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Flashcards in Skin Assessment Deck (31):
1

Oral temperature

97.5-99.5

2

Recital temperature

98-100.5

3

Tympan temperature

97.5-100

4

Ancillary temperature

96-98.5

5

Afebrile

Without fever

6

Febrile

With fever

7

Pyrexia

With fever

8

Functions of the skin

Protection
Regulation
Sensory
Excretion

9

Epidermis

Superficial layer stratified epithelial cells

10

Dermis

Elastic connective tissue
Hair follicles
Gland arteries
Veins
Capillaries

11

Subcutaneous

Fatty tissue blood vessels

12

Two components of health assessment

Health history: subjective
Physical assessment: objective (measurable)

13

Four types of health assessments

Comprehensive
Ongoing partial
Focused
Emergency

14

Comprehensive assessment

Everything

15

Ongoing partial assessment

Follow up on ongoing problem

16

Focused assessment

Fine and then you're not

17

Emergency assessment

ASAP

18

Cyanosis

Blue/gray lack of oxygen

19

Ecchymosis

Black and blue bruising

20

Erythema

Red trauma rash

21

Jaundice

Yellowing liver failure

22

Pallor

White pale

23

Peteciae

Red blotches

24

Stage 1 pressure ulcer

Epidermis layer no skin broken

25

Stage 2 pressure ulcer

Epidermis/dermis layers skin breakdown

26

Stage 3 pressure ulcer

Subcutaneous layer chemical debridement

27

Stage 4 pressure ulcer

Muscle bone tendon surgical debridement

28

Primary lesions

Freckles: petechiae flat non palpable
Moles warts: elevated palpable

29

Secondary lesions

Erosion ulcer fissure: loss of skin surface

Crust scale: material on skin surface

30

Miscellaneous lesions

Atrophy: thinning if skin
Excoriation: scratching
Scar
Keloid

31

Nursing process for skin assessment

Assessment
Intervention
Outcome
Evaluation