NUR 216 Exam 2 Study Guide – Fall 2023: Skin/Hair/Nails

What lesions are common and/or expected in adolescence?

• Macule (Birthmark, Freckles), Pustule (Acne)

• Papule (Wart, Skin tag), Vesicle (Chickenpox)

• Ulcer (Pressure sore), Fissure (Athlete's foot)

• Nodule (Lipoma), Plaque (Psoriasis)

In a patient with a dark skin tone, the best place to assess for cyanosis is the ________.

• mucous membranes

• palms of the hands

• soles of the feet

• nail beds

Where should we assess for color changes or signs of dehydration on individuals with dark skin?

• Access conjunctiva, oral mucosa, and palms for color changes

• Check only the back for any discoloration

• Inspect the soles of the feet exclusively

• Look at the scalp for color changes

What objective findings might indicate dehydration?

• Skin tinting/decreased skin, dry skin, dry mucous membranes

• Increased salivation, moist skin, normal mucous membranes

• Bradycardia, hypertension, excessive sweating

• Pale conjunctiva, normal urine output, cool extremities

What subjective findings might increase the risk for dehydration?

• Patient saying they don’t drink water

• Patient reports eating three meals a day

• Patient says they exercise regularly

• Patient reports sleeping 8 hours nightly

What does eczema look like? Where is it commonly found?

• Scaly, inflamed, irritated. Commonly found inside elbows, behind knees, in front of neck, face, antecubital space.

• Smooth, shiny, and painless. Commonly found on the palms and soles.

• Blistering, with pus formation. Commonly found on the scalp and back.

• Dry, cracked, and bleeding. Commonly found only on the fingertips.

Wheals: Erythematous. Raised. Swollen lesions. Hives or TB Test.

• True

• False

What is a wheal?

• Edematous, transitory plaque, may last few hours

• A solid, raised lesion filled with pus

• A flat, non-palpable change in skin color

• A small, fluid-filled blister

What is a scale in dermatology?

• Epidermal thickening, consists of flakes or plates of compacted desquamated layers of stratum corneum

• A type of skin ulcer that penetrates into the dermis

• A fluid-filled blister larger than 1 cm in diameter

• A localized collection of pus within the dermis

What is a crust in dermatology?

• Dried serum or exudate on skin

• A type of fungal infection

• A layer of dead muscle tissue

• A type of skin cancer