NUR 216 - Module 4 EXAM 2024/2025 WITH 100% VERIFIED SOLUTIONS HEALTH ASSESSMENT
4 views 0 purchase
Course
NUR 216
Institution
NUR 216
NUR 216 - Module 4 EXAM 2024/2025
WITH 100% VERIFIED SOLUTIONS
HEALTH ASSESSMENT
NUR 216 - Module 4 EXAM 2024/2025
WITH 100% VERIFIED SOLUTIONS
HEALTH ASSESSMENT
Bulla - Elevated serous filled greater than 1cm. ex. blister
Capillary Refill - -Depress the nail edge to blanch a...
NUR 216 - Module 4 EXAM 2024/2025
WITH 100% VERIFIED SOLUTIONS
HEALTH ASSESSMENT
, NUR 216 - Module 4 EXAM 2024/2025
WITH 100% VERIFIED SOLUTIONS
HEALTH ASSESSMENT
Bulla - ✓✓Elevated serous filled greater than 1cm. ex. blister
Capillary Refill - ✓✓-Depress the nail edge to blanch and then release
-Should be less than two seconds
-Delayed cap refill could indicate cardiovascular or respiratory dysfunction
Deep Tissue Injury (DTI) - ✓✓Discoloration but skin intact, damage to underlying
tissue.
Dermis - ✓✓The middle layer is composed of connective tissue that is formed by a
dense combination of interconnecting collagen and elastic fibers. It contains blood
vessels, hair follicles, cutaneous nerve endings, sensory receptors, lymphatics, ans
sebaceous and sweat glands.
Ecchymosis - ✓✓Collection of blood in the dermis greater than 3mm in diameter.
Initially reddish-purple, but will change to blue or yellow during healing, caused by
trauma
Edema (accumulation of fluid in tissue) - ✓✓-Skin appears shinny and tight
-Assess in all areas (arms, legs, abdomen)
-Assess over a bony area (shin)
Edema Scale - ✓✓+1 = trace, 2mm, rapid return
+2 = mild, 4mm, 10-15 second return
+3 = moderate, 6mm, prolonged return, 30 seconds
+4 = severe, 8mm, prolonged return, greater than 30 seconds
Elasticity in the older adult. - ✓✓-Loses elasticity; skin folds and sags.
-Decreased skin turgor.
Epidermis - ✓✓The surface layer is a combination of dead cells on the outside and live
cells on the inside. It takes about a month for cells to move from the inner surface to the
outer surface. This is a way the skin constantly renews itself.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller QuizGuider82. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
