NSE 103 WEEK 3 EXAM REVIEW
QUESTIONS WITH COMPLETE
SOLUTIONS
who is the FLACC pain tool used for? - Answer- young nonverbal children
what does FLACC pain tool stand for? - Answer- face
legs
activity
cry
consolability
what is the BPS used for? - Answer- pain scale used for critically ill clients on
mechanical ventilation
what does BPS stand for? - Answer- behavioural pain scale
who is the CPOT used for? - Answer- assesses pain in ventilation & non-ventilated
patients
what does CPOT stand for? - Answer- critical care pain observation tool
what are the four components of CPOT? - Answer- facial expression
body movement
muscle tension
compliance with ventilator / vocalization
what are 7 the clinical manifestations of integumentary issues? - Answer-
pattern/distribution
morphology
location
texture
, symmetry
colour
sensation
what is pruritis? - Answer- itching; sometimes associated with a rash
what is urticaria? - Answer- hives
what are nevis? - Answer- moles
what is linea nigra? - Answer- single dark vertical line on the abdomen
what are ulcers? - Answer- open sores on the skin
what nail changes are important to note? - Answer- colour
texture
shape
lifting of the nail
what is oncholysis? - Answer- separation of the nail from the nail bed
what is alopecia? - Answer- hair loss
what is xerosis? - Answer- dry skin
what is seborrhea? - Answer- severe oiliness of the skin
what is mottled skin? why is it important to note? - Answer- marbled skin due to being
cold or capillary obstruction
can suggest reduced blood flow
what is pallor? - Answer- paleness
darker skin tones with pallor may present as - Answer- ashen (grey)
brown skin tones with pallor may present as - Answer- yellowish
how do you check for pallor? - Answer- look at nail beds, conjunctiva
what is erythema? - Answer- redness of the skin
what are the variations of erythema? (skin tones) - Answer- darker skin - reddish/purple
QUESTIONS WITH COMPLETE
SOLUTIONS
who is the FLACC pain tool used for? - Answer- young nonverbal children
what does FLACC pain tool stand for? - Answer- face
legs
activity
cry
consolability
what is the BPS used for? - Answer- pain scale used for critically ill clients on
mechanical ventilation
what does BPS stand for? - Answer- behavioural pain scale
who is the CPOT used for? - Answer- assesses pain in ventilation & non-ventilated
patients
what does CPOT stand for? - Answer- critical care pain observation tool
what are the four components of CPOT? - Answer- facial expression
body movement
muscle tension
compliance with ventilator / vocalization
what are 7 the clinical manifestations of integumentary issues? - Answer-
pattern/distribution
morphology
location
texture
, symmetry
colour
sensation
what is pruritis? - Answer- itching; sometimes associated with a rash
what is urticaria? - Answer- hives
what are nevis? - Answer- moles
what is linea nigra? - Answer- single dark vertical line on the abdomen
what are ulcers? - Answer- open sores on the skin
what nail changes are important to note? - Answer- colour
texture
shape
lifting of the nail
what is oncholysis? - Answer- separation of the nail from the nail bed
what is alopecia? - Answer- hair loss
what is xerosis? - Answer- dry skin
what is seborrhea? - Answer- severe oiliness of the skin
what is mottled skin? why is it important to note? - Answer- marbled skin due to being
cold or capillary obstruction
can suggest reduced blood flow
what is pallor? - Answer- paleness
darker skin tones with pallor may present as - Answer- ashen (grey)
brown skin tones with pallor may present as - Answer- yellowish
how do you check for pallor? - Answer- look at nail beds, conjunctiva
what is erythema? - Answer- redness of the skin
what are the variations of erythema? (skin tones) - Answer- darker skin - reddish/purple
