Skin Assessment

Question 1

What is pruritis?

Answer 1

itchiness

Question 2

Which two chronic disease involve poor circulation?

Answer 2

1. diabetes mellitus
2. peripheral vascular disease

Question 3

What areas do you asses for paleness?

Answer 3

lips, mucous membranes, inner eyelids

Question 4

Erythema?

Answer 4

warm redness due to infection

Question 5

What areas do you asses for jaundice?

Answer 5

sclera and hard palate

Question 6

What is mottling?

Answer 6

blotchy red-purplish marbling on skin
(before death)

Question 7

Beau’s lines?

Answer 7

idents across width of nail

Question 8

Clubbing degree classification?

Answer 8

angle 180 degrees or greater

Question 9

When testing capillary refill, patient with poor circulation return to redness within?

Answer 9

3-4sec

Question 10

Macule

Answer 10

Flat
(freckle, age spots)

Question 11

Urticaria

Answer 11

Hives
(allergic reactions, systemic reactions)

Question 12

Papule

Answer 12

Elevated & Firm (<1cm)
(mole, wart, scurvy)

Question 13

Nodule

Answer 13

Elevated & Firm (>1cm)

Question 14

Vesicle

Answer 14

Elevated & Fluid-filled
(blister, friction, poison ivy)

Question 15

Cyst

Answer 15

deeper than a vesicle
(can’t see fluid)

Question 16

Pustule

Answer 16

filled w/ pus
(acne, mirza)

Question 17

Crust

Answer 17

dried drainage
(scab)

Question 18

Scaling

Answer 18

flakes of skin
(psoriasis w/ crust)

Question 19

Excoriation

Answer 19

Redness, abrasions, scabs
(eczema)

Question 20

Keloid

Answer 20

hypertrophic scar

Question 21

Acute wound last

Answer 21

<12 weeks

Question 22

Chronic wound last

Answer 22

> 12 weeks

Question 23

Tunneling/Sinus Tract

Answer 23

a narrow channel of passageway extending into healthy tissue

Question 24

Undermining

Answer 24

tunneling wound that begins directly under the wound edge

Question 25

Pale pink color indicates?

Answer 25

anemia

Question 26

Serous drainage color?

Answer 26

clear

Question 27

Sanguineous drainage color?

Answer 27

bright red, bloody

Question 28

Purulent drainage color?

Answer 28

yellowish-green, tan/brown

Question 29

first stage of pressure injury

Answer 29

red and non-blanchable

Question 30

second stage of pressure injury

Answer 30

tissue loss, pink

Question 31

third stage of pressure injury

Answer 31

yellow-dead cells

Question 32

fourth stage of pressure injury

Answer 32

expose muscle, bone, tendon
(yellow, dark, crusty)

Question 33

Mongolian spots

Answer 33

birth marks
(buttocks, lower back)

Question 34

What are 2 lesions associated with aging?

Answer 34

1. actinic keratosis
2. seborrheic keratosis

Question 35

What side of hand do you use to take temp?

Answer 35

dorsal

Question 36

What side of hand do you use to asses moisture?

Answer 36

palmar

Question 37

Where do you asses turgor on a child?

Answer 37

abdomen

Question 38

Where do you asses turgor on the elderly?

Answer 38

anterior of chest

Question 39

Edema scale

Answer 39

1-4

Question 40

How often should older adults bathe?

Answer 40

every 2-3 days