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Nursing Assessment > Week 3 - Skin and Nutrition > Flashcards

Week 3 - Skin and Nutrition Flashcards

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1
Q

What is the risk of central body fat?

A

Cardiovascular disease

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2
Q

What are the signs of dehydration?

A

Headache, bad breath, fatigue, joint and muscle pain

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3
Q

What amount of urine should be produced ever hour?

A

30mL

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4
Q

Where should you test skin tugor?

A

Below clavicle

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5
Q

What are neuro signs of dehydration?

A

Confusion, dizziness, headache, and fatigue

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6
Q

What are skin signs of dehydration?

A

Tenting, pale, cold

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7
Q

What are the vital signs of dehydration?

A

Hypotensive, tachycardia, increased temp

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8
Q

What are the GI signs of dehydration?

A

constipation

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9
Q

What does COCA stand for when assessing urine?

A

Color Odor Clarity Amount

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10
Q

What does nail clubbing test for?

A

Lack of oxygen

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11
Q

What is cyanosis?

A

Blue tint

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12
Q

What is erythema?

A

Red; increased blood flow

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13
Q

What is pallor?

A

Pale color; decreased blood flow

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14
Q

What is jaundice?

A

Yellow color

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15
Q

What is Macule?

A

<1cm; non-palpable primary skin lesion

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16
Q

What is patch?

A

> 1cm; non-palpable primary skin lesion

17
Q

What is papule?

A

<1cm; palpable primary skin lesion

18
Q

What is plaque?

A

> 1cm; palpable primary skin lesion

19
Q

What is nodule?

A

Solid, deep, firm; palpable primary skin lesion

20
Q

What is cyst?

A

nodule with liquid; palpable primary skin lesion

21
Q

What is a wheal?

A

localized edema; palpable primary skin lesion

22
Q

What is a vesilce?

A

blister <1cm, serous fluid; palpable primary skin lesion

23
Q

What is a bulla?

A

blister >1cm, serous fluid; palpable primary skin lesion

24
Q

What is a pustule?

A

purulent fluid(puss); palpable primary skin lesion

25
Q

What is the cause of a secondary skin lesion?

A

Scratching or infection

26
Q

What are examples of a secondary skin lesion

A

Scar, erosion, excoriation, ulcer, fissure

27
Q

What are example of vascular skin lesions?

A

Spider veins, petechia (blood outside vessels), ecchymosis (bruise)

28
Q

What can you gather from palpitating?

A

Warmth, dryness

29
Q

serous color

A

clear

30
Q

serosanguineous

A

bloody watery

31
Q

sanguineous color

A

bloody

32
Q

whatispurulent

A

pussy

Nursing Assessment (2 decks)

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