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Exam 1: NUR242 / NUR 242 (Latest 2025/ 2026 Update) Medical-Surgical Nursing Concepts Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen

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Exam 1: NUR242 / NUR 242 (Latest 2025/ 2026 Update) Medical-Surgical Nursing Concepts Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen QUESTION Assessment of skin Answer: Once per shift, upon admission, or nursing instinct Access individuals with any devices assess skin every 2 hours for skin breakdown QUESTION Inspect skin Answer: -Beneath and around compression stockings •Bony prominences •Skin to skin areas •Any areas where the client lacks sensation •Special attention if the client is getting pain epidural /spinal pain medications - epidural or spinal caths (monitor and ensure infection free, access toe sensation) • assess perinuem QUESTION Functions of Skin Answer: Protection, Homeostatis (Water Balance), Temperature Regulation, Sensory, Vitamin Synthesis, Psychosocial QUESTION Skin Cultural Assessment Answer: Detective subtle color changes Assess: Mucous Membranes, Nail Beds & Skin tones QUESTION Skin Assessment Process Answer: Skin temperature, tugor (back of hand, head, clavicle), color (blanchable to nonblanchable), texture, moisture (incontinence, wounds, ostomy, ilesotosmy), integrity, capillary relief (hypoperfusion), edema QUESTION Skin Alterations Answer: White- decreased Hgb & blood flow Yellow-orange- Jaundice, Cartoenemia, Urochrome level Red- Vasodilation Blue- Cyanosis Reddish Blue- decreased peripheral circulation Brown- Melanin Production QUESTION Assessing skin changes on darker skin tones Answer: Cyanosis- lips or tongue are gray, nail beds are blue, conjunctiva is white Inflammation- increased warmth, shiny or pitting, assessment of both extremities Jaundice- yellow oral mucous membrane or sclera Bleeding- swelling, petechiae QUESTION Dryness Answer: -scaling -flaking -lanolin, antipruritic agents, topical/ oral antihistamines QUESTION Pruritus Answer: - Itching -scabies, lice -iodine medications -antipruritic agents - topical corticosteroids - antihistamines -ultraviolet white QUESTION Serosanguineous exudate Answer: Blood-tinged amber fluid consisting of serum and red blood cells Normal for first 48 hours QUESTION Urticaria Answer: - Hives -edematous wheals with intense itching -pallor halo -blanch with pressure -vary in size -antihistamine -steroids -epinephrine QUESTION Physical assessment and health history Answer: •Inspect and palpate all skin surfaces •Determine current changes in medications, lotions, soaps •Fluid status •Exposure to environmental irritants QUESTION Patient Teaching for Skin Care Answer: •Explain medication regimen if needed •Explain all procedures and care in terms that the patient and family will understand •Teaching needed for those with •Dryness •Pruritus •Urticaria •Keeping follow up appointments •Notifying healthcare provide QUESTION Psoriasis Answer: chronic scaling disorder, skins changes in 5 days •Autoimmune reaction •Severe psoriasis patients may have psoriatic arthritis (30%) QUESTION Types of Psoriasis

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Subido en
7 de febrero de 2025
Número de páginas
49
Escrito en
2024/2025
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Examen
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Examl 1:l NUR242l /l NURl 242l (Latestl
2025/l 2026l Update)l Medical-Surgicall
Nursingl Conceptsl Guide|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
Q:l Assessmentl ofl skin
Answer:
Oncel perl shift,l uponl admission,l orl nursingl instinct
Accessl individualsl withl anyl devicesl assessl skinl everyl 2l hoursl forl skinl breakdown



Q:l Inspectl skin
Answer:
-Beneathl andl aroundl compressionl stockings
•Bonyl prominences
•Skinl tol skinl areas
•Anyl areasl wherel thel clientl lacksl sensation
•Speciall attentionl ifl thel clientl isl gettingl painl epidurall /spinall painl medications
l -l epidurall orl spinall cathsl (monitorl andl ensurel infectionl free,l accessl toel sensation)
•l assessl perinuem



Q:l Functionsl ofl Skin
Answer:
Protection,l Homeostatisl (Waterl Balance),l Temperaturel Regulation,l Sensory,l Vitaminl
Synthesis,l Psychosocial



Q:l Skinl Culturall Assessment
Answer:

,Detectivel subtlel colorl changes
Assess:l Mucousl Membranes,l Naill Bedsl &l Skinl tones



Q:l Skinl Assessmentl Process
Answer:
Skinl temperature,l tugorl (backl ofl hand,l head,l clavicle),l colorl (blanchablel tol
nonblanchable),l texture,l moisturel (incontinence,l wounds,l ostomy,l ilesotosmy),l integrity,l
capillaryl reliefl (hypoperfusion),l edema



Q:l Skinl Alterations
Answer:
White-l decreasedl Hgbl &l bloodl flow
Yellow-orange-l Jaundice,l Cartoenemia,l Urochromel level
Red-l Vasodilation
Blue-l Cyanosis
Reddishl Blue-l decreasedl peripherall circulation
Brown-l Melaninl Production



Q:l Assessingl skinl changesl onl darkerl skinl tones
Answer:
Cyanosis-l lipsl orl tonguel arel gray,l naill bedsl arel blue,l conjunctival isl white
Inflammation-l increasedl warmth,l shinyl orl pitting,l assessmentl ofl bothl extremitiesl
Jaundice-l yellowl orall mucousl membranel orl sclera
Bleeding-l swelling,l petechiae



Q:l Dryness
Answer:
-scaling
l -flaking
l -lanolin,l antipruriticl agents,l topical/l orall antihistamines

,Q:l Pruritus
Answer:
-l Itching
l -scabies,l lice
l -iodinel medications
l -antipruriticl agentsl
l -l topicall corticosteroidsl
l -l antihistaminesl
l -ultravioletl white



Q:l Serosanguineousl exudate
Answer:
Blood-tingedl amberl fluidl consistingl ofl seruml andl redl bloodl cells
Normall forl firstl 48l hours



Q:l Urticaria
Answer:
-l Hives
l -edematousl whealsl withl intensel itching
l -pallorl halo
l -blanchl withl pressure
l -varyl inl size
l -antihistaminel
l -steroidsl
l -epinephrine



Q:l Physicall assessmentl andl healthl history
Answer:
•Inspectl andl palpatel alll skinl surfaces
•Determinel currentl changesl inl medications,l lotions,l soaps
•Fluidl status
•Exposurel tol environmentall irritants

, Q:l Patientl Teachingl forl Skinl Care
Answer:
•Explainl medicationl regimenl ifl needed
•Explainl alll proceduresl andl carel inl termsl thatl thel patientl andl familyl willl understand
•Teachingl neededl forl thosel with
•Dryness
•Pruritus
•Urticaria
•Keepingl followl upl appointments
•Notifyingl healthcarel provide



Q:l Psoriasis
Answer:
chronicl scalingl disorder,l skinsl changesl inl 5l days
l •Autoimmunel reaction
l •Severel psoriasisl patientsl mayl havel psoriaticl arthritisl (30%)



Q:l Typesl ofl Psoriasis
Answer:
•Psoriasisl vulgaris
Mostl commonl typel -Plaquel Psoriais
l •Exfoliativel psoriasis
l •Palmoplantarl psoriasis
Guttatel
Inverse
Pustular
Erythrodermic
•Nol knownl cure



Q:l Clinicall Manifestationsl ofl Psoriasis
Answer:
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