NURS 2730 CHAPTER 11-15 EXAM QUESTIONS
AND ANSWERS A+ GRADED
What is the purpose of the integumentary health history?
Identify diseases of the skin, systemic diseases, physical abuse, risk for pressure ulcer
and skin cancer, need for health promotion education
Chief complaint
common symptoms like rashes, moles, lesions, bruising, hair loss, growths, or nail
changes
Edema
excess fluid in interstitial spaces
Nonpitting Edema
local infection or trauma; brawny edema (lymphedema)
Pitting Edema
1+ 2mm
2+ 4mm
3+ 6mm
4+ 8mm
Lesion characteristics
color, size, elevation, number, texture, type, shape and patter, anatomic location and
distribution
Primary Lesions
macule, vitiligo, papule, nodule/lipoma, plaque/psoriasis, tumor
Fluid-filled Primary Lesions
vesicle/bullae, pustule, cyst
Secondary Lesions
fissure, excoriation, scar
Vascular Lesions
spider angioma, spider vein, cherry angioma
Changes in Vascularity
ecchymosis - widespread bruising
petechiae - same color
purpura - confluent petechiae
Braden Scale
Low 6, High 20 (lower the score, higher the risk)
Pressure sores do not ________________ and ________.
breakdown, blanch
Stage 1 Pressure Injury
skin stays intact
Stage 2 Pressure Injury
top 2 layers of skin with red/pink wound
Stage 3 Pressure Injury
goes into fatty tissue
Stage 4 Pressure Injury
AND ANSWERS A+ GRADED
What is the purpose of the integumentary health history?
Identify diseases of the skin, systemic diseases, physical abuse, risk for pressure ulcer
and skin cancer, need for health promotion education
Chief complaint
common symptoms like rashes, moles, lesions, bruising, hair loss, growths, or nail
changes
Edema
excess fluid in interstitial spaces
Nonpitting Edema
local infection or trauma; brawny edema (lymphedema)
Pitting Edema
1+ 2mm
2+ 4mm
3+ 6mm
4+ 8mm
Lesion characteristics
color, size, elevation, number, texture, type, shape and patter, anatomic location and
distribution
Primary Lesions
macule, vitiligo, papule, nodule/lipoma, plaque/psoriasis, tumor
Fluid-filled Primary Lesions
vesicle/bullae, pustule, cyst
Secondary Lesions
fissure, excoriation, scar
Vascular Lesions
spider angioma, spider vein, cherry angioma
Changes in Vascularity
ecchymosis - widespread bruising
petechiae - same color
purpura - confluent petechiae
Braden Scale
Low 6, High 20 (lower the score, higher the risk)
Pressure sores do not ________________ and ________.
breakdown, blanch
Stage 1 Pressure Injury
skin stays intact
Stage 2 Pressure Injury
top 2 layers of skin with red/pink wound
Stage 3 Pressure Injury
goes into fatty tissue
Stage 4 Pressure Injury
