NUR 216 - Module 4 (100% Error-free Answers)

List five things you need to do prior to beginning the assessment. correct answers 1. Review the client chart 2. Gather needed supplies 3. Announces presence to client 4. Ensures client privacy 5. Performs hand hygiene What techniques are used for a skin assessment? correct answers Inspection and palpation What do you inspect during a skin assessment? correct answers Color, texture, moisture, and integrity What do you palpate for during a skin assessment? correct answers Texture, moisture temperature, mobility, and turgor What tools are needed in preparation for a skin assessment? correct answers Strong direct lighting, gloves, penlight, and small centimeter ruler. Epidermis correct answers The surface layer is a combination of dead cells on the outside and live cells on the inside. It takes about a month for cells to move from the inner surface to the outer surface. This is a way the skin constantly renews itself. Dermis correct answers The middle layer is composed of connective tissue that is formed by a dense combination of interconnecting collagen and elastic fibers. It contains blood vessels, hair follicles, cutaneous nerve endings, sensory receptors, lymphatics, ans sebaceous and sweat glands. Subcutaneous correct answers The innermost layer contains fatty tissue. This layer stores fat for energy and provides insulation for even temperature control. It has a soft cushioning effect that protects the body and gives the skin flexibility over the skeleton beneath. List the functions of skin and nails. correct answers -Protect the inner body parts and organs -Body temperature regulation through shivering and sweating -Sensory perception of temperature, touch, and pain -Excrete waste and toxic substances -Produce vitamin D Elasticity in the older adult. correct answers -Loses elasticity; skin folds and sags. -Decreased skin turgor. Sweat and Sebaceous glands in the older adult. correct answers Decrease in number and function, leaving skin dry.