1) Why is a skin assessment important? What general
information about the body as a whole is obtained through a skin
assessment? Know important issues to ask when taking a history
about the skin. Correct Answer - You can gather clues about
health problems through the skin.
- Information about body's circulation, nutrition & signs of
systemic disease.
- Past history of skin disease, change in pigmentation/color,
change in mole size/shape/color/exnderness, dryness/moisture,
pruritus, bruising, rash/lesion, hair loss, change in nails, etc &
Rx medications
Accommodation Correct Answer adaption of eye for near
vision; ask person to focus on distant object, which dilates
pupils, then shift gaze to near object
Acne Correct Answer - increase in sebaceous gland activity
creating increased oiliness & acne
- in milder form of open comedones (blackheads) & closed
comedones (whiteheads)
Acute infection Correct Answer an infection characterized by
symptoms that develop fairly quickly and last a relatively short
time, < 14 days; nodes are bilateral, enlarged, warm tender &
firm but freely movable
Capillary refill test Correct Answer - Pressure is applied to the
nail bed until it turns white (called blanching) and once the
tissue has blanched, pressure is removed while the patient holds
their hand above their heart. Return of blood is indicated by the
nail turning back to a pink color.
- healthy return is 1-2 seconds
- indicates status of peripheral circulation
Clubbing Correct Answer - occurs with congenital heart
disease and neoplastic & pulmonary diseases which cause
release of growth factors & promote vessel growth
- angle straightens out to 180 degrees, nail base feels spongy
- can reverse if primary disease is treated
Corneal Light Reflex (Hirschberg Test) Correct Answer Assess
the parallel alignment of the eye axes by shining a light toward
the person's eyes. Note reflection of light on corneas should be
exactly the same on each eye
Cyanosis Correct Answer - Bluish discoloration of the skin
resulting from poor circulation or inadequate oxygenation of the
blood.
- Best seen in lips, nose, cheeks, ears & oral mucous
membranes.
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