CH 13 Hair, Skin, and Nails Assessment Portion questions and solutions

CH 13 Hair, Skin, and Nails Assessment Portion
questions and solutions
Does the patient have any specific concerns about their hair, skin, or nails? - answersIf YES, inspect
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix




the area first. Then ask questions that address the particular lesion/growth/area of concern. If NO,
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix




gather information about their general health, nutritional status, etc. that could identify any potential
ix ix ix ix ix ix ix ix ix ix ix ix ix ix




causes for skin alterations.
ix ix ix ix




Family History - answers*Do you know if any of your parents, siblings, or children have a history of
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix




Melanoma? *Who had the problem? *Do any of them have multiple dark, irregular moles?(Having
ix ix ix ix ix ix ix ix ix ix ix ix ix ix




one or more first-degree relatives with a history of melanoma increases the patient's risk)
ix ix ix ix ix ix ix ix ix ix ix ix ix ix




Past History - answers*Do you examine your skin for new lesions or changes in current lesions
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix




monthly? *When was your last clinical skin examination? (Educate the patient on how to identify
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix




potentially serious skin lesions using the ABCD's of Melanoma detection.) Do you have any
ix ix ix ix ix ix ix ix ix ix ix ix ix ix




pigmented skin lesions? How many? Where? Size? Have they changed? Any dysplastic nevi?
ix ix ix ix ix ix ix ix ix ix ix ix ix




Melanomas are most common on face, shoulder, upper arms, back for men, and legs for women.)
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix




Medications - answersAre you taking any medications, OTC's, or herbal supplements? ix ix ix ix ix ix ix ix ix ix




Medications That Cause Photoreactions - answersTable 13.3 Page 271 ix ix ix ix ix ix ix ix




Lifestyle, Occupational History, and Personal Behaviors - answersOccupation? Exposed to
ix ix ix ix ix ix ix ix ix




excessive sunlight or radiation? Do you do anything to protect yourself from exposure? How often do
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix




you shower or bathe? What water temperature are they? Do you use moisturizer after?
ix ix ix ix ix ix ix ix ix ix ix ix ix ix




Determine risk for skin breakdown. - answersBed-bound, immobilizing device, weight shifting
ix ix ix ix ix ix ix ix ix ix




frequency.
ix




Normal moles have the following features: - answers*A solid tan, brown, black, or skin-toned color. *
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix




Size <6mm in diameter. *Well-defined edges. *Usually round or oval shaped with a flat or dome-like
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix




surface. *Emergence before 30 years of age.
ix ix ix ix ix ix ix




Educate the patient on Self-Skin Examinations - answers(SSE). Page 272
ix ix ix ix ix ix ix ix ix




A patient can decrease UV light exposure by - answersslipping on a shirt, slopping on sunscreen,
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix




slapping on a hat, and wrapping on sunglasses. Use Sunscreen!
ix ix ix ix ix ix ix ix ix ix




Common Integumentary Symptoms Include: - answersPruritis (itching). Rash (multiple lesions).
ix ix ix ix ix ix ix ix ix




Single Lesion or Wound. *Questions on Page 273-274*
ix ix ix ix ix ix ix ix




Lifespan Considerations - answersPregnant Women. Newborns, Infants, and Children. Adolescents
ix ix ix ix ix ix ix ix ix




(Acne, Sores, Piercings or Tattoos?). Older Adults (Bruising? Skin tear/split easily? Nails brittle or
ix ix ix ix ix ix ix ix ix ix ix ix ix ix




splitting?)
ix




testbanks_and_xanax