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311 H,S,N
Nur 311 exam 3 hair, skin, and nails
| Question | Answer |
|---|---|
| Which scale is used to predict the risk for pressure injuries? | braden scale |
| Which tool measures pressure injury healing? | PUSH tool |
| How do you prevent pressure injuries? | inspect skin often, keep skin clean, change positions often, manage incontinence, adequate nutrition |
| What are the ABCDE's of melanoma? | asymmetry, border, color, diameter (<6mm), evolution (changes over time) |
| What are 4 types of skin color changes? | pallor, cyanosis, erythema, jaundice |
| What are primary lesions? | lesions that arise from normal skin due to irritation or disease |
| What is an example of a primary lesion? | cysts, wheals, pustules |
| What are secondary lesions? | lesions that arise from primary lesions |
| What is an example of a secondary lesion? | fissures or erosion (ulcers) |
| petechiae | pinpoint hemorrhages |
| purpura | collection of petechiae |
| port wine stain | vascular in nature; hemangioma; half of face red |
| What are some examples of common skin variations? | freckles, vitiligo, striae (stretch marks) |
| senile lentigines | similar to freckles on the hand or face |
| seborrheic kerratosis | dry-like moles |
| What do you palpate for in the skin? | texture, temperature, moisture, thickness, mobility, edema |
| What do you inspect the hair for? | color, cleanliness, lesions, parasites, moisture (dry or oily) |
| What do you inspect the nails for? | color, cleanliness, markings, shape, texture, consistency |
| What do you palpate for in the nails? | capillary refill; brisk for less than three seconds |
| What is paronychia? | a skin infection around the nail |
| What is yellow nail syndrome? | lymphatic fluid collects in soft tissues in and under the skin, causing yellow color; can lack a cuticle and detach from the nail bed |
| What is longitudinal ridging? | vertical raised lines present on the nail |