Exam 2: NSG 121/ NSG121 (New 2024/ 2025 Update) Health Assessment Review | Questions and Verified Answers| All UnitCovered| 100% Correct| A Grade - Herzing
types of hair - vellus: fine, short, hypopigmented, located throughout body - terminal: dark, coarse, located on scalp, brows, eyelids, axillae, perineum QUESTION pruritis Answer: itching QUESTION equipment needed for integumentary examination Answer: - gown - tape measure - penlight - magnifying glass QUESTION primary skin lesions Answer: - arise from normal skin due to irritation or disease Ex: macule, papule, nodule, wheal, blister, polyp, cyst, pustule, tumor QUESTION secondary skin lesions Answer: - changes that take place in the primary lesion due to infection, scratching, trauma, or various stages of a disease Ex: scar tissue, crusts from dried burns QUESTION skin assessment Answer: - inspect skin of each body area (rashes, lesions) - inspect skin over pressure points (skin breakdown) - inspect fingernails and toenails (hygiene, circulation) - inspect wounds (stage healing) - palpate skin (temperature, turgor) - inspect hair (lesions, nits) QUESTION lab and diagnostic tests for integumentary system Answer: - skin scrapings - culture and sensitivity - wood light (scalp infections) - biopsy - color, size, shape QUESTION wound assessment includes Answer: - location - size - color - pain - inspect for visual findings and odor - palpate for drainage, pain - presence of sutures, drains/tubes, complications QUESTION wound classification - clean (skin/vascular incisions made under sterile conditions, EX: arterial stenting) - clean-contaminated (incisions made under sterile conditions involve respiratory, GI, GU, EX: bowel resection, hysterectomy) - contaminated (exposed to GI contents or infected fluids, EX: open traumatic wounds like punctures, open fractures, lacerations) - infected (exposed to contaminants or showing signs of infection prior to surgery, EX: traumatic wounds due to high probability of exposure to foreign
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