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Nursing Application > Skin Assessment > Flashcards

Skin Assessment Flashcards

1
Q

What is pruritis?

A

itchiness

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2
Q

Which two chronic disease involve poor circulation?

A
  1. diabetes mellitus
  2. peripheral vascular disease
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3
Q

What areas do you asses for paleness?

A

lips, mucous membranes, inner eyelids

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4
Q

Erythema?

A

warm redness due to infection

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5
Q

What areas do you asses for jaundice?

A

sclera and hard palate

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6
Q

What is mottling?

A

blotchy red-purplish marbling on skin
(before death)

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7
Q

Beau’s lines?

A

idents across width of nail

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8
Q

Clubbing degree classification?

A

angle 180 degrees or greater

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9
Q

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

A

3-4sec

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10
Q

Macule

A

Flat
(freckle, age spots)

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11
Q

Urticaria

A

Hives
(allergic reactions, systemic reactions)

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12
Q

Papule

A

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

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13
Q

Nodule

A

Elevated & Firm (>1cm)

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14
Q

Vesicle

A

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

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15
Q

Cyst

A

deeper than a vesicle
(can’t see fluid)

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16
Q

Pustule

A

filled w/ pus
(acne, mirza)

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17
Q

Crust

A

dried drainage
(scab)

18
Q

Scaling

A

flakes of skin
(psoriasis w/ crust)

19
Q

Excoriation

A

Redness, abrasions, scabs
(eczema)

20
Q

Keloid

A

hypertrophic scar

21
Q

Acute wound last

22
Q

Chronic wound last

A

> 12 weeks

23
Q

Tunneling/Sinus Tract

A

a narrow channel of passageway extending into healthy tissue

24
Q

Undermining

A

tunneling wound that begins directly under the wound edge

25
Q

Pale pink color indicates?

26
Q

Serous drainage color?

27
Q

Sanguineous drainage color?

A

bright red, bloody

28
Q

Purulent drainage color?

A

yellowish-green, tan/brown

29
Q

first stage of pressure injury

A

red and non-blanchable

30
Q

second stage of pressure injury

A

tissue loss, pink

31
Q

third stage of pressure injury

A

yellow-dead cells

32
Q

fourth stage of pressure injury

A

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

33
Q

Mongolian spots

A

birth marks
(buttocks, lower back)

34
Q

What are 2 lesions associated with aging?

A
  1. actinic keratosis
  2. seborrheic keratosis
35
Q

What side of hand do you use to take temp?

36
Q

What side of hand do you use to asses moisture?

37
Q

Where do you asses turgor on a child?

38
Q

Where do you asses turgor on the elderly?

A

anterior of chest

39
Q

Edema scale

40
Q

How often should older adults bathe?

A

every 2-3 days

Nursing Application (16 decks)

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