NURS 301 Flashcards

1
Q

OLDCARTS

A

onset, location, duration, characteristics, aggravating and alleviating, related symptoms, treatment, and severity

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2
Q

IPPA assessment techniques

A

Inspection, palpation, percussion, auscultation

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3
Q

when inspecting skin look for

A

lesions, tatto, piercings, scars, infections, rashes, bruising, bites, and wounds

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4
Q

when assessing any skin disorder what do you use?

A

ABCDEF, asymmetric, border, color, diameter, elevation, and feel

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5
Q

where do you test turgor?

A

under forearm

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6
Q

if tenting is observed

A

poor skin turgor is noted. tenting= skin slowly receding back into place

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7
Q

Braden skin scale tests and is based off of

A

tests risk for pressure ulcers. Is based off sensory perception, moisture, activity, mobility, nutrition, and friction and shear

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8
Q

macule

A

solely a color change ex: freckles, measles

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9
Q

papule

A

something you can feel. ex: mole, lichen planus, wart

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10
Q

plaque

A

papule that merge together, ex: psoriasis or lichen planus

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11
Q

patch

A

macule that are larger than 1 cm

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12
Q

nodule

A

solid, elevated, hard or soft

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13
Q

wheal

A

superficial, raised, transient, slightly irregular due to edema. Ex: mosquito bite, allergic reaction, TB testing

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14
Q

urticaria

A

Hives. very pruritic (itchy)

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15
Q

coalesce

A

come together to form one mass or whole.

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16
Q

tumor

A

firm/soft, deeper into dermis. May be benign or malignant. Ex: lipoma

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17
Q

vesicle

A

elevated cavity containing free fluid. Ex: varicella, herpes zoster

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18
Q

bulla

A

usually single chambered/superficial in epidermis. Thin wall and ruptures easily. Ex: blister, burns, contact dermatitis

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19
Q

pastule

A

turbid fluid (pus) in the cavity. elevated and circumscribed. Ex: impetigo and acne

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20
Q

cyst

A

encapsulated fluid filled cavity in dermis or subcutaneous layer. Ex: sebaceous cyst

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21
Q

crust

A

thickened, dried out, left when vesicles burst or dry up

22
Q

scale

A

compact, flakes of skin, silvery, shedding of dead excess keratin cells

23
Q

fissure

A

linear crack with abrupt edges. extends into dermis, dry Ex: athletes foot, cheilosis

24
Q

cheilosis

A

painful inflammation and cracking of the corners of the mouth

25
Q

excoriation

A

self inflicted abrasion, superficial. Ex: insect bites/intense scratching

26
Q

erosion

A

scooped out but shallow depression. moist but not bleeding

27
Q

lichenification

A

prolonged intense scratching eventually thickens the skin and produces tightly packed sets of papules. Ex: psoriasis

28
Q

keloid

A

scar with excess scar tissue

29
Q

purpura

A

small blood vessels join together or leak blood under the skin

30
Q

petechiae

A

when purpura spots are very small

31
Q

ecchymosis

A

large purpura (looks like bruises) look for multiple area at different stages

32
Q

alopecia

A

balding

33
Q

basal cell carcinoma

A

most common, starts out as skin colored papule and grows slowly

34
Q

squamous cell carcinoma

A

red, scaly, equal to or greater than 1 cm, grows rapidly

35
Q

melanoma

A

very aggressive, originates in the melanocytes, most are brown and black, but can be red, pink, purple. kills about 1 person an hour

36
Q

cultural considerations for skin

A

coining and cupping

37
Q

areas of common skin breakdown in supine position

A

occiput, scalpula, sacrum, heels

38
Q

annular

A

ringed with clear center

39
Q

linear

A

straight line

40
Q

circinate

A

circular like a C

41
Q

confluent

A

lesions run together

42
Q

discrete

A

individual/distinct

43
Q

discoid

A

disc - shaped without central clearing

44
Q

zostiform

A

linear clustered along the nerve root

45
Q

generalized

A

widespread

46
Q

villus hair

A

short, fine, covers most the body, unpigmented

47
Q

terminal hair

A

coarser and thicker. pigmented. scalp, eyebrows, pubic hair…

48
Q

clubbing

A

shape of nails. late sign of perfusion to peripheral circulation. can be from smoking or congenital

49
Q

spooning

A

concave curves in nails. from iron deficiency

50
Q

jagged

A

shape in nails from chronic anxiety

51
Q

pitting

A

seen in nails from psoriasis

52
Q

paronychia

A

infection of the nail folds