Protection (Integumentary) Flashcards
How should palpation of the skin be done using the hand?
Use both the palmar and dorsal surface of the hand
What should the dorsal surface of the hand be used to check?
The temperature of the skin
What is the order a skin assessment should be done?
- Head-to-toe, front to back
2. Focus on the areas of known problems
What are somethings that are considered subjective data for skin?
- Recent skin changes
- exposure to chemicals or sun
- allergies
- rashes, skin problems
- wounds
- itching
- pain
- Self-treatments
- general skincare
- stress
- diet changes
What color undertone do people with dark skin typically have?
A reddish undertone
What color are buccal mucosa, tongue, lips, and nails normally?
pink
What does the term cyanosis mean?
dusky bluish color
Where would a nurse look to find signs of cyanosis?
Ears, lips, buccal mucosa, hands, and nailbeds
What color does jaundice turn skin?
yellow
Where would the nurse inspect for outwards signs of jaundice?
skin, mucous membranes, and sclera
Where should the nurse check for signs of hypoxia in an African American person?
In the oral mucosa
What does the term pallor mean?
Paleness
What does the term erythema mean?
redness
Should skin normally feel cool and sweaty, warm and dry, hot and dry, or warm and flushed?
Warm and dry
What could cool pale skin indicate?
Poor perfusion
What else could indicate poor perfusion?
Hair loss in certain areas
What could cool and sweaty (diaphoretic) skin indicate?
Low blood sugar
hint= cold and clammy need some candy
What could hot and dry skin indicate?
High blood sugar
What could warm/hot and flushed skin indicate?
A fever
What is ecchymosis? (Bruising)
A collection of blood subcutaneous
What color is ecchymosis?
Purplish
What is petechiae?
Small pinpoint hemorrhagic spots caused by capillary bleeds
What can be found around the eyes when someone who is taking aspirin sneezes or coughs violently?
petechiae
What is turgor?
elasticity of the skin
