Nur 155 Exam 1 (Galen)
How often should orders for restraints be renewed
every 24 hours
Macule/patch
Small, flat, non-palpable skin color change
Ex: flat mole
Papule/plaque
Solid, elevated lesion
Example: wart or psoriasis
Nodule
solid, raised lesion
Example: lipomas, squamous cell cancers
Tumor
Solid mass that extends through subcutaneous tissues
Example: larger lipomas, cancerous lesions
Vesicle/bulla
Circumscribed, raised lesions that contain clear fluid
Examples; chickenpox, poison ivy, blisters
Pustule
contain pus instead of clear fluid
examples; impetigo, acne
, What should you do before obtaining a health history from the patient?
Make sure they are alert and oriented
order of abdomen assessment
Inspect, Auscultate, Percuss, Palpate
normal order of assessment
Inspect, Palpate, Percuss, Auscultate
Wheal
irregularly shaped, slightly elevated area; small, localized area of edema on the
surface of the skin
example: hives, insect bites
Burrow
linear or circular in appearance caused by tunneling of parasitic organisms
Example; scabies mites, ringworm
Cyst
encapsulated fluid-filled cavity in dermis or subcutaneous layer
example: sebaceous cyst
Normal fingernail angle
160 degrees smooth and rounded
Clubbing or oxygen deficit finger nail angle
180 degrees
Brisk capillary refill
Capillary refill less than 2 seconds
sluggish capillary refill
Longer than 2 seconds
How often should orders for restraints be renewed
every 24 hours
Macule/patch
Small, flat, non-palpable skin color change
Ex: flat mole
Papule/plaque
Solid, elevated lesion
Example: wart or psoriasis
Nodule
solid, raised lesion
Example: lipomas, squamous cell cancers
Tumor
Solid mass that extends through subcutaneous tissues
Example: larger lipomas, cancerous lesions
Vesicle/bulla
Circumscribed, raised lesions that contain clear fluid
Examples; chickenpox, poison ivy, blisters
Pustule
contain pus instead of clear fluid
examples; impetigo, acne
, What should you do before obtaining a health history from the patient?
Make sure they are alert and oriented
order of abdomen assessment
Inspect, Auscultate, Percuss, Palpate
normal order of assessment
Inspect, Palpate, Percuss, Auscultate
Wheal
irregularly shaped, slightly elevated area; small, localized area of edema on the
surface of the skin
example: hives, insect bites
Burrow
linear or circular in appearance caused by tunneling of parasitic organisms
Example; scabies mites, ringworm
Cyst
encapsulated fluid-filled cavity in dermis or subcutaneous layer
example: sebaceous cyst
Normal fingernail angle
160 degrees smooth and rounded
Clubbing or oxygen deficit finger nail angle
180 degrees
Brisk capillary refill
Capillary refill less than 2 seconds
sluggish capillary refill
Longer than 2 seconds
