Skin Assessment
What is edema?
This small, raised, firm skin lesion is typically less than 1 cm in diameter and can be seen in conditions like acne or warts.
What is a papule?
This term describes the absence of urine production, often indicating severe kidney dysfunction or failure.
What is anuria?
This tool is used by healthcare professionals to assess a patient's risk for developing pressure ulcers.
What is the Braden Scale?
The order of assessment steps (inspection etc.) for an abdominal assessment.
What is inspection, auscultation, palpation and percussion?
Slight pitting, no obvious distortion of the skin.
What is 1+ pitting edema?
This raised, and often itchy skin lesion is commonly associated with allergic reactions, such as hives.
What is a wheal?
This condition refers to difficulty initiating urination, often caused by prostate enlargement or neurological disorders.
What is urinary hesitancy?
A partial thickness skin loss with exposed dermis.
What is a Stage II Ulcer?
The 4 areas of auscultation.
What are RLQ, RUQ, LUQ, and LLQ.
Skin assessment where the technique involves one to pinch the skin gently over the sternum or the collarbone.
What is skin turgor?
This type of open sore results from prolonged pressure or poor circulation and is commonly seen in bedridden patients or those with diabetes.
What is an ulceration?
A patient experiencing frequent nighttime urination is said to have this urinary elimination alteration.
What is nocturia?
A persistent non blanchable deep red, maroon, or purple discoloration
What is a deep tissue injury?
A nurse hears a bowel sound every 7 seconds. This is frequency is considered _________.
What is normal bowel sounds?
Increased growth of coarse hair on the face and trunk, often seen in Cushing's syndrome, or acromegaly.
What is hirsutism?
This small, fluid-filled lesion is less than 1 cm in size and is commonly seen in conditions like chickenpox and herpes simplex.
What is a vesicle?
A series of involuntary, wave-like muscle contractions that occur in hollow muscular organs, such as the digestive tract and ureters, to propel their contents onward.
What is peristalsis?
A full thickness loss (Exposed fascia, muscle, tendon, ligament, cartilage, or bone).
What is a Stage IV Pressure Ulcer?
The length of time you should listen in each quadrant before reporting absence of bowel sounds.
What is at least 5 minutes?
Patches of pale, itchy wheals in an erythematous area (also known as hives).
What is urticaria?
This raised, firm lesion is larger than 1 cm and is commonly associated with psoriasis.
What is a plaque?
This medical term is used to describe excessive urination.
What is polyuria?
A pressure injury, non-blanchable erythema of intact skin.
What is a Stage I Pressure Ulcer?
The assessment of an _______ uses the bell of the stethoscope to listen for a whoosing sound.
What is an abdominal bruit?