Unit 1

Question 1

Primary Leisions: changes in color only

Answer 1

• Macule

- Patch

Question 2

Macule

Answer 2

Freckles. Smaller than 1 cm and flush with the skin

Question 3

Patch

Answer 3

Flat, greater than 1 cm

Question 4

Primary lesions: elevated and palpable

Answer 4

• Papule
• Plaque
• Nodule
• Tumor
• Wheal

Question 5

Papule

Answer 5

Less than 1 cm. Can be something like a bug bite, or look like a pimple, but has no puss

Question 6

Plaque

Answer 6

Dry flaky. thick, red, scaly skin of psoriasis

Question 7

Nodule

Answer 7

Common around joints during rheumatoid arthritis. Greater than 1 cm

Question 8

Tumor

Answer 8

Larger than a nodule

Question 9

Wheal

Answer 9

Inflammation of the skin. Hives. vary in size, shape, and color

Question 10

Primary lesions that contain fluid

Answer 10

• vesicle
• bulla
• pustule
• cyst

Question 11

Vesicle

Answer 11

Filled with clear fluid. Very small. Like my chigger bites

Question 12

Bulla

Answer 12

Any blisters. Greater than 1cm

Question 13

Pustule

Answer 13

Filled with puss. A pimple

Question 14

Cyst

Answer 14

Very large filled with fluid, no particular type of fluid, just large.

Question 15

Secondary Lesion

Answer 15

Modification of a primary lesion that results from traumatic injury, evolution from the primary lesion, or other external factors. Secondary lesions include scale, crust, erosion, fissure, ulceration, excoriation, or lichenification.

Question 16

Secondary lesions: material on the skin

Answer 16

• Crust

- Scale

Question 17

Secondary lesions examples

Answer 17

• scars

- keloids: raised scarring

Question 18

Vascular lesions:

Answer 18

malformations are congenital malformations of capillaries, veins, lymphatic vessels, or arteries.

• Hemangiomas
• spider angioma
• Venous Star (Telangiectasis
• petichia
• hematoma
• Ecchymosis

Question 19

Edema scale 1+

Answer 19

1-2 mm indentation

Disappears quickly

Question 20

Assessing edema

Answer 20

○ Looking at depth of indentation and how long it lasts
○ Common to have a little bit of edema
○ Realistically, the size is what makes the difference

Question 21

edema scale 2+

Answer 21

3-5mm indentation

disappears in 10-15 seconds

Question 22

edema scale 3+

Answer 22

6-7mm indentation

lasting 60+ seconds

Question 23

Edema scale 4+

Answer 23

8mm indentation
lasts 2-5 minutes
Extremity grossly distorted

Question 24

clubbing indicates

Answer 24

chronic hypoxia

Question 25

CN VII

Answer 25

``` Facial nerve- motor function ○ Raise eyebrows ○ Squeeze eyes shut ○ Smile ○ Frown ○ Wrinkle forehead ○ Purse lips § Assess symmetry § Symmetrical movement from right to left ```

Question 26

CN V

Answer 26

• Trigeminal (sensory and motor) ○ Sharp and dull sensations ○ Clench jaw and open mouth again § Checking CNV for motor function. § Should feel muscle when she clenches her teeth. § Should feel equal on both sides § Put hands on chin and keep her from opening her mouth. • Do more than one sensation in three areas

Question 27

CN XI

Answer 27

``` Spinal accessory- motor function • Inspect neck for assemytry: ○ Goiter, deviated trachea • Turn head back and forth against resistance • Push down on shrugged shoulders. ```

Question 28

Nursing Process

Answer 28

``` Assessment Diagnosis Planning Implementing Evaluation ```

Question 29

Present health history

Answer 29

``` Character Onset Location Duration Severity Patterns Associated factors ```

Question 30

Roles of the professional nurse

Answer 30

- Advance Practice - Advocacy - Caregiving (direct and indirect) - Research and education

Question 31

Secondary: | Loss of skin surface

Answer 31

Erosion Fissure Ulcer

Question 32

Erosion

Answer 32

loss of epidural surface only, doesn’t bleed. Once a vesicle or bulla pops & fluid comes out, the remaining wound is considered an erosion. (Maryalice - lecture recording)

Question 33

Ulcer

Answer 33

loss of dermal and epidural layer, could be area of necrosis and bleeding

Question 34

Fissure

Answer 34

cracks in skin; not related to trauma, related to skin conditions

Question 35

Ecchymosis

Answer 35

Bruises

Question 36

Petechia

Answer 36

rupture of small capillaries

Question 37

Supine

Answer 37

lying face upward

Question 38

Prone

Answer 38

lying flat, face down

Question 39

Trendelenburg

Answer 39

The body is laid flat on the back with feet higher than the head by 15-30 degrees

Question 40

sims

Answer 40

usually used for rectal examination, treatments, and enemas. It is performed by having pt lie on their left side, left hip, and lower extremity straight, and right hip knee bent. Also called lateral recumbent position

Question 41

Fowler's

Answer 41

lying in bed in a supine position with the head of the bed at approximately 30-45 degrees

Question 42

Semi-Fowler's

Answer 42

Bed would be tilted lower than in fowlers position

Question 43

Side lying/lateral

Answer 43

Pt lies on one side of the body with the top leg in front of the bottom leg and the hip and knee flexed

Question 44

Dorsal recumbent

Answer 44

Pt is on his back with knees flexed and soles of feet flat on bed

Question 45

Lithotomy

Answer 45

A supine position of the body with the legs separated, flexed, and supported in raised stirrups, originally used for lithotomy and later also for childbirth

Question 46

Knee-chest

Answer 46

A prone position in whice the individual rests on the knees and upper part of the chest, assumed for gynecologic or rectal examination