nurs612 exam 2 Flashcards
If you find a skin lesion, what will you document? 7 things
size shape color texture elevation/depression Attachment @ base: (penducatled) with stalk or sessile (without stalk) Exudates
Freckles, flat moles, petichiae are all considered:
Macules
3 physical signs of palpating lymph nodes:
lypmadenopathy, lyphangitis, or lymphedema
Hyperressonance on percussion would indicate:
emphysema, pneumo, some type of consolidation
6 characteristics of skin that you are assessing when inspecting
Color Moisture Temperature Texture Turgor Elasticity
greater clarity and increased loudness of spoken words
Bronchophony
Dullness on percussion would indicate:
pneumonia, atelectasis
Elevated, firm, circumscribed lesion 1-2 cm in diameter and usually deeper in the dermis than a papule (lipoma, erythema nodosum)
Nodule
Psoriasis, seborrheic is examples of
Plaque
irregular respiration varying in depth and interrupted by intervals of apnea, but lacking the repetitive pattern of periodic respiration
Biot or ataxic respiration
A crackly or crinkly sensation that can be both felt and heard
creptitus
flat, circumscribed area that is a change in the color of the skin less than 1 cm in diameter
Macule
the intensity of the spoken voice is increased and there is a nasal quality
E to A sounds
Egophony
elevated, firm and rough lesion with flat top surface greater than 1 cm
Plaque
ABCD of mole changes:
Asymmetry
Border
Color
Diameter