Chamberlain College of Nursing:NR 222 Nursing Care of Children with Integumentary Disorder #5,100% CORRECT
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NR 222
Chamberlain College of Nursing:NR 222 Nursing Care of Children with Integumentary Disorder #5
Skin 101 How to describe what you see (starred)
Macule: a small (usally less than 1cm in diameter), flat blemish or discoloration that can be brown, tan, red, or white and has same texture as surroun...
chamberlain college of nursingnr 222 nursing care of children with integumentary disorder 5
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Chamberlain College of Nursing:NR 222 Nursing Care of Children with
Integumentary Disorder #5
Skin 101 How to describe what you see (starred)
Macule: a small (usally less than 1cm in diameter), flat blemish or discoloration
that can be brown, tan, red, or white and has same texture as surrounding skin
ex; Beauty makr
Bulla: A raised, thin-walled blister greater than 0.5 cm in diameter, containing
clear or serousfluid. EX: shingles or poison Ivy
Vesicle: a small (less than 0.5 cm in diameter), thin walled, raised blister
containing clear,serous, purulent, or bloody fluid. EX; Herpes
Pustule: a circumscribed, pus or lymph filled, elevated lesion that varies in
diameter and maybe firm or soft and white or yellow. EX: pimples
Wheal: a slightly raised, firm lesion of variable size and shape, surrounded by
edema; skin may be red or pale. EX: Hives
Nodule: a small, firm circumscribe elevated lesion 1 to 2 cm in diameter with
possible skindiscoloration. EX: lymphoma
Papule: a small, solid, raised lesion less than 1 cm in diameter, with red to purple
skindiscoloration. EX: Hemangioma
Tumor: A solid, raised mass usually larger than 2 cm in diameter with possible
skindiscoloration.
Dobbler: upon admission you must explain skin lesion in details.
Skin Infections (starred)
• Bacterial: impetigo, folliculitis, cellulitis, staphylococcal scalded syndrome
• Viral: herpes, varicella, molluscum contagiosum, warts
• Fungal: tinea, candidiasis
• RISK FACTORS: contact with infected person; immunocompromised
• LAB: cultures
Dobbler: to decipher what type an infection you need a culture it is better to get
the pus or fluid
sample. Sometime names are different depending where the infection is on the
skin, for example candidiasis can present as yeast infection, thrush or a diaper
rash. Tinea capitis on thescalp, tinea corpus is ringworm, tinea Curtis jock itch,
Tinea pedis- Athlete foot.
Nursing Education and Care (starred)
, • Watch for signs of infection
• Prevent child from itching and touching
• Hand hygiene
• NO sharing of clothing, towels, brushes
• Do not squeeze vesicles
Dobbler: explain to the parents how to watch for signs of infection (bacterial,
parasite etc).
Not every anti-viral work usually management and washing. Advise not to itch or
Don’t want tosqueeze cause if live virus inside so if it pops and gets to another part
of skin it will develop another rash
, Skin Infestations
• Scabies
• Pediculosis capitis (Lice)
• Pinworm
• Bed Bugs
Parasitic & Helminthic Infections
• Organisms larger than bacteria/ yeast
• Live in/on host
• Children are at increase risk due to poor hygiene
- Poor hand washing
- Put objects in mouth
- Share toys
Dobbler: Helminthic mean worm, most children don’t care about hygiene so they
are at higherrisk for these parasites
Scabies
Sign and symptom: itchy (especially at night), rash (in between fingers, trunk,
head, neck,wrists and joints), pencil like marks on skin
Treatment: 5% permethrin over entire body then repeat in 1-2 weeks, oral
ivermectin
Nursing Interventions:
- Treat entire family
- Wash all clothing/ towels in hot water
- Calamine
- Cool compress
- Vacuum
RISK OF: secondary infection
Dobbler: pediatrician stick with topical oral meds are strong we typically treat the
entire familyclean compresses and rugs. They enjoy wet moist area. The main
risk is secondary infection like staph infection.
Common in densely populated
areasItchier at night
Typically presents around fingers or
around joints Usually a topical treatment
for it
HIGHLY contagious
Scabies like moist warm areas, can live in rugs
At risk for staff infection of skin if itching this and open
lesions Oral ivermectin- strong, most people’s stomach
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