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Principles

Wound Care ATI 30

QuestionAnswer
What is pallor? loss of color
How long should it take for color to return after capillary refill? 3 seconds
Brown pigmentation changes with? venous insufficiency
Shiny and translucent skin without hair on the toes and foot is seen with? arterial insufficiency
What does poor turgor mean? dehydration
How is strength graded? 0-4
What is 0? absent
What is 1+? diminished weaker
What is 2+? brisk, expected
What is 3+? increased
What is 4+? full volume, bounding
Swelling should be assessed for? discoloration, location and tenderness
The depth of the pitting indicates? the degree of edema
What is 1+ edema? trace
What is 2+ edema? mild
What is 3+ edema? moderate
What is 4+ edema? severe
Examine lesions for? size, color, size, shape, consistency, elevation, location, distribution, configuration, tenderness, and presence of fluid
What is a macule? freckle
What is a papule? elevated nevus
What is a nodule? wart
What is a vesicle? blister
What is a pustule? acne
What is a wheal? insect bite
Wht is an erosion? ruptured vesicle
What is a crust? scab
What is a scale? dandruf
What is a fissure? tinea pedis
What is an ulcer? pressure ulcer
Vascular lesions are created with? aging changes and when damage occurs to the blood vessels near the skin
What is peripheral vascular? thicker, more rigid peripheral blood vessel walls with a narrowed lumen leading to poor peripheral circulation
Created by: alicia.rennaker
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