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Integumentary SystemMedical-Surgical Nursing

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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
To get the best indication of a client's skin color, you should look in a photo-protected area like:
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The buttocks
A benign tumor of blood or lymph vessels is called...
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an angioma
What are signs that can be observed on the skin of a vascular problem?
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Bruising, vascular or purpuric lesions, angiomas, petechiae, purpura, cyanosis
How can you tell if a lesion is red because of dilated blood vessels (a normal inflammatory response) or because of interdermal or subcutaneous bleeding?
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Apply pressure to the lesion to see if it blanches. If it does, the lesion is red from dilated blood vessels. If it remains red, it is because of interdermal or subcutaneous bleeding.
Changes in normal distribution of body hair or growth can indicate a ________ or _________ disorder.
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Vascular or endocrine
Temperature of skin is best assessed by using...
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The back of your hand
How does cyanosis present in dark skinned clients?
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The conjunctiva, mucous membranes and/or nail beds are ashen or gray
How does ecchymosis present in dark skinned clients?
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The area is purple to brownish black, but can be difficult to see unless it occurs in an area of light pigmentation
How does erythema present in dark skinned clients?
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The skin has deeper brown or purple skin tone with evidence of increased skin temperature secondary to infection
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How does jaundice present in clients with dark skin tone?
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The sclera appears yellowish-green and the palms of the hands or soles of the feet appear yellowish-green
How does pallor present in dark skinned clients?
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Underlying red tone of skin is absent, skin may be yellowish-brown in lighter skinned individuals or ashen gray in darker skinned individuals
How does petechiae present in dark skinned individuals?
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It is difficult to see, may be evident in the buccal mucosa or the conjunctiva
How does a rash present in dark skinned individuals?
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It is difficult to see, may be felt with light palpation
Where is petechiae best observed in light skinned people?
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On the abdomen and buttocks
With respect to lesions, annular means...
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Ring shaped
With respect to lesions, gyrate means...
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Spiral shaped
With respect to lesions, iris lesion means...
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Concentric rings or Bull's eye
With respect to lesions, linear means...
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In a line
With respect to lesions, nummular means...
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Coin shaped
With respect to lesions, discoid means...
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Coin shaped
  
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