NURS 301 Flashcards
OLDCARTS
onset, location, duration, characteristics, aggravating and alleviating, related symptoms, treatment, and severity
IPPA assessment techniques
Inspection, palpation, percussion, auscultation
when inspecting skin look for
lesions, tatto, piercings, scars, infections, rashes, bruising, bites, and wounds
when assessing any skin disorder what do you use?
ABCDEF, asymmetric, border, color, diameter, elevation, and feel
where do you test turgor?
under forearm
if tenting is observed
poor skin turgor is noted. tenting= skin slowly receding back into place
Braden skin scale tests and is based off of
tests risk for pressure ulcers. Is based off sensory perception, moisture, activity, mobility, nutrition, and friction and shear
macule
solely a color change ex: freckles, measles
papule
something you can feel. ex: mole, lichen planus, wart
plaque
papule that merge together, ex: psoriasis or lichen planus
patch
macule that are larger than 1 cm
nodule
solid, elevated, hard or soft
wheal
superficial, raised, transient, slightly irregular due to edema. Ex: mosquito bite, allergic reaction, TB testing
urticaria
Hives. very pruritic (itchy)
coalesce
come together to form one mass or whole.
tumor
firm/soft, deeper into dermis. May be benign or malignant. Ex: lipoma
vesicle
elevated cavity containing free fluid. Ex: varicella, herpes zoster
bulla
usually single chambered/superficial in epidermis. Thin wall and ruptures easily. Ex: blister, burns, contact dermatitis
pastule
turbid fluid (pus) in the cavity. elevated and circumscribed. Ex: impetigo and acne
cyst
encapsulated fluid filled cavity in dermis or subcutaneous layer. Ex: sebaceous cyst