PN 111 INTEGUMENTARY AND HEENT EXAM QUESTIONS AND
ANSWERS WITH COMPLETE 100% VERIFIED SOLUTIONS LATEST
UPDATE
What is jaundice
A yellowing of the skin and eyes
Where does the nurse assess for jaundice
sclera, soles of the hands and bottoms of the feet
What is petechiae?
pin point purplish or red discoloration of an area of the skin.
How does the nurse assess nevus (moles) or lesions for possible skin cancer
(melanoma)
By using the ABCDEF rule---F stands for Familiar
What are the four stages of a pressure ulcer?
◦Stage I = prolonged redness with unbroken skin
◦Stage II = partial-thickness skin loss appears as a superficial abrasion, blister, or
excoriation
◦Stage III = full-thickness skin loss with damage to subcutaneous tissue (may
note serosanguineous drainage)
, ◦Stage IV = full-thickness skin loss with invasion of deeper tissue into muscle
and/or bone; wound appears as an open ulceration with purulent drainage and
peripheral crusting
****Some are unstageable with tunnels and discoloration
What is impetigo?
A highly contagious bacterial infection (easily passed to others) caused by
staphylococcal or streptococcal pathogens. Very common in children and crowded living
conditions
§Usually appears as red sores on the face, especially around a child's nose and mouth,
and on hands and feet. The sores burst and develop honey-colored crusts
Why does the nurse need to use caution when assisting or moving an elderly
patient?
Care should be taken when moving older adults or placing adhesives on the skin. Due
to thinning (atrophy) of the skin—skin is much easier to tear
What is an ecchymosis?
§Ecchymosis (bruise)-vascular skin lesion--the passage of blood from ruptured blood
vessels into subcutaneous tissue, marked by a purple discoloration of the skin. Can
indicate a bleeding disorder, trauma, or abuse--specifically if there are multiple
bruises in different stages of healing
What does the mnemonic PERRLA stand for and what does is it used for?
It used to assess pupillary response and accommodation of the eyes. It stands
for Pupils, Equal, Round, Reactive to Light Accommodation. Pupillary reaction is
assessed by shining a light into the patient's eye and looking for direct and indirect
ANSWERS WITH COMPLETE 100% VERIFIED SOLUTIONS LATEST
UPDATE
What is jaundice
A yellowing of the skin and eyes
Where does the nurse assess for jaundice
sclera, soles of the hands and bottoms of the feet
What is petechiae?
pin point purplish or red discoloration of an area of the skin.
How does the nurse assess nevus (moles) or lesions for possible skin cancer
(melanoma)
By using the ABCDEF rule---F stands for Familiar
What are the four stages of a pressure ulcer?
◦Stage I = prolonged redness with unbroken skin
◦Stage II = partial-thickness skin loss appears as a superficial abrasion, blister, or
excoriation
◦Stage III = full-thickness skin loss with damage to subcutaneous tissue (may
note serosanguineous drainage)
, ◦Stage IV = full-thickness skin loss with invasion of deeper tissue into muscle
and/or bone; wound appears as an open ulceration with purulent drainage and
peripheral crusting
****Some are unstageable with tunnels and discoloration
What is impetigo?
A highly contagious bacterial infection (easily passed to others) caused by
staphylococcal or streptococcal pathogens. Very common in children and crowded living
conditions
§Usually appears as red sores on the face, especially around a child's nose and mouth,
and on hands and feet. The sores burst and develop honey-colored crusts
Why does the nurse need to use caution when assisting or moving an elderly
patient?
Care should be taken when moving older adults or placing adhesives on the skin. Due
to thinning (atrophy) of the skin—skin is much easier to tear
What is an ecchymosis?
§Ecchymosis (bruise)-vascular skin lesion--the passage of blood from ruptured blood
vessels into subcutaneous tissue, marked by a purple discoloration of the skin. Can
indicate a bleeding disorder, trauma, or abuse--specifically if there are multiple
bruises in different stages of healing
What does the mnemonic PERRLA stand for and what does is it used for?
It used to assess pupillary response and accommodation of the eyes. It stands
for Pupils, Equal, Round, Reactive to Light Accommodation. Pupillary reaction is
assessed by shining a light into the patient's eye and looking for direct and indirect
