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1) Why is a skin assessment important? What general information about
the body as a whole is obtained through a skin assessment? Know
important issues to ask when taking a history about the skin. -
ANSWER ✔✔- You can gather clues about health problems through
the skin.
- Information about body's circulation, nutrition & signs of systemic
disease.
,- Past history of skin disease, change in pigmentation/color, change in
mole size/shape/color/exnderness, dryness/moisture, pruritus, bruising,
rash/lesion, hair loss, change in nails, etc & Rx medications
Pallor - ANSWER ✔✔- Extreme or unusual paleness; skin takes color
of connective tissue (collagen); common in anxiety or fear.
- Observe in mucous membranes, lips & nail beds
Erythema - ANSWER ✔✔- Intense redness from excess blood from
dilated superficial capillaries
- Expected with fever, local inflammation or emotional reactions in
vascular flush areas
Cyanosis - ANSWER ✔✔- Bluish discoloration of the skin resulting
from poor circulation or inadequate oxygenation of the blood.
- Best seen in lips, nose, cheeks, ears & oral mucous membranes.
- Most conditions causing this also cause decreased oxygenation of the
brain
Jaundice - ANSWER ✔✔- Yellowing of skin; indicates rising amounts
of bilirubin in blood.
- First noted in junction of hard & soft palates in mouth and in sclera of
eye
, Technique used to effectively assess skin temperature: - ANSWER
✔✔use backs of hand to palpate person; skin should be warm and
temperature should be bilaterally equal
Diaphoresis - ANSWER ✔✔- profuse sweating (perspiration) -
accompanies increased metabolic rate
- can indicate anxiety, pain or low BP
Dehydration - ANSWER ✔✔- A serious reduction in the body's water
content
- dry mucous membranes, lips, decreased skin turgor
How to assess for skin turgor - ANSWER ✔✔- Infants: test mobility of
skin over abdomen
- Adults: punch a large fold of skin on anterior of chest under clavicle
- Can be affected by dehydration, extreme weight loss and age
Why is an infant more susceptible to dehydration? - ANSWER ✔✔-
Higher body water content along with higher metabolic rates
- They require greater volumes of water to maintain fluid equilibrium
- Skin is thin, smooth & elastic therefor much more permeable than an
adult's
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