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Integumentary SystemMedical-Surgical Nursing

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What skin conditions can indicate an electrolyte imbalance?
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Pruritis, edema, and dehydration
_______ is a common skin problem associated with a person's occupation.
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Contact dermatitis
Why is it important to assess sexuality-reproductive patterns for a skin history/assessment?
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Some medications to treat skin conditions are teratogenic and should not be used by pregnant women (ex: Accutane, Efudex, Fluoroplex)
_______ skin lesions occur on previously unaltered skin.
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Primary
_________ skin lesions are lesions that change over time from factors such as scratching or infection.
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Secondary
What are some general principles when conducting a skin assessment?
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Proceed from head to toe Compare symmetric parts Perform a general inspection, then a lesion specific inspection Use the metric system for measurements Use appropriate terminology/nomenclature for documentation
Freckles, petechiae, measles and flat nevi are examples of ________.
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Macules
Any elevated lesion that is solid and less than 1 cm in diameter like a wart or mole is called a...
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Papule
Any elevated lesion that is circumscribed, filled with serous fluid and less than 1 cm like a lesion from varicella, herpes zoster or a second-degree burn is called a __________.
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Vesicle
A lesion that is circumscribed, elevated, solid and greater than 1 cm in diameter like those caused by psoriasis, seborrheic keratoses and active keratoses...
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Plaque
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A firm, edematous, irregularly shaped lesion like a bug bite or hive is a ....
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Wheal
An elevated, superficial lesion filled with purulent fluid like acne or impetigo is a ....
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Pustule
A linear crack or break from the epidermis to dermis; it can be dry or moist, like athlete's foot or cracks in the corner of the mouth...
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Fissure
Excess dead epidermis cells produced by abnormal keratinization and shedding; an example would be flaking of the skin after scarlet fever...
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Scale
An abnormal formation of connective tissue that replaces normal skin...
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Scar
A lesion that results from loss of the epidermis and dermis that is crater-like and has an irregular shape...
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Ulcer
Depression in the skin resulting from thinning of the epidermis or dermis, ex: striae
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Atrophy
Area in which the epidermis is missing, exposing the dermis...ex: abrasion, or scabies
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Excoriation
Atrophy lesions are a primary or secondary lesion?
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Secondary lesion
The critical factor in assessment of skin color is...
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Any change
The most reliable areas in which to assess erythema, cyanosis, jaundice and pallor are the areas with the least pigmentation. These include:
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The sclera, conjunctivae, nail beds, lips and buccal mucosa
  
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