NSG316 Topic 4: Skin, Hair, and Nails
Assessment
Techniques Assess Skin, Hair, Nails - correct answers -Inspection (color &
pigmentation, texture & distribution, shape, contour, & consistency)
-palpation (temperature & texture, edema, mobility, & turgor)
-note presence of lesions (shape, configuration, & distribution)
-teach self-examination
normal skin - correct answers -Freckles & moles
-even & consistent with genetic background
-warm skin
-smooth, firm, and even surface
-thicken calluses on palms and soles
-bruising consistent with trauma
-blanching
normal hair - correct answers -graying begins as as 30 due to reduced
melanin
-fine, thick, and straight, curly, or kinky.
-should look shiny
normal nails - correct answers -surface is slightly curved or flat (160)
-posterior or lateral nail folds are smooth and rounded
-nail edges are smooth, rounded, and clean
, primary lesions - correct answers lesions arising from previously normal skin
secondary lesions - correct answers lesion changes over time or changes
because of scratching or infection
vascular lesions - correct answers -Petechiae
-Purpura
-Ecchymosis
-Angioma
Apocrine glands - correct answers -produce thick, milky secretion
-open into hair follicles
-Found in axillae, nipples (mammary gland) , anogenital
Eccrine glands - correct answers coiled tubules that open directly onto skin
surface and produce dilute saline solution called sweat
Abnormal findings of nails - correct answers -clubbing of nails occurs with
congenital heart disease, lung cancer, COPD, and pulmonary disease.
-Early clubbing angle straightens out to 180 degrees, nail base= spongy
-nail becomes convex
Procedures for inspecting and palpating skin lesions - correct answers -Note
color, elevation, pattern or shape, size, location and distribution on body, and
exudate (color and odor)
-Use Wood's light (UV light filtered through special glass) to detect fluorescing
lesions
Assessment
Techniques Assess Skin, Hair, Nails - correct answers -Inspection (color &
pigmentation, texture & distribution, shape, contour, & consistency)
-palpation (temperature & texture, edema, mobility, & turgor)
-note presence of lesions (shape, configuration, & distribution)
-teach self-examination
normal skin - correct answers -Freckles & moles
-even & consistent with genetic background
-warm skin
-smooth, firm, and even surface
-thicken calluses on palms and soles
-bruising consistent with trauma
-blanching
normal hair - correct answers -graying begins as as 30 due to reduced
melanin
-fine, thick, and straight, curly, or kinky.
-should look shiny
normal nails - correct answers -surface is slightly curved or flat (160)
-posterior or lateral nail folds are smooth and rounded
-nail edges are smooth, rounded, and clean
, primary lesions - correct answers lesions arising from previously normal skin
secondary lesions - correct answers lesion changes over time or changes
because of scratching or infection
vascular lesions - correct answers -Petechiae
-Purpura
-Ecchymosis
-Angioma
Apocrine glands - correct answers -produce thick, milky secretion
-open into hair follicles
-Found in axillae, nipples (mammary gland) , anogenital
Eccrine glands - correct answers coiled tubules that open directly onto skin
surface and produce dilute saline solution called sweat
Abnormal findings of nails - correct answers -clubbing of nails occurs with
congenital heart disease, lung cancer, COPD, and pulmonary disease.
-Early clubbing angle straightens out to 180 degrees, nail base= spongy
-nail becomes convex
Procedures for inspecting and palpating skin lesions - correct answers -Note
color, elevation, pattern or shape, size, location and distribution on body, and
exudate (color and odor)
-Use Wood's light (UV light filtered through special glass) to detect fluorescing
lesions
