NUR 216 - Module 4 Latest Update -

NUR 216 - Module 4 Latest Update - Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+

Bulla - CORRECT ANSWER: Elevated serous filled greater than 1cm. ex. blister

Capillary Refill - CORRECT ANSWER: -Depress the nail edge to blanch and then

release -Should be less than two seconds -Delayed cap refill could indicate cardiovascular or respiratory dysfunction

Crust - CORRECT ANSWER: Slightly elevated, dried blood, exudate, pus. ex. scab

Deep Tissue Injury (DTI) - CORRECT ANSWER: Discoloration but skin intact, damage to underlying tissue.

Dermis - CORRECT ANSWER: 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 - CORRECT ANSWER: 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) - CORRECT ANSWER: -Skin appears shinny

and tight -Assess in all areas (arms, legs, abdomen) -Assess over a bony area (shin)

• / 2

Edema Scale - CORRECT ANSWER: +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. - CORRECT ANSWER: -Loses elasticity; skin folds and sags.-Decreased skin turgor.

Epidermis - CORRECT ANSWER: 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.

Erosion - CORRECT ANSWER: Loss of epidermis, moist. ex. ruptured vesicle

Fissure - CORRECT ANSWER: Linear break in skin surface. ex. too dry or moist skin

Hair matrix in the older adult. - CORRECT ANSWER: Functioning melanocytes

decrease, leading to gray fine hair.

Hemangiomas - CORRECT ANSWER: Vascular Lesion

-Port-wine stain -Strawberry mark -Cavernous hemangioma

How often should a diabetic patient inspect feet, toenails, and between toes? -

CORRECT ANSWER: Daily

• / 2