Skin Assessment | Burns | Peri-operative | Oncology | Skin disorders |
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What is diameter?
This marker indicates that a lesion of 7 mm in size is worrisome. It is one of the ABCD's of cancer assessment for lesions.
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What is the rule of nines?
A method used to estimate the TBSA of burns in a patient which uses 9, 18 and 1 percents?
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What is purulent?
Describes discharge that is thick yellow or green and probably indicates infection.
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What is hoarseness?
Most often seen symptom of laryngeal cancer in smokers.
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What is impetigo?
Infection often seen secondary to other skin conditions caused by the severe itching and subsequent scratching.
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What is IV infiltration?
You have a suspicion that this has occurred when the area around the IV cannula is cool to the touch and the patient has been complaining of pain.
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What is the palmer method?
A method used to estimate the TBSA of burns in a patient which uses the palm of the patient as 1% of their body.
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What is serosanguinous?
Describes discharge that is clear to yellow watery but also with some blood component.
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What is leukopenia, neutropenia or low white count?
The lab abnormality which makes you remove all fresh flowers from the cancer patient's room and make sure no fresh fruit or vegetables are given for meals.
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What is pediculosis captitis?
Even though no live parasites are seen this condition (must be proper name) may have nits that continue to hatch for 10 days.
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What is decreased wound healing?
Diabetes, steroid usage, strict vegetarian diet, and smoking are factors that cause this expectation on wound healing..
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What is an increased heart rate?
The client is experiencing burn shock with a decrease in blood pressure. It will have this effect on his heart rate.
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What is coughing and deep breathing"
The nursing measure is often ordered post-op and usually requires a pillow to splint the patient's operative site. The purpose is to prevent respiratory complications.
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What is peripheral neuropathy?
A side effect of some types of chemotherapy which causes the client to complain of pain, numbness and/or tingling in the extremities?
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What is herpes zoster?
Skin disorder that causes burning and stinging before the lesions appear along a dermatome (proper name)
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What is shearing?
Skin damage often caused by moving a client without the use of a draw sheet.
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What is 37% TBSA?
Using the rule of nines estimate the TBSA affected if the client is burned the entire front and back of the torso and in the groin area.
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What is explained the surgical procedure?
The pre-op nurse did a current assessment of health status, reviewed the labs, explained the surgical procedure, and made sure the consent form was signed, This action of the ones mentioned lets you know that the nurse is not ready to be off orientation a
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What are unsaturated fats? (Unsaturated fats are hard to digest and cause increase churning which increases nausea)
These types of fats (saturated or unsaturated) should be avoided in cancer patients because they are difficult to digest and can increase nausea.
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What is scabies?
Condition which is manifested by mites that are often between the fingers and cause severe itching.
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What is lichenification?
A thickened area often seen in psoriasis. The skin is very thick and almost appears leathery in this condition.
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What is inhalation damage or burns?
This is a priority assessment on a burn patient in an unknown situation or when there are burns on the face and neck.
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What is covering the wound with a bath towel?
A new nurse has preformed the following on a patient with a wound dehiscence. You plan to do teaching to her based on this action of the following four measures. 1. Returned the patient to bed
2. took vital signs 3. covered wound with bath towel 4. obta |
What is basal cell carcinoma?
A waxy nodule often with pearly borders is how this type of skin cancer is often described.
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What is TENs or Steven Johnson Syndrome?
One of two life threatening forms of erythema mutliforme which often result from medication side effects.
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