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PN 111 (ACTUAL)INTEGUMENTARY AND HEENT EXAM
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PN 111 (ACTUAL)INTEGUMENTARY AND HEENT EXAM
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PN 111 (ACTUAL2024-2025)INTEGUMENTARY ANDHEENT EXAM
What is jaundice
A yellowing of the skin and eyes
What cranial nerve would the nurse assess when suspecting
facial paralysis
Cranial nerve VII...facial nerve--have the patient close their
eyes tightly, smile, frown, puff out cheek. Results should be
symmetrical.
How does the nurse locate the salivary glands of a patient?
1.Parotid glands are anterior to the ears near the mandible
2.Submandibular glands are under mandible
3.Sublingual glands, smallest salivary glands, lie on floor of
mouth
What is clubbing?
, PN 111 (ACTUAL2024-2025)INTEGUMENTARY AND
HEENT EXAM
an increase in the angle between the base of the nail and the
fingernail to greater than 160 degrees and is caused from
CHRONIC hypoxia (lack of oxygen) to the tissues
What is dysphagia and how would the nurse assess for this
condition?
Dysphagia is difficulty swallowing. The nurse would ask the
patient to say "ah"...the uvula should move up and stay
midline without deviation. If deviation is noted to one side or
the other this finding would need further evaluation for
dysphagia
What is a macule?
Flat, nonpalpable lesions usually < 10 mm in diameter.
Macules represent a change in color and are not raised or
depressed compared to the skin surface.
Examples include freckles, flat moles, and port-wine stains
, PN 111 (ACTUAL2024-2025)INTEGUMENTARY AND
HEENT EXAM
How does the nurse asses skin turgor and what does an
abnormal finding indicate?
The nurse will grasp the skin between two fingers so that it is
tented up. Commonly on the hand or chest (for older adults).
The skin is held for a few seconds then released. Skin with
normal turgor return rapidly back to its normal position.
Sluggish or "tented" skin could indicate dehydration.
What is a scar?
Fibrous tissue replacing normal tissues destroyed by injury or
disease or divided after an incision; secondary skin lesion
What is a cyst?
A closed, sac-like pocket, in the dermis or subcutaneous layer
of skin, of tissue that can form anywhere in the body. It may
be filled with fluid, air, pus, or other material. Most are
benign
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