©THEBRIGHT EXAM SOLUTIONS
11/8/2024 12:08 PM
NUR 352 Exam 2 Study Guide
Ambulate - answer✔ability to move indepedently
dermatitis - answer✔skin inflammation
supine - answer✔lay flat on back
lateral - answer✔lay on side
medial - answer✔toward the middle or center
midline - answer✔median line or plan of bilateral symmetry
auricle - answer✔earlobe
bite block - answer✔keep upper and lower teeth from touching
converge - answer✔tend to meet at a point
ecchymosis - answer✔a discoloration of the skin resulting from bleeding underneath (bruising)
petechiae - answer✔small, flat, red, purple, or brown spots that appear on the skin or mucous
membrane due to bleeding under the skin
clubbing - answer✔a symptom of an underlying disease that causes the tips of the fingers or toes to
enlarge and the nails to curve around the fingertips
skin expected findings - answer✔variations in color (genetic, age related, sun damage, pregnancy
general or localized [scars/freckling]), temperature (variations due to environment or chronic perfusion
issues)
skin unexpected - answer✔pallor (pale), cynanosis (blue lips), jaundice (yellow due to rise of bilirubin),
erythema (reddening), ecchymosis (bruising), hematoma, petechiae (small purple dots)
skin integrity (elasticity) expected - answer✔scars from trauma, procedures, hygiene is well kept
skin integrity (elasticity) unexpected - answer✔lesions need to be further investigated (primary and
secondary), history of new skin changes, ABCDE assessment, infestation (lice)
palpating for moisture/texture/turgor expected - answer✔smooth or rough?, variations due to age,
genetics, weight loss/gain, trauma, procedures
, ©THEBRIGHT EXAM SOLUTIONS
11/8/2024 12:08 PM
palpating for moisture/texture/turgor unexpected - answer✔profound dryness, rough, flaking, velvet,
thickening, texture, excessive sweating, tenting, edema
hair expected - answer✔evenly distributed, quantity, good hygiene
hair unexpected - answer✔loss (alopecia)
nails expected - answer✔symmetrical, smooth, color (yellow is lack of moisture), brisk capillary refill
nails unexpected - answer✔broken or missing nails, clubbing, delayed capillary refill, loosely attached,
color?, brittle (nutrition)
skin age related considerations - answer✔sun spots, less elasticity, collagen fibers stiffen (less fatty acids
in epidermis), decreased sebum, uneven pigmentation, slower hair/nail growth, nail
discoloration/thicker, less subQ tissue, wrinkling
skin ethnic considerations - answer✔Check mucous membranes
skin health promotion strategies - answer✔Hygiene practices
Wound care
Balanced diet
Strategies to address skin breakdown
Sun exposure (when to avoid)
Self and provider wellness exams
Know risk factors for skin cancer
pressure wound risks - answer✔moisture and mobility
pressure wound prevention strategies - answer✔repositions, monitor skin, less shear friction, need
protein for healthy tissue
pressure wound documentation - answer✔location, size, depth, appearance, drainage
head/neck inspection expected - answer✔equal movement of head/face/jaw, full ROM w/o pain, neck
muscle symmetry
head/neck inspection unexpected - answer✔any muscle asymmetry
head/neck palpation expected - answer✔no masses/deformities, may have some jaw cracking TMJ, full
firm equal muscle tone and strength
head/neck palpation unexpected - answer✔pain/muscle spasms w/ palpation, atrophic/hypertrophic
tone
