin/oral lesions/ possible infections,
anxiety related to physical appearance
P: maintain skin and mucous integrity,
attain fluid balance, preventing hypother-
mia, pain relief, preventing infection, re-
duce anxiety, monitor/manage for com-
plications, and promote home and com-
munity based care
Implement: keep skin moisturized, use
barrier cream if needed, keep skin clean,
oral care, provide plenty of fluids, ensure
enough sodium is in the diet, provide
warm blankets/proper clothing, provide
pain meds or other non pharmacologi-
cal pain interventions, teaching on how
to prevent infection, proper hygiene, pro-
vided anxiety meds, promote a relax-
ing environment, teach about relaxation
techniques, check in on pt every 15-30
mins, monitor VS, talk about living sit-
uation/special services available (meals
programs, safety measures, etc.), and
meet with social worker/family
E: skin and mucous integrity has im-
proved, proper fluid balance, maintain
body temp, pain relief, no infection m
anxiety has reduced, no complications
Compare the various types of vaginal
infections and the signs, symptoms, and
treatments of each (Vaginitis)
