Skin, Hair, & Nails Flashcards Preview

Health Assessment Exam 2 > Skin, Hair, & Nails > Flashcards

Flashcards in Skin, Hair, & Nails Deck (16):
1

What two mechanisms can cause pallor?

Loss of oxygenated hemoglobin
Vasoconstriction

2

How might pallor appear in a brown-skinned individual?

yellowish-brown

3

How might pallor appear in a black-skinned individual?

ashen or gray

4

According to Schamorth, what are some other potential causes of clubbing?

congenital cyanotic heart disease
lung cancer
pulmonary diseases

5

Is clubbing a permanent change or can it resolve?

in most cases not all-depends on the condition

6

When checking capillary refill, how quickly should color return to the nail bed?

1-2 secs

7

How do you assess capillary refill if the client has on nail polish?

check the anterior side of the finger

8

When checking capillary refill, how many fingers/toes should the nurse check?

at least one on each extremity

9

Edema is caused by a buildup of fluid in the _____ spaces.

interstitial

10

What kind of heart failure is associated w/ peripheral edema?

right sided

11

If a patient is bedridden, edema might occur in what other body part?

sacrum

12

Where's a good place to assess skin turgor on an adult?

anterior chest under clavicle
over the abdomen (infant)

13

What would an abnormal skin turgor test look like?

pinched skin recedes slowly or "tents" & stands by itself

14

If your client has poor skin turgor, what might that mean?

dehydration

15

Jaundice occurs when there are rising amounts of ______ in the blood.

bilirubin

16

If someone is jaundiced, what might his or her stools and urine look like?

clay-colored stools
dark golden urine