Integumentary Assessment Case Study – Flashcards
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Turgor.
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1.
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Dry mucus membranes.
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2.
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Conjunctivae.
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3.
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Ask about any feelings of anxiety.
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4.
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Note any pustules or nodules.
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5.
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"How often do you use a tanning booth?"
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6.
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"Have any of your moles changed in size or appearance?"
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7.
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The border of the mole is smooth.
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8.
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Offer assurance that this lesion is not an abnormal finding.
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9.
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Continue the assessment, noting the color of the nail surface.
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10.
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Brittle nail surface.
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11.
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Observe the texture and distribution of hair growth on the scalp.
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12.
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Observe the client's hair shafts and scalp.
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13.
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Move on to the next area of assessment since the findings are within normal limits.
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14.
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Repeated injury over a period of time.
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15.
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Document the location of the bruises and petechiae.
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16.
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Ask the client if someone else caused the injuries.
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17.
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Provide a calendar for the client to mark the date when any violent and abusive behavior by her boyfriend occurred.
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18.
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Urticaria.
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19.
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Offer assurance that this is a temporary response.
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20.
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0.5 or 1/2
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21.
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-Benadryl blocks the effect of the histamine response to reduce itching. -This medication may cause drowsiness. -Blurred vision or loss of balance are potentially serious side effects of this medication.
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22.
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Prepare a detailed injury map.
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23.
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Quote the client's responses to the question as verbatim as possible.
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24.
