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NUR218 MS and Skin Assessment Exam Questions And Accurate Answers
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NUR218 MS and Skin Assessment Exam QuestionsAnd Accurate Answers
Always look before touching; always ask permission before proceeding; always refer to
pt in anatomical position
What is a universal guideline for this examination?
: provide privacy; 2. wash your hands; 3. identify yourself to pt and describe the exam
What are the FIRST three actions of the examination?
PlayPlay previousNextRewind10 secondsForward10 secondsMute0:06/0:15Full
screenBrainpowerRead MoreExamine skin color, hygiene and moisture for both arms
and legs
What is the 1ST STEP of the skin assessment?
Skin is clean, intact, color is appropriate for ethnicity
What is to be verbalized after the 1ST STEP of the skin assessment?
Palpate and describe skin surface characteristics, temperature, and turgor
What is the 2ND STEP of the skin assessment?
Skin is smooth, firm, warm bilaterally; Turgor is brisk/returns to normal in less than 2
seconds
What should be stated after the 2ND STEP of the skin assessment?
Any lesion
What is the 3RD STEP of the skin assessment?
ABCDE; asymmetry, border, color, diameter, evolution, elevation, exudate
What is utilized for the 3RD STEP of the skin assessment?
What does this stand for?
That the lesion looks normal/abnormal based on ABCDE; diameter should be no larger
than a pencil eraser
What should be verbalized after the 3RD STEP of the skin assessment?
, Inspect and palpate hair quality, distribution, texture, and parasites
What is the 4TH STEP of the skin assessment?
behind ears and at nape of neck
For the 4TH STEP of the skin assessment, where do you check for parasites?
Hair is thick, straight, evenly distributed, no signs of parasites
What should be verbalized after the 4TH STEP of the skin assessment?
Look at and feel nails of fingers and toes; shape, color, and capillary refill What is the
5TH STEP of the skin assessment?
Press nails of index fingers together --> should be a window
For the 5TH STEP of the skin assessment, what must be done to assess for nail
clubbing?
Push down on tip of nail of both fingers and toes --> should pink back up in less than 2
seconds
To assess the capillary refill during the 5TH STEP of the skin assessment, what needs to
be done?
The contour of the nail is flat, color is pink and normal; Capillary refill sharp/normal
return in less than 2 seconds
5TH STEP of skin assessment-verbalize
Remember, this has to be done for BOTH the fingers and toes!
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