Jarvis Physical Assessment Chapter 12: Skin, Hair, and Nails

When taking the health history, the patient complains of pruritus. What is a common cause of this symptom?

Common causes of pruritus include dry skin, aging, drug reactions, allergy, obstructive jaundice, uremia, and lice.

A flat macular hemorrhage is called a(n):

Purpura is a flat, macular, red to purple hemorrhage that is a confluent and extensive patch of petechiae and ecchymoses greater than 3 mm.

A student nurse has been assigned to teach fourth graders about hygiene. While preparing, the student nurse adds information about the sweat glands. Which of the following should be included while discussing this topic?

Yes:Newborn infants' eccrine glands do not secrete sweat in response to heat until the first few months of life; newborn temperature regulation is ineffective.
other info:
There are two types of sweat glands: the eccrine glands and the apocrine glands.
Th

Functions of the skin include:

Functions of the skin include protection, prevention of penetration, perception (of touch, pain, temperature, and pressure), temperature regulation, identification, communication, wound repair, absorption and excretion, and production of vitamin D.
The ba

Risk factors that may lead to skin disease and breakdown include:

An accumulation of factors placing the aging person at risk for skin disease and breakdown include the thinning of the skin, the decrease in vascularity and nutrients, the loss of protective cushioning of the subcutaneous layer, a lifetime of environmenta

What term refers to a linear skin lesion that runs along a nerve route?

Zosteriform describes a lesion that has a linear arrangement along a nerve root.

describes a lesion that is circular and begins in the center and spreads to the periphery.

Annular

an area of skin that is mainly supplied by a single spinal nerve.

A dermatome

(herpes zoster) are small grouped vesicles that emerge along the route of a cutaneous sensory nerve, then pustules, then crusts; shingles is caused by the herpes zoster virus.

Shingles

The components of a nail examination include:

The nails should be assessed for shape and contour, consistency, and color.

To determine if a dark skinned patient is pale, the nurse should assess the color of the:

To detect pallor in a dark skinned individual, the nurse should assess an area with the least pigmentation, such as the conjunctivae or mucous membranes.

An example of a primary lesion is a(n):

Urticaria is a primary lesion; a primary lesion is a lesion that develops on previously unaltered skin.

An example of a secondary lesion is a(n):

Erosions and Ulcers are secondary lesions; a secondary lesion is a lesion that changes over time or changes because of a factor such as scratching or infection.

A scooped out, shallow depression in the skin is called a/an:

An erosion is a scooped out, shallow depression in the skin

ulcer

deeper depression extending into the dermis.

excoriation

is self-inflicted abrasion that is superficial.

A fissure is a

narrow opening of tissue or skin.

three layers of the skin

o The epidermis is the thin, tough outer layer.
o The dermis is the inner supportive layer.
o The subcutaneous layer is the adipose tissue below the dermis.

Epidermal appendages include

� hair, sebaceous and sweat glands, and nails.

To obtain subjective data, ask questions that investigate these topics

o Past history of skin disease, such as allergies, hives, psoriasis, and eczema,
o Change in pigmentation,
o Change in a mole,
o Excessive dryness or moisture,
o Pruritus,
o Excessive bruising,
o Rash or lesion,
o Medications,
o Hair loss,
o Change in nai

To obtain objective data, inspect and palpate the skin. If indicated, put on gloves.

o First observe the color and general pigmentation. Normally, it is consistent with the patient's genetic background and varies from pinkish tan to ruddy dark tan or from light to dark brown and may have yellow or olive overtones. Dark-skinned people norm