general assessment safety and skin

Question 1

inspection

Answer 1

purposeful inspection all over the body

Question 2

palpation

Answer 2

uses the sense of touch

Question 3

percussion

Answer 3

striking one object against another

Question 4

auscultation

Answer 4

listening with a stethoscope to sounds that are produced in the body

Question 5

what is considered a fall risk on the Hester scale

Answer 5

greater than a 7
7-10 low risk

Question 6

skin integrity - inspection

Answer 6

color
vascularity
temperature
moisture
turgor

Question 7

ecchymosis

Answer 7

collection of blood in subcutaneous tissue causing a purplish discoloration that may look like a bruise

Question 8

petechiae

Answer 8

small hemorrhagic spots that are caused by capillary bleeding
look like little red dots

Question 9

diaphoresis

Answer 9

moisture like excessive perspiration that causes the skin to be more moist

Question 10

skin turgor

Answer 10

is the fullness or elasticity of the skin

Question 11

pressure injury

Answer 11

localized damage to the skin and underlying tissue that usually occurs over a bony prominence