NUR2204 TERMS EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS GRADED A++
skin turgur
elasticity and hydration
Gently pinch area and then lift upwards
Release and observe "tenting"
<2 seconds to return = normal
>2 seconds to return = abnormal
Note: With age, skin turgor naturally decreases
Best place to do this is above the clavicle or on the sternum when lying down, but will
probably be doing this on the hand
macule
Small, flat circumscribed area of skin that is colored and non-palpable
"Circumscribed"- a clear edge or border
can be freckles, moles (nevi), vitiligo, birthmarks
nevi
moles
jaundice
yellow skin and sclera (whites of eyes)
cyanosis
,blue skin and mucous membranes, conjuctiva and lips >> hypoxia, no decrease in
RBSs
pallor
pale skin and conjunctive
>> decrease in RBCs
Erythema
Redness on skin
ecchymosis
Bruises, when you press down, it doesn't change color
Excoriation
Scratches
Leads to infection, bruising and open wounds
Burns
1st degree
Reddish skin
Pain
Light swelling
2nd degree
Pain swelling
Bubbling and swelling
Top layer of skin loss
3rd degree
Open wound
, Full thickness
Destroys epidermis and dermis
Infection likely
Lesions
disease that appears on the skin.
Inspection, Palpation, and Description
Location
Pattern (Configuration)
Size, Shape
Mobility; immobile, fluctuant
Consistency ( hard, soft, rubbery, rough)
Color
Exudate (Drainage)
"annular"- lesions are just outlines of blobs basically. like little circles
Edema
Swelling caused by fluid buildup in tissue
- Acute or chronic
- Many possible causes
- Pitting vs nonpitting edema
WITH COMPLETE SOLUTIONS GRADED A++
skin turgur
elasticity and hydration
Gently pinch area and then lift upwards
Release and observe "tenting"
<2 seconds to return = normal
>2 seconds to return = abnormal
Note: With age, skin turgor naturally decreases
Best place to do this is above the clavicle or on the sternum when lying down, but will
probably be doing this on the hand
macule
Small, flat circumscribed area of skin that is colored and non-palpable
"Circumscribed"- a clear edge or border
can be freckles, moles (nevi), vitiligo, birthmarks
nevi
moles
jaundice
yellow skin and sclera (whites of eyes)
cyanosis
,blue skin and mucous membranes, conjuctiva and lips >> hypoxia, no decrease in
RBSs
pallor
pale skin and conjunctive
>> decrease in RBCs
Erythema
Redness on skin
ecchymosis
Bruises, when you press down, it doesn't change color
Excoriation
Scratches
Leads to infection, bruising and open wounds
Burns
1st degree
Reddish skin
Pain
Light swelling
2nd degree
Pain swelling
Bubbling and swelling
Top layer of skin loss
3rd degree
Open wound
, Full thickness
Destroys epidermis and dermis
Infection likely
Lesions
disease that appears on the skin.
Inspection, Palpation, and Description
Location
Pattern (Configuration)
Size, Shape
Mobility; immobile, fluctuant
Consistency ( hard, soft, rubbery, rough)
Color
Exudate (Drainage)
"annular"- lesions are just outlines of blobs basically. like little circles
Edema
Swelling caused by fluid buildup in tissue
- Acute or chronic
- Many possible causes
- Pitting vs nonpitting edema
