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Nursing Essentials > Assessment of Skin, Hair, and Nails > Flashcards

Assessment of Skin, Hair, and Nails Flashcards

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1
Q

What is the integumentary system comprised of

A

SKIN, NAILS, HAIR, SWEAT and SEBACEOUS (OIL) glands

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2
Q

What is the skin layers

A

epidermis, dermis, subcutaneous

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3
Q

What should you know about the epidermis

A

OUTERMOST, THINNEST, AVASCULAR

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4
Q

What does the dermis contain

A

CONNECTIVE tissue, ELASTIN, COLLAGEN

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5
Q

What layer of the skin is responsible for the skin’s characteristic elasticity

A

Dermis

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6
Q

What layer plays a role in body temp and BP regulation

A

Dermis

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7
Q

What else does the dermis contain

A

Lots of blood VESSELS, sensory NERVE fibers, OIL, SWETA glands, HAIR, NAIL, LYMPHATICS

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8
Q

What type of tissue is in the subcutaneous fat

A

adipose/ fat tissue

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9
Q

What are the roles of the subcutaneous fat

A

CONNECTS, DELIVERS, INCULATION, CUSHIONS, ENERGY

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10
Q

Where is hair formed

A

From epidermal cells in the dermis

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11
Q

What are papilla

A

The capillary loop at the base of the follicle that provides NOURISHMENT

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12
Q

What are melanocytes

A

They provide color

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13
Q

What factors into hair differation

A

Age, gender ,race, and hereditary

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14
Q

What are nails made of

A

keratin

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15
Q

What shape should nails be

A

smooth and round

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16
Q

Is the tissue under the nail plate highly vascular

A

Yes

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17
Q

What do sebaceous glands produce

A

sebum that LUBRICATES the skin and hair, lots on the FACE and SCALP

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18
Q

What are the two types of sweat glands

A

Eccrin and apocrine

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19
Q

Where are eccrine glands found

A

Everywhere ESPEICALY palms, soles, and forehead

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20
Q

What type of gland is important for temp regulation

A

eccrine

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21
Q

What do apocrine glands do

A

Secrete into HAIR follicle, starts at PUBERTY

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22
Q

What gland is responsible for body odor

A

apocrine

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23
Q

What are the functions of the skin

A

PROTECTION, barrier to HAZARDS, SELF-PERCEPTION, SENSATION, TEMP regulation, WOUND repair, FLUID and ELECTROLYTE regulation, ABSORBPTIO and waste EXRECTION, VIT D

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24
Q

What can steroids do to skin

A

Thin and weaken it

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25
Q

What are some questions to ask when essesing the skin

A

BRUISE, CHANGES, BIRTHMARKS, ULCER, WOUNDS, DRYNESS, ITCHINESS, HAIR LOSS, MEDS, EXPOSURE

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26
Q

What are you looking at for skin assessment

A

Color, appropriate, wounds/lesions, clean, dry

27
Q

What should the skin feel like

A

Smooth, warm, firm, and turgor of bilateral hands is <2 seconds

28
Q

What acronim can you use to describe lesions

A

ABCDE

29
Q

What does ABCDE stand for when assessing lesions

A

Apperance
boarders
color
diameter
elevetion/exudate/evolution

30
Q

What do you check for hair

A

color, texture, distribution, quantity, lesions, parasites

31
Q

To check for clubing would they have a diamond or no

A

No

32
Q

What can tell you dehydration

A

skin turgor

33
Q

What is pitting edema

A

It leaves an indentation

34
Q

What are the types of skin lesions

A

Generalized, zosteriform (nerve), grouped

35
Q

What is the deadliest form of skin cancer

A

melanoma

36
Q

What are the characteristics of melanoma

A

Irregular boarders, recent change, color variation, itchy, bleeds easily

37
Q

What can medical devices cause

A

pressure injuries

38
Q

What does the barden scale check

A

Sensory, moisture, activity, mobiliy, nutrition, friction/sheer

39
Q

What is the risk for a barden scale number of 15-18

A

At risk

40
Q

What is the risk for a barden scale number of 13-14

A

moderate risk

41
Q

What is the risk for a barden scale number of 10-12

A

High risk

42
Q

What is the risk for a barden scale number of less than or equal to 9

A

very high risk

43
Q

What is pediculosis

A

lice

44
Q

What is alopecia

A

chronic inflammatory disease of hair follicles

45
Q

What is hirsutism

A

Increased growth if facial hair in women

46
Q

What is paronychia

A

Inflammation of the cuticle

47
Q

What is koilonychia

A

spoon shaped nails (anemia)

48
Q

What is onychomycosis

A

Fungal infection of the nail plate

49
Q

What is clubbing associated with

A

chronic respiratory disease

50
Q

What are mongolian spots

A

dark, irregularly shaped areas over butt

51
Q

What is a stork bite

A

birthmark common on the neck or head

52
Q

What is seborrheic dermatitis

A

cradle cap, scaly crust on scalp

53
Q

What is irritant contact dermatitis

A

diaper rash

54
Q

What is milia

A

baby acne

55
Q

What is normally the cause for rashes in children

A

hand, foot, mouth disease

56
Q

What is impetigo

A

virus infection

57
Q

What is melasma

A

freckles darken in prenacy

58
Q

What is linea nigra

A

line of pregnancy down the belly

59
Q

What are striae

A

stretch marks

60
Q

Do pregnate people usally get caricose veins

A

yes

61
Q

What can you teach about for skin self-examination

A

ABCDE, good lighting, see everything

62
Q

Are tanning beds in the highest cancer-risk category

A

yes

63
Q

Can 1-2 blisterin sunburns double the risk of melanoma

A

YES

Nursing Essentials (16 decks)

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