Nursing Skin, Hair, and Nail Assessment Exam 1

Nursing Skin, Hair, and Nail Assessment
Exam 1
inspection and palpation - correct answers What are the two assessment
techniques to use for skin, hair, nail assessment


Skin assessment - correct answers - color
- moisture
- temperature
- texture
- turgor
- vascularity
- edema
- lesions


Pallor, Cyanosis, Jaundice, Erythema - correct answers What are the 4 type
of color assessment?


Pallor - correct answers - severly pale
- Face: easy to tell on pale patients, hard to see on dark toned patients
- check mucous membranes on dark toned patients
- this color indicates blood loss or something is wrong


Cyanosis - correct answers - blue/purple
- do to lack of oxygen
- also see this when someone is cold

, - check lips circumoral
- check nail beds


Jaundice - correct answers - yellow tone
- associated with liver problem because bilirubin isnt being produced correctly
- check sclera (white outer layer of the eyeball)


Erythema - correct answers - redness to the skin, can be generalized or
localized
- often related to infection
- we palpate for warmth and tenderness


normal - correct answers When describing skin tone, don't use
_______________, always say pink, pale, olive, etc. think about what color is
is


Hydration, Diaphoresis, Flaking scaling or custing, dryness, excessive
dryness - correct answers What are the 5 moisture assessment techniques?


Hydration - correct answers - dryness, olliness


Diaphoresis - correct answers - perspiration (sweating)
- need to ask ourselves why they are sweating, fever, shock etc.


Flaking, Scaling, or crusting - correct answers - more common in the elderly
- overuse of soap