Flashcards in Protection (Integumentary) Deck (30)
How should palpation of the skin be done using the hand?
Use both the palmar and dorsal surface of the hand
What should the dorsal surface of the hand be used to check?
The temperature of the skin
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
What are somethings that are considered subjective data for skin?
1. Recent skin changes
2. exposure to chemicals or sun
4. rashes, skin problems
9. general skincare
11. diet changes
What color undertone do people with dark skin typically have?
A reddish undertone
What color are buccal mucosa, tongue, lips, and nails normally?
What does the term cyanosis mean?
dusky bluish color
Where would a nurse look to find signs of cyanosis?
Ears, lips, buccal mucosa, hands, and nailbeds
What color does jaundice turn skin?
Where would the nurse inspect for outwards signs of jaundice?
skin, mucous membranes, and sclera
Where should the nurse check for signs of hypoxia in an African American person?
In the oral mucosa
What does the term pallor mean?
What does the term erythema mean?
Should skin normally feel cool and sweaty, warm and dry, hot and dry, or warm and flushed?
Warm and dry
What could cool pale skin indicate?
What else could indicate poor perfusion?
Hair loss in certain areas
What could cool and sweaty (diaphoretic) skin indicate?
Low blood sugar
(hint= cold and clammy need some candy)
What could hot and dry skin indicate?
High blood sugar
What could warm/hot and flushed skin indicate?
What is ecchymosis? (Bruising)
A collection of blood subcutaneous
What color is ecchymosis?
What is petechiae?
Small pinpoint hemorrhagic spots caused by capillary bleeds
What can be found around the eyes when someone who is taking aspirin sneezes or coughs violently?
What is turgor?
elasticity of the skin
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.
What are intentional wounds?
wounds that do good (surgical wound) (NOT SELF HARM)
What are unintentional wounds?
Wounds that cause harm (an ulcer)
What is another word for a scar?
What is another word for a freckle?