Nursing(revision)
Save Groups
What is Edema? Swelling
Where do you pinch to Back of forearm or sternum
assess turgor?
How do you check for Push into skin and see if it blanches
vascularity?
Temperature is best Dorsal
assessed using the _________
portion of the hand
Where to look for pallor? Nails, nail beds, and lips
Best place to check for Lips
cyanosis?
What is erythema? Redness of the skin
-dependent
-pitting
Types of Edema:
-due to inflammation/injury
-obstruction
Used to predict patients at Braden Scale
risk for skin breakdown
6-23
Braden Scale score range
Lower the score, greater risk
Largest organ in the body Skin
Lesions are measure in centimeters
, Flat, non-palpable, change in skin color, smaller than
Define macule
1cm
Example of a macule freckle, petechiae
Elevated solid mass, deeper and firmer than papule 1-
Define nodule
2 cm
Example of a nodule wart
solid mass that extends deep through subcutaneous
Define tumor
tissue, larder than 1-2cm
Example of tumor Epithelioma
irregularly shaped, elevated area or superficial
Define wheal
localized edema, varies in size
Example of wheal Hive, mosquito bite
circumscribed elevation of skin filled with serous fluid,
Define vesicles
smaller than 1cm
Example of vesicle herpes simplex, chickenpox
Most common skin Basal cell carcinoma
abnormality
What does the A stand for Asymmetry
in the skin ABCD
assessment
What does the B stand for Border
in the skin ABCD
assessment
What does the C stand for Color
in the skin ABCD
assessment
What does the D stand for Diameter
in the skin ABCD
assessment
Save Groups
What is Edema? Swelling
Where do you pinch to Back of forearm or sternum
assess turgor?
How do you check for Push into skin and see if it blanches
vascularity?
Temperature is best Dorsal
assessed using the _________
portion of the hand
Where to look for pallor? Nails, nail beds, and lips
Best place to check for Lips
cyanosis?
What is erythema? Redness of the skin
-dependent
-pitting
Types of Edema:
-due to inflammation/injury
-obstruction
Used to predict patients at Braden Scale
risk for skin breakdown
6-23
Braden Scale score range
Lower the score, greater risk
Largest organ in the body Skin
Lesions are measure in centimeters
, Flat, non-palpable, change in skin color, smaller than
Define macule
1cm
Example of a macule freckle, petechiae
Elevated solid mass, deeper and firmer than papule 1-
Define nodule
2 cm
Example of a nodule wart
solid mass that extends deep through subcutaneous
Define tumor
tissue, larder than 1-2cm
Example of tumor Epithelioma
irregularly shaped, elevated area or superficial
Define wheal
localized edema, varies in size
Example of wheal Hive, mosquito bite
circumscribed elevation of skin filled with serous fluid,
Define vesicles
smaller than 1cm
Example of vesicle herpes simplex, chickenpox
Most common skin Basal cell carcinoma
abnormality
What does the A stand for Asymmetry
in the skin ABCD
assessment
What does the B stand for Border
in the skin ABCD
assessment
What does the C stand for Color
in the skin ABCD
assessment
What does the D stand for Diameter
in the skin ABCD
assessment
