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311 H,S,N

Nur 311 exam 3 hair, skin, and nails

QuestionAnswer
Which scale is used to predict the risk for pressure injuries? braden scale
Which tool measures pressure injury healing? PUSH tool
How do you prevent pressure injuries? inspect skin often, keep skin clean, change positions often, manage incontinence, adequate nutrition
What are the ABCDE's of melanoma? asymmetry, border, color, diameter (<6mm), evolution (changes over time)
What are 4 types of skin color changes? pallor, cyanosis, erythema, jaundice
What are primary lesions? lesions that arise from normal skin due to irritation or disease
What is an example of a primary lesion? cysts, wheals, pustules
What are secondary lesions? lesions that arise from primary lesions
What is an example of a secondary lesion? fissures or erosion (ulcers)
petechiae pinpoint hemorrhages
purpura collection of petechiae
port wine stain vascular in nature; hemangioma; half of face red
What are some examples of common skin variations? freckles, vitiligo, striae (stretch marks)
senile lentigines similar to freckles on the hand or face
seborrheic kerratosis dry-like moles
What do you palpate for in the skin? texture, temperature, moisture, thickness, mobility, edema
What do you inspect the hair for? color, cleanliness, lesions, parasites, moisture (dry or oily)
What do you inspect the nails for? color, cleanliness, markings, shape, texture, consistency
What do you palpate for in the nails? capillary refill; brisk for less than three seconds
What is paronychia? a skin infection around the nail
What is yellow nail syndrome? lymphatic fluid collects in soft tissues in and under the skin, causing yellow color; can lack a cuticle and detach from the nail bed
What is longitudinal ridging? vertical raised lines present on the nail
Created by: kristina2992
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