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N125 Study Material and Questions Solved 100% Correct |Verified Answers

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N125 Study Material and Questions Solved 100% Correct |Verified Answers

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N125 Study Material and Questions Solved
100% Correct |Verified Answers
Integument: Neck and Head Subjective Data - ANSWER - previous history of skin disease
- changes in moles
- changes in pigmentation
- excessive dryness/moisture
- pruritus (itchy)
- excessive bruising
- rash/lesions
- medication
- hair loss
- changes in nails
- environmental hazards
- self-care


Objective Data: Inspect Skin - ANSWER - color
- temperature
- moisture
- texture
- thickness


Inspect Skin: Color - ANSWER - general pigmentation
- wide spread color change
- pallor (whiteness)
- erythema (redness)

,- cyanosis (blueish)
- jaundice


Abnormal Findings: Skin Color - ANSWER - vitiligo
- ABCDE
- ashen gray color in dark skin or pallor in light skin


Vitiligo - ANSWER absence of melanin in patchy areas


ABCDE - ANSWER - asymmetry
- border
- color
-diameter
- elevation/evolution


Ashen Gray Color in Dark Skin and Pallor in Light Skin - ANSWER indicated anemia,
shock, or aterial insufficiency


Inspect Skin: Temperature - ANSWER skin should be warm and temperature should be
the same bilaterally.


Abnormal Findings: Skin Temperature - ANSWER - hyperthyroidism causes warm, moist
skin


Inspect Skin: Moisture - ANSWER - diaphoresis
- dehydration in mucous membranes

, Inspect Skin: Texture - ANSWER should be smooth and firm


Abnormal Findings: Skin Texture - ANSWER - Hyperthyroidism causes skin to be smooth
- Hypothyroidism causes rough, dry, flaky skin


Inspect Skin: Thickness - ANSWER epidermis is uniformly think except thickened callus
areas on palms and soles


Abnormal Findings: Skin Thickness - ANSWER thin, shiny (atrophic) skin occurs with
arterial insufficiency


Inspect Skin: Edema - ANSWER - to check, imprint thumb against ankle or tibia. If
pressure leaves in indent, pitting edema is present.
- grade on a 1+ - 4+ scale


Abnormal Findings: Edema - ANSWER - peau d'orange
- unilateral edema
- bilateral edema


Peau d' Orange - ANSWER - looks like an orange peel
- edema makes hair follicles more prominent


Unilateral Edema - ANSWER local or peripheral cause


Bilateral Edema - ANSWER generalized over whole body due to a central problem like
heart or kidney failure

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