NUR 216 –MODULE 4 EXAM WITH LATEST UPDATED PROCTORED CORRECT ANSWERS AND VERIFIED QUESTIONS RATED A+

NUR 216 –MODULE 4 EXAM WITH LATEST UPDATED PROCTORED CORRECT ANSWERS AND VERIFIED QUESTIONS RATED A+ List five things you need to do prior to beginning the assessment. - ANS-1. Review the client chart 2. Gather needed supplies 3. Announces presence to client 4. Ensures client privacy 5. Performs hand hygiene Vesicle - ANS-Elevated serous filled less than 1cm. ex. herpes Bulla - ANS-Elevated serous filled greater than 1cm. ex. blister Secondary Lesions - ANS-Have evolved from their original status as a primary lesion Crust - ANS-Slightly elevated, dried blood, exudate, pus. ex. scab Scale - ANS-Flaky skin. ex. eczema Fissure - ANS-Linear break in skin surface. ex. too dry or moist skin Erosion - ANS-Loss of epidermis, moist. ex. ruptured vesicle Ulcer - ANS-Damage to epidermis and dermis, scarring. ex. pressure injury Potentially Malignant Lesions - ANS-Changes to the skin surface that can indicate the presence of skin cancer. Hemangiomas - ANS-Vascular Lesion -Port-wine stain -Strawberry mark -Cavernous hemangioma Telangiectases - ANS-Vascular Lesion -Spider or star angioma -Venous lake Purpuric Lesions - ANS-Vascular Lesion What techniques are used for a skin assessment? - ANS-Inspection and palpation What do you inspect during a skin assessment? - ANS-Color, texture, moisture, and integrity What do you palpate for during a skin assessment? - ANS-Texture, moisture temperature, mobility, and turgor What tools are needed in preparation for a skin assessment? - ANS-Strong direct lighting, gloves, penlight, and small centimeter ruler.