Week 6 Flashcards
What secondary lesion is caused by epidermis loss due to moisture?
Maceration
The skin layer that is shiny, pink, and exquisitely tender is:
Dermis
The integumentary system consists of:
- Hair
- Skin
- Nails
The lesion associated with allergies and hypersensitivity reactions is called:
Wheal
A rash that is a collection of raised red papules with surrounding flat red spots is called:
Maculopapular
The difference between a vesicles and a pustule is that the vesicle is filled with:
Clear fluid
The patient says, “My freckles must go with my red hair.” The nurse knows a freckle is also called a __________.
Macule
Changes in skin color are significant. Which of these skin color changes indicates a lack of oxygen?
Cyanosis
When the nurse finds a lesion, the texture should be assessed by palpation. Note these opposing terms and fill in the blank: rough or smooth; moist or ______.
Dry
Skin that found in areas of the body where there is friction, such as the axillary or pubic region is:
Intertriginous
The nurse is checking the skin temperature of a red spot on a patient’s leg. Which part of the hand should be used?
Back of the hands/fingers
The difference between a primary and a secondary lesion is that the secondary lesion:
Develops as a response to the primary lesion
Baldness is an integumentary problem called:
Alopecia
Yellow nails that have a rough surface are suspected to be:
Onchomycosis
The nurse blanches a cold foot and measures the time it takes to return to the original color. How much time would indicate poor capillary bed perfusion?
Anything over 3 seconds
Which part of the peripheral vascular system is responsible for removing proteins and fluid from the interstitial fluid?
Lymphatic
The peripheral vascular systems that rely on muscle contraction to return fluid to the central circulation are the lymphatic and
Venous
The arterial pulse is found in the inguinal area. What is the name?
Femoral
Grade the pulse the can be palpated by lightly touching the skin over a pulse point
3+
What stage is a pressure ulcer that is red but can not be blanched?
Stage I pressure ulcer
The nurse suspects her patient has arterial insufficiency of the lower legs. Which of these would support that diagnosis? A. Brown skin B. Edema greater than 1+ C. Thickened skin D. Thin, shiny skin
Thin, shiny skin
The nurse presses on a slightly distorted limb, which leaves an indentation about 4mm. The indentation does not refill for 15 seconds. What grade edema is this?
2+
An expecting normal finding for palpation of lymph node is:
No palpable nodes
