NUR 2180 Physical Assessment Module 4 QUIZ Skin Hair and Nails What things should you assess when asking skin lesions? - Correct Answers ✅size, shape, borders, asymmetric, any oozing, color(s), depth, how long the lesion has been there, does it cause pain, how did they get the lesion, texture of lesion What is eczema? - Correct Answers ✅chronic inflammatory skin lesion caused by overstimulated immune system, genetic changes in the skin and environmental triggers Signs of eczema - Correct Answers ✅Erythematous papules and vesicles, with weeping, oozing, flaking, fissures, crusts, and severe pruritus, usually red in color Symptoms of eczema - Correct Answers ✅dryness, erythema, edema, itching, vesicles,client may have poor sleep, behavioral concerns, absences from school and work.What is edema? - Correct Answers ✅fluid accumulating in the interstitial spaces that is not present normally How do we assess edema? - Correct Answers ✅imprint your thumbs firmly for 3 to 4 seconds against the ankle or tibia. Normally the skin surface will stay smooth but with edema, there will be imprint left in the area. 1 / 2
NUR 2180 Physical Assessment Module 4 QUIZ Skin Hair and Nails How do we grade edema? - Correct Answers ✅+1= mild pitting +2= moderate pitting +3= deep pitting +4=very deep pitting Characteristics of +1 mild edema - Correct Answers ✅slight indentation, but no swelling of the leg Characteristics of +2 moderate edema - Correct Answers ✅indentation of the leg present and swelling, but will subside fast Characteristics of +3 deep pitting edema - Correct Answers ✅indentation goes deep and remains for a short time, leg is often swollen Characteristics of +4 severely deep pitting edema - Correct Answers ✅indentation goes very deep and lasts a long time, the leg is often very swollen and distorted What is brawny edema? - Correct Answers ✅a type on nonpitting edema in which the skin thickens and hardens, from a obstruction or a vein or lymph duct
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