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NUR 216 Module 4 EXAM 2024 100% CORRECT AZC HEALTH ASSESSMENT
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NUR 216 Module 4 EXAM 2024 100% CORRECT AZC HEALTH ASSESSMENT
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NUR 216 - Module 4Study online at https://quizlet.com/_8h3u9i
NUR 216 MODULE 4 EXAM 2024 100% CORRECT AZC HEALTH
ASSESSMENT
1. List five things you need to do prior to beginning the assessment.: 1. Review the
client chart
2. Gather needed supplies
3. Announces presence to client
4. Ensures client privacy
5. Performs hand hygiene
2. What techniques are used for a skin assessment?: Inspection and palpation
3. What do you inspect during a skin assessment?: Color, texture, moisture, and
integrity
4. What do you palpate for during a skin assessment?: Texture, moisture temperature,
mobility, and turgor
5. What tools are needed in preparation for a skin assessment?: Strong direct
lighting, gloves, penlight, and small centimeter ruler.
6. Epidermis: The surface layer is a combination of dead cells on the outside and live
cells on the inside. It takes about a month for cells to move from the inner surface to
the outer surface. This is a way the skin constantly renews itself.
7. Dermis: The middle layer is composed of connective tissue that is formed by a dense
combination of interconnecting collagen and elastic fibers. It contains blood vessels,
hair follicles, cutaneous nerve endings, sensory receptors, lymphatics, ans sebaceous
and sweat glands.
8. Subcutaneous: The innermost layer contains fatty tissue. This layer stores fat for
energy and provides insulation for even temperature control. It has a soft cushioning
effect that protects the body and gives the skin flexibility over the skeleton beneath.
9. List the functions of skin and nails.: -Protect the inner body parts and organs
-Body temperature regulation through shivering and sweating
-Sensory perception of temperature, touch, and pain
-Excrete waste and toxic substances
-Produce vitamin D
10. Elasticity in the older adult.: -Loses elasticity; skin folds and sags. -Decreased
skin turgor.
11. Sweat and Sebaceous glands in the older adult.: Decrease in number and
function, leaving skin dry.
12. Senile Purpura in the older adult.: Discoloration due to increasing capillary
fragility.
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, . 216 - Module 4
NUR
Study online at https://quizlet.com/_8h3u9i
13. Skin breakdown due to multiple factors in the older adult.: Cell replacement is
slower and wound healing is delayed.
14. Hair matrix in the older adult.: Functioning melanocytes decrease, leading to
gray fine hair.
15 Most important environmental risk factor for skin cancer.: Exposure to ultraviolet
(UV) radiation both from sun and tanning sources.
16. What are questions you can ask to gather subjective data health history
questions?: -Past history of skin disease, allergies, hives, psoriasis, or eczema? -
Change in pigmentation or color, size, shape, tenderness?
-Excessive dryness or moisture?
-Pruritus or skin itching?
-Excessive bruising?
-Rash or lesions?
-Medications: prescription and over-the-counter?
-Hair loss?
-Change in nails' shape, color, or brittleness?
-Environmental or occupational hazards?
-Self-care behaviors?
17. What are questions you can ask aging adults to gather subjective data health
history questions?: -What changes have you noticed in your skin in past few years?
-Any delay in wound healing?
-Any change in feet: toenails, bunions, wearing shoes?
-Falling: bruises, trauma?
-History of diabetes or peripheral vascular disease?
18. Melanoma in Whites is noted to be ___ times higher than in Blacks and ___
times higher than in Hispanics.: 20 4
19. List four skin conditions that are noted to be specific to Black patients.: -Keloids
-Pigmentary disorders
-Pseudofolliculitis
-Melasma
20. List variables that influence skin color.: -Emotional states
-Temperature
-Cigarette smoking
-Prolonged elevation/dependent position of extremities
-Prolonged inactivity
21. List expected findings in skin color.: -Combination of melanin (brown) pigments
-Carotene (yellow) pigments
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