Nursing Q&A
Nursing
Study online at https://quizlet.com/_85vjk8
1. What is Edema? Swelling
2. Where do you pinch to assess tur- Back of forearm or sternum
gor?
3. How do you check for vascularity? Push into skin and see if it blanches
4. Temperature is best assessed using Dorsal
the _________ portion of the hand
5. Where to look for pallor? Nails, nail beds, and lips
6. Best place to check for cyanosis? Lips
7. What is erythema? Redness of the skin
8. Types of Edema: -dependent
-pitting
-due to inflammation/injury
-obstruction
9. Used to predict patients at risk for Braden Scale
skin breakdown
10. Braden Scale score range 6-23
Lower the score, greater risk
11. Largest organ in the body Skin
12. Lesions are measure in centimeters
13. Define macule Flat, non-palpable, change in skin color, smaller than
1cm
14. Example of a macule freckle, petechiae
, Nursing Q&A
Nursing
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15. Define nodule Elevated solid mass, deeper and firmer than papule
1-2 cm
16. Example of a nodule wart
17. Define tumor solid mass that extends deep through subcutaneous
tissue, larder than 1-2cm
18. Example of tumor Epithelioma
19. Define wheal irregularly shaped, elevated area or superficial local-
ized edema, varies in size
20. Example of wheal Hive, mosquito bite
21. Define vesicles circumscribed elevation of skin filled with serous flu-
id, smaller than 1cm
22. Example of vesicle herpes simplex, chickenpox
23. Most common skin abnormality Basal cell carcinoma
24. What does the A stand for in the skin Asymmetry
ABCD assessment
25. What does the B stand for in the skin Border
ABCD assessment
26. What does the C stand for in the skin Color
ABCD assessment
27. What does the D stand for in the skin Diameter
ABCD assessment
, Nursing Q&A
Nursing
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28. Define pustule Circumscribed elevation of skin similar to vesicle but
filled with pus, varies in size
29. Example of pustule Acne, staphylococcal infection
30. Define ulcer Deep loss of skin surface that extends to dermis and
frequently bleeds and scars, varies in size
31. Example of ulcer venous stasis ulcer
32. Define atrophy Thinning of skin with loss of normal skin furrow, with
skin appearing shiny and translucent; varies in size
33. Example of atrophy Arterial insufficiency
34. Define ecchymosis a discoloration of the skin resulting from bleeding
underneath, typically causes bruising
35. Define hematoma a solid swelling of clotted blood within the tissues;
goose egg, blood underneath
36. Normal nailed degree 160 degrees
37. Normal cap refill time <3 seconds
38. Define hyperopia Farsightedness. Can see distant objects but not close
ones
39. Define myopia Near sightedness. Can see close but not distant ob-
jects
40. Define presbyopia Impaired near vision at middle age and older adults
caused by loss of elasticity of the lens
41. Define strabismus
Nursing
Study online at https://quizlet.com/_85vjk8
1. What is Edema? Swelling
2. Where do you pinch to assess tur- Back of forearm or sternum
gor?
3. How do you check for vascularity? Push into skin and see if it blanches
4. Temperature is best assessed using Dorsal
the _________ portion of the hand
5. Where to look for pallor? Nails, nail beds, and lips
6. Best place to check for cyanosis? Lips
7. What is erythema? Redness of the skin
8. Types of Edema: -dependent
-pitting
-due to inflammation/injury
-obstruction
9. Used to predict patients at risk for Braden Scale
skin breakdown
10. Braden Scale score range 6-23
Lower the score, greater risk
11. Largest organ in the body Skin
12. Lesions are measure in centimeters
13. Define macule Flat, non-palpable, change in skin color, smaller than
1cm
14. Example of a macule freckle, petechiae
, Nursing Q&A
Nursing
Study online at https://quizlet.com/_85vjk8
15. Define nodule Elevated solid mass, deeper and firmer than papule
1-2 cm
16. Example of a nodule wart
17. Define tumor solid mass that extends deep through subcutaneous
tissue, larder than 1-2cm
18. Example of tumor Epithelioma
19. Define wheal irregularly shaped, elevated area or superficial local-
ized edema, varies in size
20. Example of wheal Hive, mosquito bite
21. Define vesicles circumscribed elevation of skin filled with serous flu-
id, smaller than 1cm
22. Example of vesicle herpes simplex, chickenpox
23. Most common skin abnormality Basal cell carcinoma
24. What does the A stand for in the skin Asymmetry
ABCD assessment
25. What does the B stand for in the skin Border
ABCD assessment
26. What does the C stand for in the skin Color
ABCD assessment
27. What does the D stand for in the skin Diameter
ABCD assessment
, Nursing Q&A
Nursing
Study online at https://quizlet.com/_85vjk8
28. Define pustule Circumscribed elevation of skin similar to vesicle but
filled with pus, varies in size
29. Example of pustule Acne, staphylococcal infection
30. Define ulcer Deep loss of skin surface that extends to dermis and
frequently bleeds and scars, varies in size
31. Example of ulcer venous stasis ulcer
32. Define atrophy Thinning of skin with loss of normal skin furrow, with
skin appearing shiny and translucent; varies in size
33. Example of atrophy Arterial insufficiency
34. Define ecchymosis a discoloration of the skin resulting from bleeding
underneath, typically causes bruising
35. Define hematoma a solid swelling of clotted blood within the tissues;
goose egg, blood underneath
36. Normal nailed degree 160 degrees
37. Normal cap refill time <3 seconds
38. Define hyperopia Farsightedness. Can see distant objects but not close
ones
39. Define myopia Near sightedness. Can see close but not distant ob-
jects
40. Define presbyopia Impaired near vision at middle age and older adults
caused by loss of elasticity of the lens
41. Define strabismus
