NR 302 Health Assessment Exam 1 review how to determine petechiae on dark skin?(Ans- Spot on body doesn't blanch.
what is edema?(Ans- fluid accumulating in the interstitial spaces. it is not present normally.
How to measure edema?(Ans- Imprint your thumbs firmly for 3-4 seconds against the ankle mallows or the tibia. Normally the skin surface stays smooth. If the pressure leaves a dent int eh skin "pitting" edema is present.
what is the grading scale for edema?(Ans- 1+= Mild pitting, slight indentation 2+= Moderate pitting, indentation subsides rapidly.3+= deep pitting, indentation remains for a short time and leg looks swollen.4+= Very deep pitting, indentation lasts a long time, leg is very swollen.
what are the two phases of pain assessment?(Ans- pain history and second phase is observation of behaviors and response to pain. Subjective data.
what is acute pain?(Ans- when pain only lasts through the expected recovery period. Example) sprained Ankle. 1 / 2
what is chronic pain?(Ans- prolonged and usually reoccurring or persisting over 6 months or longer and interferes with functioning. Ex.) back pain or arthritis.
what is an example of cutaneous pain?(Ans- paper cut
what is an example of deep somatic pain?(Ans- ankle sprain
what is an example of visceral pain?(Ans- obstructed bowl.
what is an example of radiating pain?(Ans- chest pain (cardiac)
Herpes Simplex (Ans- infection has a feeling of skin tingling and sensitivity lesion then erupts with tight vesicles followed by pustules and produces acute gingvicstromatis with many shallow painful ulcers.
Herpes Zoster (Ans- small, grouped vesicles emerged along route of cutaneous sensory nerve, then pustules then crusts. Caused by the varicella zoster virus, a reactivation of the dormant virus of chicken pox.
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