Assessment skin, has, and nails in Sherpath
A patient presents with an oozing skin lesion. Which features regarding the exudate should the nurse note? Select all that apply. Consistency Amount Color Temperature Odor
1,2,3,5
As part of a thorough nail assessment, which features are necessary to note on palpation? Select all that apply. Angle of nail base Smoothness Color Thickness Adhesion of nail to nail bed
1,2,4,5
When assessing a skin lesion, which configurations are important for the nurse to note? Select all that apply. Annular Grouped Raised Linear Arciform
1,2,4,5
As part of a thorough hair examination, the nurse inspects which features? Select all that apply. Color Turgor Distribution Quantity Presence of lice and nits
1,3,4,5
When assessing the location and distribution of skin lesions, the nurse should look for which features?Select all that apply. Whether the lesion is generalized or localized Color of the lesion On which region of the body the lesion appears Patterns of lesion distribution Whether the lesion is discrete or confluent
1,3,4,5
Which aspects of nevi would the nurse instruct a patient to assess when teaching the common method of distinguishing normal nevi from melanomas? Select all that apply. Symmetry Smell Border Color Diameter
1,3,4,5
The size of a normal nevus is typically less than mm. Use numbers only.
6 mm
The nurse notes that a patient has a pedunculated lesion. Which lesion feature does this describe? Color Texture Attachment at the base Thickness
Attachment of base
What are the skin features that should be assessed as part of a comprehensive skin examination?
Color thickness symmetry turgor
When assessing a patient's nevus, the nurse knows that which characteristic is considered abnormal? Brown color Irregular borders Found on the neck Raised surface
Irregular borders
The dorsal surface of the hand should be used to assess which feature of the skin? Thickness Moisture Color Temperature
Temp
The nurse pinches the skin to assess which feature? Color Texture Temperature Turgor
Turgor