NSG121/ NSG 121 Exam 2: (Latest 2024/ 2025 Update) Health Assessment | Review with Questions and Verified Answers| 100% Correct| Graded A- Herzing

NSG121/ NSG 121 Exam 2: (Latest 2024/ 2025 Update) Health Assessment | Review with Questions and Verified Answers| 100% Correct| Graded A- Herzing Q: How do you do a skin turgor assessment? Answer: Near the clavicle, gently grasp a fold of the patient's skin between your fingers and pull up, then release. Tenting indicates dehydration. Poor skin turgor is also associated with aging. Q: Describe a papule Answer: Raised, defined, any color, less than 1 cm (ex: wart, insect bite) Q: Describe a patch Answer: Flat, circumscribed, discolored, greater than 1 cm (ex: vitiligo) Q: Describe a macule Answer: Flat, circumscribed, discolored, less than 1 cm (ex: freckles, tattoo) Q: Describe a wheal Answer: Raised, flesh-colored, or red edematous papules or plaques, vary in size and shape (ex: urticaria) Q: Capillary refill, as it relates to a burn patient Answer: The deeper the burn, the slower the capillary refill. Superficial: rapid cap refill Superficial dermal: slowed cap refill Dermal: no cap refill Full thickness: no blanching Q: Factors to classify burns Answer: Depth of tissue destruction (involves vascular and sensory status and appearance and blanching) Percentage of total body surface area (TBSA) affected (rule of 9s) Q: Describe a clean-contaminated wound Answer: Made under sterile conditions, but involving the respiratory, GI, genital, or urinary tracts without unusual contamination (ex: appendectomies, hysterectomies, cholecystectomies, and oropharyngeal surgeries) Q: Braden scale 6 categories Identifying risk for skin breakdown using: Sensory perception Moisture Activity