NURS 8020 Integumentary Exam With Complete
Solutions 100% Correct
What is an impaired dermis more susceptible for in the geriatric patient? - ANSWER
Irritants
Intrinsic Aging - ANSWER Decreased sweat glands and hair follicles
Pigment of hair
Volume of hair
Dermal collagen
Dermal elastic fibers
Thinning nails
Change in sub Q fat.
Extrinsic aging - ANSWER Exposure to sunlight
Pollution
Smoking
Telangiectasia
Wrinkling
Senile purpura
Lentigo senilis
Skin cancer
Inflammatory skin conditions - ANSWER Xeroxis
Dermatophytosis
Stasis dermatitis
,Seborrheic dermatitis
Rosacea
Common viral pediatric skin conditions - ANSWER Herpes Zoster
Pityriasis Roses
Wars
Molluscum contagious
Common pediatric viral exanthems (rashes) - ANSWER Measles (Rubeola)
Rubella (German Measles)
Roseola
Fifth Disease
Chickenpox
Common pediatric bacterial skin conditions - ANSWER Staph aureus, less commonly
streptococci: erysipelas, cellulitis, lymphangitis
Impetigo (Group A beta hemolytic strep, Staph aureus)
Common Pediatric Parastic infections - ANSWER Scabies
Lice
Molluscum Contagiosium - ANSWER Pink, dome shaped, smooth waxy or pearly
umbilicated papules. Common on face, trunk, extremities in kids and on pubis, penis or
vulva in adults.
Progenitor granuloma - ANSWER Lobular capillary hemangioma that is friable, bright
red papule/ nodule
Verruca vulgaris - ANSWER Single or grouped hyperkeratotic plaques/papules
, Cafe au lait spots - ANSWER Smooth with irregular border. Six or more can indicate
neurofibromatosis (>15 in post pubescent)
Hemangiomas - ANSWER Raised, cavernous lesions that can appear bluish or bright
red. Appear in first months then disappear around 10 y/o - Port Wine stains
Normal physiologic jaundice - ANSWER 1/2 of all newborns
Jaundice that persists beyond 2-3 weeks should be of concern.
Miliaria rubra - ANWER Scattered vesicles on an erythematous base, obstruction of the
sweat gland - disappears w/in weeks.
Erythema toxicum - ANWER Appears as flea bites, etiology unknown, disappear w/in one
week following birth
Pustular Melanosis - ANWER Occurs in AA infants, may persist several months, small
vesiculopustules over brown macular base.
Deep Tissue Pressure Injury - ANWER Persistent non-blanchable deep red, maroon or
purple discoloration.
Stage 1 pressure injury - ANSWER Non blanchable erythema of intact skin
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