What is an effective way to evaluate for cyanosis in a person of color Quizlet

Inhaltsverzeichnis Show

Where would you check for cyanosis in a dark
Which areas should the nurse inspect when assessing for cyanosis in a dark
What signs of cyanosis does a nurse inspect for in a dark
What assessment skills are used to detect cyanosis in a patient?

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A patient with diabetes mellitus has been diagnosed with peripheral vascular disease. Which dermatologic manifestations should the nurse assess?

a. Redness of exposed areas of the skin on the hand, foot, face, or neck
b. Leathery, brownish skin on lower leg, pruritus, concave lesions with edema, scar tissue with healing
c. Loss of hair in periphery, delayed capillary filling, dependent rubor, neuropathy, and delayed wound healing
d. Atrophy, epidermal thinning, increased vascular fragility, impaired wound healing, thin loose dermis, and excess fat at the back of the neck

D. Cold, dry, pale skin; dry, coarse hair; brittle, slow-growing nails

With hypothyroidism the patient will manifest with cold, dry, pale skin; dry, coarse, brittle hair; and brittle, slow-growing nails. With hyperthyroidism the patient will have warm, flushed skin; alopecia with fine soft hair; and thin nails. With Addison's disease the patient will have loss of body hair and generalized hyperpigmentation, especially in folds. With anemia, the patient will display pallor, pale mucous membranes, hair loss, and nail dystrophy.

When assessing a 73-year-old female patient, the nurse found wrinkles, sagging breasts, and tenting of the skin; gray hair; and thick brittle toenails. What normal changes of aging does the nurse know occur that can cause these changes in the integumentary system?

A. Decreased activity of apocrine and sebaceous glands, decreased density of hair, and increased keratin in nails
B. Decreased extracellular water, surface lipids, and sebaceous gland activity; decreased scalp oil; and decreased circulation
C. Muscle laxity, degeneration of elastic fibers, collagen stiffening, decreased melanin, and decreased peripheral blood supply
D. Increased capillary fragility and permeability, cumulative androgen effect and decreasing estrogen levels, and decreased circulation

C. Muscle laxity, degeneration of elastic fibers, collagen stiffening, decreased melanin, and decreased peripheral blood supply

The normal changes of aging include muscle laxity, degeneration of elastic fibers, and collagen stiffening that contribute to the wrinkles, sagging breasts, and tenting of the skin. Decreased melanin and melanocytes in the hair lead to gray hair, and decreased peripheral blood supply leads to thick brittle nails with diminished growth. Decreased apocrine and sebaceous glands would lead to dry skin with minimal to no perspiration and uneven skin color. Decreased density of hair leads to thinning and loss of hair. Increased keratin in nails leads to longitudinal ridging of the nails. The decreased extracellular water, surface lipids, and sebaceous gland activity lead to dry flaking skin. Decreased scalp oil leads to dry coarse hair and a scaly scalp, and decreased circulation leads to prolonged return of blood to nails on blanching. Increased capillary fragility and permeability in aging leads to bruising. A cumulative androgen effect and decreased estrogen levels lead to facial hirsutism in women and baldness in men. Decreased circulation leads to prolonged return of blood to nails on blanching.

Terms in this set (30)

During shift report, a nurse learns that a patient has a macular rash. As the nurse inspects the patient's skin, what finding will confirm the rash?
a. Elevated, firm, well-defined lesions less than 1 cm in diameter
b. Depressed, firm, or scaly, rough lesions greater than 1 cm in diameter
c. Elevated, fluid-filled lesions less than 1 cm in diameter
d. Flat, well-defined, small lesions less than 1 cm in diameter

A, C, D, E, F
Correct: These are questions asked in a symptom analysis that includes the following variables: onset of symptoms, location and duration of symptoms, characteristics, severity of symptoms, related symptoms, alleviating factors, aggravating factors, and attempts at self-treatment.
Incorrect: This question relates to the patient's history.

Where would you check for cyanosis in a dark

In dark-skinned people, cyanosis can be best assessed by examining the palms of the hands, soles of the feet, tongue, conjunctivae, or the buccal mucosa. In light-skinned people, the nailbeds and the area around the lips can be used.

Which areas should the nurse inspect when assessing for cyanosis in a dark

In dark-skinned people, cyanosis may be easier to see in the mucous membranes (lips, gums, around the eyes) and nails. People with cyanosis do not normally have anemia (low blood count).

What signs of cyanosis does a nurse inspect for in a dark

What signs of cyanosis does a nurse inspect for in a dark-skinned patient? A Cyanosis is manifested by ashen-gray color of the oral mucous membranes and nail beds in a dark-skinned patient.

What assessment skills are used to detect cyanosis in a patient?

Inspect the face, lips, and fingertips for cyanosis or pallor. Cyanosis is a bluish discoloration of the skin, lips, and nail beds and indicates decreased perfusion and oxygenation.