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Exam (elaborations)

NURS 317 Exam Questions With 100% Verified Answers

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NURS 317 Exam Questions With 100% Verified Answers What should you palpate for in a skin exam - answertemperature turgor texture moisture edema skin lesions what are abnormal findings for skin turgor - answertenting: several seconds to return to position, seen with dehydration increased t...

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  • October 2, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 317
  • NURS 317
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NURS 317 Exam Questions With 100%
Verified Answers


What should you palpate for in a skin exam - answer✔temperature
turgor
texture
moisture
edema
skin lesions

what are abnormal findings for skin turgor - answer✔tenting: several seconds to return to
position, seen with dehydration
increased turgor: skin cannot be lifted, may be due to edema

how do you inspect for edema - answer✔Firmly depress skin over tibia for 5 seconds
release finger and observe
pitting: indent is left after removing finger
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

, ©BRAINBARTER 2024/2025


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 encapsulated
- 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

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