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Comprehensive information on various topics related to brachial pulse assessment and skin conditions. It covers different types of apocrine glands, assessment techniques for newborns, skin conditions such as atrophy, basal cell carcinoma, and malignant lesions like kaposi's sarcoma. The document also discusses various types of vascular lesions, assessment techniques, and differentiating between discrete and confluent lesions. Additionally, it covers cranial stenosis, edema grading, and pulse grading.
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Different types of Assessment techniques - ans- INPECTION is the technique used initially in physical assessment.
Lichenification - ans- Prolonged, intense scratching eventually thickens the skin and produces tightly packed sets of papules; looks like surface of moss (or lichen) Locate the ten locations of the lymph nodes - ans- what is the lymph node at the base of the skull? Occipital Location of different pulses - ans- behind the knees is your popliteal pulse Malignant Melanoma - ans- cancerous growth composed of melanocytes Medial part of the wrist is your - ans- Radial pulses Metacarphalangeal joints and ulnar part of the hand used - ans- to palpate moderate and deep palpation Milia are the papules - ans- are located like white heads nose and cheeks of the baby disappear after 3-4wks. On percussion of a solid organ like liver or heart what kind of sound will you hear? - ans- Dullness On percussion of the abdomen what kind of sound will you hear? - ans- Tympanic or drum like sound On percussion of the bone what kind of sound will you hear? - ans- Flat and very short On percussion of the lungs what will you hear? - ans- You will hear a resonance sound if the lungs are filled with air, you will hear hyperresonance Order of occurrence for herpes zoster - ans- First you will have paresthesia then
Review the different types of primary lesions - ans- Macules a patch of skin that is altered in color but usually not elevated
Skinfold calipers - ans- used to asses subcutaneous thickness Stadiometers - ans- measures height of the patient Stage 4 - ans- Four layers are involved lesions go deeper into the muscles and bone. Stage 111 - ans- Three layer of the skin are involved, lesions, opening, in epidermis going through the dermis and subcutaneous tissue. Stage II - ans- lesion goes now into the dermis, two layers are involved, epidermis and dermis. Tenia pedis - ans- AKA athletes foot Terminal hair - ans- Thick hair found on the scalp, eyebrow, axillary region, pubic hair, legs, face and chest of the male individual. The first activity in nursing process is - ans- to collect subjective data The normal findings for adults - ans- lymph nodes are not palpable The normal findings for children - ans- may be palpable and are considered normal for them. The skins finding for a client a client with cirrhosis of the liver would be ..... - ans- jaundice or yellowing of the skin The technique on how to asses the lymph nodes would be...... - ans- Gentle circular motion Three types of abdominal palpations - ans- light palpation, which is the safest, depth is 0.5- 1cm, use only one hand.
What is tension headache? - ans- the onset is gradual, also known as muscle contraction headache. The pain is steady maybe unliteral or bilateral typically ranges from cervical region to the top of the head, What is the best technique in assessing skin turgor? - ans- Pinching below the clavicle or median aspect of the wrist. What is the indication of non healing wounds in the head of a patient when doing assessment. - ans- Especially if its more than several months is a sign of malignancy or melanoma. What is the lymph node that is before your ears? - ans- Preauricular What is the lymph node that is deeply embedded in the deep sternomastoid muscles? - ans- Deep cervical chain What is the lymph nodes that is above your clavicles? - ans- Supra clavicular What is the most appropriate action of the nurse to protect examiner and client against the spread of infection - ans- Wash hands before and after every physical client encounter What is vitiligo? - ans- Patchy and pigmented areas over the face, neck, hands, feet and skinfolds. What kind of lesions is psoriasis - ans- plague lesions What question should you ask patients suspected with Lyme disease? - ans- Lyme disease is caused by tick bites, so you would ask have you been hiking or camping lately. What type of shape is ring worm? - ans- annular lesions Wheal - ans- an irregular-shaped, solid, elevated area that can vary in color and its transient When a patient suddenly refuses your exam what should you as a nurse? - ans- Document what was done and and what was refused. Which part of your stethoscope is used for listening to high pitch sounds? - ans- Diaphragm ( larger side) Which part of your stethoscope is used for listening to low pitch sounds? - ans- the bell, especially to hear heart mummers and brewing Wood lamp - ans- to asses fungal infection on the skin