Skin/Hair/Nails

Question 1

Skin Assessment

Answer 1

Color, moisture, temperature, texture, turgor, vascularity, edema, lesions

Question 2

pallor

Answer 2

Pale color of the skin indicating hypoxia

Question 3

Jaundice

Answer 3

Yellow color of the skin indicating liver disease or breaking down of RBC

Question 4

Cyanosis

Answer 4

Blueness of the skin resulting from cold or respiratory failure

Question 5

Erythema

Answer 5

Sign of inflammation. Redness of the skin

Question 6

Hydration

Answer 6

Skin is dry and oily

Question 7

Dryness of skin

Answer 7

r/t dehydration, smoking, stress, sun exposure

Question 8

Diaphoresis

Answer 8

Sweating

Question 9

Braden Skin Scale

Answer 9

6-23 range scale that determines likelihood of pressure injury. Anything 18 or below is concerning.

Question 10

Indurated

Answer 10

Bumpy skin

Question 11

Turgor

Answer 11

Checks for elasticity in the skin

Question 12

Tenting

Answer 12

A check to see if the skin is hydrated

Question 13

Petechiae

Answer 13

Little red dots resulting from popped blood vessels under stress. Could also be related to blood clotting disorder or liver disease

Question 14

Edema

Answer 14

Swelling of skin

Question 15

Swelling Edema

Answer 15

Edema that will pit when you press it. In order to assess the severity, judge hoe many mm the edema pits. 2mm=+1, 4mm=+2, etc.

Question 16

Melanoma

Answer 16

Deadliest form of skin cancer

Question 17

ABCDE

Answer 17

Method for assessing a mole for melanoma.
Asymmetrical
Border Irregularity
Color
Diameter (6+mm)
Evolving

Question 18

Hirsutism

Answer 18

Women with excessive hair growth on face

Question 19

Yellow Nails

Answer 19

Indicate liver disease of lock of calcium

Question 20

Clubbing

Answer 20

Huge fingernails that are swelling as a result of low oxygen. Indicate hypoxia.

Question 21

Capillary Refill

Answer 21

Pressing the capillaries to see how quickly they return to their normal color. They should refill in three seconds. If they do not, there is concern for PVD, Heart Failure, Blood Clot, or shock

Question 22

Alopecia

Answer 22

Hairloss

Question 23

Boney Prominences

Answer 23

Higher risk for pressure injury