Exam (elaborations)
NSG-316 Exam 1/146 Questions and Answers/100% Verified!!
NSG-316 Exam 1/146 Questions and Answers/100% Verified!!
[Show more]
Content preview
NSG-316 Exam 1/146 Questions andAnswers/100% Verified!!
ABCDE - -Helps identify early signs of melanoma
A: asymmetry
B: border
- Scalping, ragged edges
C: color
- areas of brown, tan, white, red
D: diameter
- greeted than 6 cm
E: elevation and enlargement
-Tinia Capitus - -Involves the scalp causing scaling, pruritus, and balding
areas
-Tinea pedis - -chronic fungal infection of the foot
-Candidiasis - -fungal infection found on the skin, mucous membranes, and
vagina
-Edema - -Excessive fluid accumulation within the interstitial spaces
-Turgor - -decreased skin elasticity as a result from dehydration
-Vesicle - -elevated, circumscribed lesion filled with fluid, less than 1 cm -
(as the result of varicella)
-Tumor - -Elevated, solid lesion, treated than 2 cm in diameter
-Bulla - -vesicle greater than 1 cm in diameter (blister)
-Wheal - -elevated, irregular shaped area of cutaneous edema (urticaria)
-Keloids - -Irregularly shaped, elevated scar
-Skin turgor - -How - sign of fluid loss
Why - diarrhea and vomiting
Normal - skin snaps rapidly back to its normal position
,Abnormal - poor turgor or "tenting" indicates dehydration especially
combined with delayed capillary refill and tachypnea. Also occurs with
malnutrition. Skin with poor turgor takes time to return to its normal position
-Normal nail findings - -Smooth, pink, 160 degrees
-Abnormal nail findings - -Brittle, ridged, or spoon-shaped (kiolonychia) ->
iron deficiency; splinter hemorrhages -> vitamin C deficiency; clubbing ->
heart or respiratory problems
-Capillary refill - -How - with the index or middle fingertip at heart level,
depress the nail edge at least 5 seconds to blanch and then release
Why - indicates the status of the peripheral circulation
Normal - normally color returns instantly or within a few seconds in a cold
environment. A healthy color return takes 1-2 seconds
Abnormal - cyanotic nail beds or sluggish color return; consider
cardiovascular or respiratory dysfunction, septic shock
-Primary lesions - -Macules
Papules
Patches
Plaques
Nodules
Wheals
Tumors
Urticaria
Vesicles
Cysts
Bullas
Pustules
-How to assess skin lesions - -Note the color, elevation (flat, raised, or
pedunculated), pattern or shape (grouping or distinctiveness of each lesion)
→ pattern may be a sign of a disease, size in cm, location and distribution on
body (generalized or localized?), any exudate → note color and odor
Palpate lesions → roll a nodule between the thumb and index finger to assess
depth
Gently scrape scale to see if it comes off → note the nature of the base and
note if it bleeds
Note skin temp
, Note if lesions blanch with pressure or stretch
Use magnifier and light for closer inspection
Use Wood's light to detect fluorescing lesions → with the room darkened,
shine the Wood's light on the area
Lesions that appear with blue-green fluorescent indicates fungal infection
-Macules - -solely a color change, flat and circumscribed, of less than 1 cm.
ex: freckles, flat nevi, hypopigmentation, petechiae, measles, scarlet fever
-Edema - definition and scale - -Edema - fluid accumulating in the interstitial
space; it is not present normally.
To check for edema, imprint your thumbs firmly for 3-4 seconds against the
ankle malleolus or the tibia
If pressure leaves dent on the skin → "pitting" edema
Masks normal skin color and obscures pathologic conditions such as jaundice
or cyanosis bc fluid lies between the surface and the pigmented and vascular
layers
Scale:
1+ → mild, slight indentation, no perceptible swelling
2+ → moderate, indentation subsides rapidly
3+ → deep, indentation remains for short time, appears swollen
4+ → very deep, indentation lasts long time, appears very swollen
-Papules - -papules - something you can feel (i.e.) solid, elevated,
circumscribed, less than 1cm diameter) caused by superficial thiening in
epidermis.
ex. elevated nevus (moles), lichen planus, molluscum, wart (verruca)
-Patches - -macules that are longer than 1 cm
ex: mongolian spot, vitiligo, cafe au lait spot, chloasma, measles rash
-Plaques - -Plaques coalesce to form surface elevation wider than 1 cm. A
plateau like, disk-shape lesion
ex. psoriasis, lichen planus
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £10.12. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now