Skin
Hair
Nails
Care Plan Development
Clinical Judgement Skills
100

The outermost layer of the skin is called.....

The Epidermis

100

What vitamin supports hair growth?

Biotin

100

What is a normal capillary Refill time?

Less than 3 seconds

100

What is a Smart Goal for Impaired Gas Exchange?

Patient will maintain oxygen saturation levels at or above 93% on room air or prescribed oxygen, Q4hrs, by the end of shift.

100

A patient has a red, warm and swollen wound with purulent drainage. This is a sign of.....

Infection

200

Skin, Hair, & Nails are part of which body system?

Integumentary System

200

Name a key structure protein of the hair?

Keratin

200

Why is it important to wash your hands, nails for at least 20 seconds?

To reduce the spread of infections,germs on your hands.

200

What is a Smart Goal for Impaired Physical Mobility?

Patient will be able to ambulate 10 steps from the bed to the recliner chair using a walker in 3 days.

200

Patient with a PMH of Post-Traumatic Stress Disorder, is experiencing a panic attack with Hyperventilation, what action should the nurse take?

Stay with the patient, remain calm and coach the patient on deep breathing exercises.

300
A nurse checks skin turgor to assess for what?

Dehydration

300

Which cultures in women practices to cover their hair?

Muslim women

300

Changes in nail color, shape and texture can reveal important clues about a person's.....

underlying health issues.

300

What is a Smart Goal for Pain?

Patient will report a decrease in pain level from 8/10 to 3/10 or less within 1 hour after receiving prescribed medications.

300

The patient's pulse oximetry reading suddenly drops from 95% to 82%. What is the nurses initial action?

Assess the patient's airway.

Remember your A,B,C's

Airway, Breathing, Circulation

400

The skin helps maintain ............. through sweat production and blood vessel dilation or constriction?

Body Temperature

400

What is the visible part of the hair called....

Hair Shaft

400

The visible part of the nail is called...

Nail Plate

400

What is a Smart Goal for Diabetes?

Patient will maintain normal glucose level 70-120mg/dl, for each shift over the next 5 days.

400

When auscultating the abdomen for bowel sounds, what sounds will you hear?

Gurgling or Bubbling Sounds