Skin assessment

Petechiae can be described as ________.

• Skin that appears blue

• Skin that appears flushed

• Skin that has small purple or red spots

• Skin that appears yellow

What is the name of the method used when evaluating a client with many, many moles?

• Fish out of water

• Square peg, round hole

• Ugly duckling

• White elephant

Which of these are good suggestions for promoting healthy skin? (select all that apply)

• Routine self assessment of moles

• Wear a hat when outdoors

• Wear sunscreen when outdoors

• Avoid being out in the sun from 10am-4pm

When performing a skin check, which of these findings would cause concern?

• A solid brown mole

• A mole with an irregular border

• A mole measuring 4 mm

• A mole with an even border

What should you NOT do if you find a new area of skin breakdown on your patient?

• Document the finding

• Rub the area

• Remove sources of moisture

• Consult the facility's wound care nurse

Which of these are methods to prevent skin breakdown? (select all that apply)

• Turn your patient every 2 hours

• Use lift equipment to prevent shearing/friction injuries

• Assess skin every 8 hours or per the facility's protocol

• Provide adequate nutrition

Which of the following is NOT a risk for a pressure injury?

• Age

• Gender

• Moisture

• Poor nutrition

Use this method to recognize important changes in moles or other lesions.

• ABCDE

• OLD CARTS

• PQRST

• Maslow

What tools may you need when assessing the skin? (select all that apply)

• Gloves

• Penlight

• Ruler

• Stethoscope

Which of these is an abnormal finding that would prompt further investigation?

• Acne

• Scars

• Wrinkles

• Velvety skin