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NUR 216 Exam 2; COMPLEHENSIVE GUIDE 2024 100% PASSED
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NUR 216 Exam 2; COMPLEHENSIVE GUIDE 2024 100% PASSED
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NUR 216 Exam 2;COMPLEHENSIVE GUIDE 2024
100% PASSED
Brown pigmentation indicates - //venous insufficiency
Shiny and translucent skin without hair indicates - //arterial
insufficiency
skin tugor locations - //adults-forearm or sternum
infant- abdomen
pallor - //-loss of color: best noted in face, conjunctivae, nail beds,
palms
-indication of anemia or lack of blood flow
cyanosis - //Location- nail beds, sclera, MM
Changes for light skin tones best located in sclera
Changes for dark skin tones best located in hard palate
indication - hypoxia, or imapired venous return
jaundice - //Location- sclera, skin, MM
Changes for light skin tones best detected in oral MM
Changes for dark skin tones best detected in hard palate
, Indication- liver dysfunction, RBC destruction
erythema - //Location- face, skin, trauma or pressure sore areas
Indication- inflammation, localized vasodilation, substance use,
sun exposure, rash or elevated body temperature
Nails expectations - //firm bases and nail angles of 160 degrees
symmetrical nail beds with uniform color
CRT less than 3 seconds
clubbing - //nails at an angle greater than 160, results from low
oxygen saturations related to heart or lung disease
hair expectations - //symmetrical hair distribution
alopecia - //results from endocrine disorders or poor nutrition
hirsutism - //hair growth on the face shoulders or chest of a
female that can results from endocrine disorders
edema - //The accumulation of fluid in the tissues most often from
direct trauma or imparied venous return
Skin may appear tight and shiny
Assess the swelling for discoloration, location, and tenderness
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