Mod. 3 Physical assessment Flashcards
What is the nurse assessing for by pressing into the skin to measure an indent?
Edema
Turgor
Thickness
Texture
Edema
What is the nurse assessing for when pinching the skin and measuring the tenting time?
Edema
Turgor
Thickness
Texture
Turgor: sufficient/ deficient fluid volume
What should the nurse assess when examining pustule lesions?
Color
Elevation
Size
Excudation
exudation
What would basal cell carcinoma look like?
A mole with abnormal borders.
A scar that appears irritated and red.
A wheal with abnormal color.
A pearly or waxy bump with visible blood vessels, often on the face, ears, or neck.
A pearly or waxy bump with visible blood vessels, often on the face, ears, or neck.
What should the nurse be looking for when assessing for squamous cell carcinoma?
A pearly, waxy bump with visible blood vessels
B) A rough, scaly patch or firm, red nodule that may crust or bleed
C) A flat, brown lesion with irregular borders
D) A smooth, raised bump filled with fluid
B) A rough, scaly patch or firm, red nodule that may crust or bleed
What would the nurse be looking for when assessing for malignant melanoma?
A) A pearly, waxy bump with visible blood vessels
B) A rough, scaly patch or firm, red nodule that may crust or bleed
C) A dark, irregularly shaped mole that changes in size, color, or border
D) A smooth, raised bump filled with fluid
C) A dark, irregularly shaped mole that changes in size, color, or border
What do yellow red lesions and eggs in the scalp indicate?
Crab lice
pediculosis
Fleas
Maggots
pediculosis
What is the nurse assessing for when she inspects the angle of the nail bed?
Profile sign
Clubbed fingers (180 degrees<)
What could clubbed fingers indicate?
Hypoxia
Anemia
Hypotrophy
Slow capillary refill
Hypoxia
What is hypoxia?
A) Low oxygen in the blood
B) Low oxygen in the tissues
C) High carbon dioxide levels
D) Rapid breathing
B) Low oxygen in the tissues
