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Flashcards in Protection (Integumentary) Deck (30)
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1

How should palpation of the skin be done using the hand?

Use both the palmar and dorsal surface of the hand

2

What should the dorsal surface of the hand be used to check?

The temperature of the skin

3

What is the order a skin assessment should be done?

1. Head-to-toe, front to back
2. Focus on the areas of known problems

4

What are somethings that are considered subjective data for skin?

1. Recent skin changes
2. exposure to chemicals or sun
3. allergies
4. rashes, skin problems
5. wounds
6. itching
7. pain
8. Self-treatments
9. general skincare
10. stress
11. diet changes

5

What color undertone do people with dark skin typically have?

A reddish undertone

6

What color are buccal mucosa, tongue, lips, and nails normally?

pink

7

What does the term cyanosis mean?

dusky bluish color

8

Where would a nurse look to find signs of cyanosis?

Ears, lips, buccal mucosa, hands, and nailbeds

9

What color does jaundice turn skin?

yellow

10

Where would the nurse inspect for outwards signs of jaundice?

skin, mucous membranes, and sclera

11

Where should the nurse check for signs of hypoxia in an African American person?

In the oral mucosa

12

What does the term pallor mean?

Paleness

13

What does the term erythema mean?

redness

14

Should skin normally feel cool and sweaty, warm and dry, hot and dry, or warm and flushed?

Warm and dry

15

What could cool pale skin indicate?

Poor perfusion

16

What else could indicate poor perfusion?

Hair loss in certain areas

17

What could cool and sweaty (diaphoretic) skin indicate?

Low blood sugar
(hint= cold and clammy need some candy)

18

What could hot and dry skin indicate?

High blood sugar

19

What could warm/hot and flushed skin indicate?

A fever

20

What is ecchymosis? (Bruising)

A collection of blood subcutaneous

21

What color is ecchymosis?

Purplish

22

What is petechiae?

Small pinpoint hemorrhagic spots caused by capillary bleeds

23

What can be found around the eyes when someone who is taking aspirin sneezes or coughs violently?

petechiae

24

What is turgor?

elasticity of the skin

25

How would a nurse test for sesation?

Use a tongue blade that is snapped in half and ask the patient if they can feel the difference between sharp and dull objects.

26

What are intentional wounds?

wounds that do good (surgical wound) (NOT SELF HARM)

27

What are unintentional wounds?

Wounds that cause harm (an ulcer)

28

What is another word for a scar?

Cicatrix

29

What is another word for a freckle?

Macule

30

What is an example of a papular lesion?

A raised blister