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NURS 317 EXAM QUESTIONS AND VERIFIED DETAILED ANSWERS 100% PASS
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NURS 317 EXAM QUESTIONS AND VERIFIEDDETAILED ANSWERS 100% PASS
What would you palpate for when performing a skin examination Answer temperature
turgor
texture
moisture
edema
skin lesions
What is considered an abnormal finding for skin turgor? Answer tenting: takes several
seconds to return to normal position, associated with dehydration
increased turgor: skin cannot be tents, related to edema
How would you inspect the patient for edema? Answer Press firmly with finger over tibia
for 5 seconds
Release finger and observe
Pitting: indentation remains after finger removed
what is an abnormal finding when inspecting for edema and what is the scale - Answer
depression after firmly pressing into the skin
tracing: minimal depression
+1: 2mm depression, rapid return of skin
+2: 4mm depression, 10-15 sec return
+3: 6mm depression, 1-2 min
+4mm: 8mm depression, 2-3 min
,ABCDE of lesions - Answer Asymmetry
Border
Color
Diameter
Elevation
macule - Answer flat, colored spot on the skin
freckles, birthmark, mongolian spots
papule - Answer elevated and raised: moles/psoriasis
vesicle - Answer elevated and filled with serous fluid
- blister, herpes simplex
cyst - Answer fluid filled and enclosed
- no fluid = nodule
pustule - Answer elevated and filled with pus
wheal - Answer elevated with localized edema
- insect bites, hives
Secondary lesions: - Answer lesions that result in changes in primary lesions
excoriation - Answer loss of skin that does not extend beyond epidermis
erosion lesion - Answer loss of superficial epidermis, usually secondary to rupture of a
, blister
- abrasions and impetigo
fissure - Answer linear break in the skin
- athletes foot, cheilitis
ulcer - Answer irregularly shaped with loss of tissue
- pressure ulcer
crust - Answer elevated, rough texture with dried exudate
- herpes simplex, impetigo
scales - Answer white to tan flaking, dead skin cells
- dandruff, psoriasis
scar-Answer fibrous tissue at site of injury or trauma
keloid-Answer raised irregular scar due to excess collagen formation
what are some abnormal findings of hair inspection-Answer hirsutism: excess
facial/trunk hair
alteration of hair distribution
what can coarse/dry hair indicate? thin/fine hair?-Answer hypothyroidism,
hyperthyroidism
What are expected findings for a nailbed? -Ans level, firm, and same color as skin, nail
plate angle approximately 160 degrees
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