Nur 1460 OCC-Quiz 2/3 2024/2025

Nur 1460 OCC-Quiz 2/3 2024/2025 What are the three layers of the skin? ANS-Epidermis, dermis and subcutaneous What is pruritis? ANS-Itching What are some examples of subjective data to collect from assessing the patient's skin? ANS-(This is what they say)-previous history, change in pigment, change in moles, moisture/dryness, bruising, rash, pruritis, lesions, meds, hair loss, change in nails, hazards they work with, self-care behaviors (like using sunscreen, etc) When inspecting and palpating the skin, the nurse should look at the ____ of the skin (to assess for oxygenation and see if it's appropriate for their ethnicity) ANS-color When checking the skin for fluid overload what are we checking for and how do we rate that? ANS-edema and it ranges from 0-4+ What does mobility and tugor tell the nurse about a patient's skin? ANS-Checking for dehyration (mobility is the stretching of the skin up and turgor is the recoil) What are cherryangiomas? ANS-Raised cherry colored papules (look like bright red moles) When assessing a lesion on a patient we want to note the size, location, is it raised, is there any excudate or odor and is there a ____ ANS-pattern to it What is hyperemia? ANS-red, bright pink skin (or purpleish on dark skin) What is vitiligo? ANS-patchy milky white spots often symmetric bilaterally caused by depigmentation of the skin What is albinism? ANS-Whitish pink coloring of the skin;absence of pigment melanin What does pallor mean? ANS-Paleness to the skin-can be caused by anemia or shock What is an annular lesion? ANS-circular lesions that begin in the center and spread (like ringworm) What is a confluent lesion? ANS-These are lesions that run together (like uticaria) What is a discrete lesion? ANS-An individualized lesion that remains separate and distinct What do you call a cluster of lesions such as vesicles of contact dermatitis? ANS-Grouped What do you call twisted, coiled or spiral lesions? ANS-Gyrate What do you call lesions that resemble the iris of the eye and are concentric rings ANS-Iris or target Lesions that take a form of a scratch, streak, line or stripe are ____ ANS-Linear Annular l