Tissue Health Quiz

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Questions and Answers

Which characteristic should NOT be observed in healthy nails?

Pink color in light-skinned patients

Slightly rounded contour

Smooth and round edges

Pitting and grooves (correct)

What would indicate a healthy scalp and hair observation?

Presence of scaling

Marked balding patterns

Hair that is shiny and soft (correct)

Uneven distribution of facial hair

Which type of lesion is classified as a primary skin lesion?

Keloid

Pustule (correct)

Ulcer

Scar

In a wound assessment, identifying the location of the wound is crucial because it can indicate:

Possible underlying health issues Signup and view all the answers

Which observational variance in skin assessment could indicate potential skin diseases?

Discoloration Signup and view all the answers

What is a normal expected finding when assessing skin texture?

Smooth and soft Signup and view all the answers

What condition is indicated by the presence of striae on the skin?

Rapid weight change or pregnancy Signup and view all the answers

Which characteristic indicates abnormal nail finding reflecting underlying health conditions?

Cyanosis present in fingernails Signup and view all the answers

Which type of drainage is characterized by a mixture of blood and serous fluid?

Serosanguinous Signup and view all the answers

What does the 'D' in the ABCDEF skin cancer screening acronym represent?

Diameter Signup and view all the answers

In an abdominal assessment, which step should be performed first?

Inspection Signup and view all the answers

What is characterized by the presence of painless swelling in abdominal muscles during assessment?

Masses or bulges Signup and view all the answers

Which factor does NOT contribute to the definition of diversity?

Political affiliation Signup and view all the answers

What might indicate a problem if observed during auscultation of bowel sounds after 2-3 minutes?

Absence of any sounds Signup and view all the answers

What form of drainage is characterized by clear, watery fluid?

Serous Signup and view all the answers

Which of the following is NOT part of the abdominal assessment process?

Adaptation Signup and view all the answers

What is the primary concern when assisting a patient with dysphagia during feeding?

Ensuring the patient is seated upright Signup and view all the answers

Which of the following is NOT part of the Braden scale assessment?

Medication history Signup and view all the answers

When providing oral feeding assistance, what should be prioritized to ensure safety?

Maintaining dignity while eating Signup and view all the answers

Which of the following describes a mechanical soft diet?

A diet with pureed foods and ground meats Signup and view all the answers

What is the appropriate consistency for fluids classified as 'nectar consistency'?

Thicker than water but can be sipped through a straw Signup and view all the answers

Why is it important to assess a patient's mental status before oral feeding?

To evaluate their ability to swallow safely Signup and view all the answers

Which option correctly identifies a component of nutrition that provides energy?

Carbohydrates Signup and view all the answers

What measure can be taken to help a patient with swallowing difficulties?

Use thickened liquids and soft foods Signup and view all the answers

If a patient is bedfast, which Braden scale category does this affect?

Activity Signup and view all the answers

What is the purpose of recording a patient's intake?

To track their nutritional intake and hydration Signup and view all the answers

What is the primary purpose of proteins in nutrition?

Builds and repairs muscles Signup and view all the answers

Which type of enteral formula is specifically designed for clients who can absorb complete nutrients?

Polymeric Signup and view all the answers

What is a common purpose of a cleansing enema?

To stimulate peristalsis and promote defecation Signup and view all the answers

What is the characteristic of an oil retention enema?

Must be retained for at least 30 minutes Signup and view all the answers

What is the main purpose of parenteral nutrition?

To deliver nutrients via a central line catheter for non-functioning GI systems Signup and view all the answers

Which type of catheter is designed for short-term use with a closed drainage system?

Indwelling (Foley) catheter Signup and view all the answers

What term refers to the surgical removal of a part or all of an organ or tissue?

-ectomy Signup and view all the answers

For clients who cannot consume adequate nutrients but have a functioning GI system, which nutritional support is appropriate?

Enteral nutrition Signup and view all the answers

Which of the following is NOT a type of urinary catheter?

Bowel catheter Signup and view all the answers

What does the term 'hypo-' indicate in medical terminology?

Beneath or lower than normal Signup and view all the answers

Which of these types of enteral nutrition formulas contains individual macronutrients?

Modular formula Signup and view all the answers

What is the primary role of water in the human body?

Regulates temperature and restores fluids Signup and view all the answers

What does the suffix '-ology' refer to?

Study of a specific subject Signup and view all the answers

What is a key characteristic of elemental enteral formula?

Contains predigested nutrients for easier absorption Signup and view all the answers

Study Notes

Tissue Health Overview

Present health status includes evaluation of current symptoms and conditions.
History of present illness (HPI) focuses on pruritus and changes in skin, nails, or hair.
Past health history, along with family history, helps assess genetic predispositions.

Skin Observation and Assessment

Expected outcomes for skin include smooth texture, absence of lesions, and uniform color.
Variances like intentional markings (tattoos), pigmented nevi, and scarring may indicate skin conditions.
Skin palpation checks texture, temperature, moisture, mobility, turgor, and thickness.

Types of Skin Lesions

Primary skin lesions include sebaceous cysts, bullae, and pustules.
Secondary lesions encompass crusts, scales, fissures, and ulcers.
Vascular lesions involve petechiae, purpura, and telangiectasia.

Hair Examination

Expected scalp characteristics include smoothness and shine; variances indicate potential balding patterns.
Facial and body hair should be evenly distributed; uneven distribution may reflect underlying issues.

Nail Examination

Nail edges should be smooth, colors range from pink in light-skinned to yellow/brown in darker skin.
Variances include clubbing, pitting, and grooves.

Wound and Drainage Assessment

Key questions include wound location, duration, and associated symptoms to evaluate severity.
Types of drainage: serous (clear), purulent (pus-filled), sanguineous (bloody), and serosanguinous (blood and serum mix).

Skin Cancer Screening (ABCDEF)

Asymmetry, border irregularity, color variation, diameter > 6mm, elevation, and any unusual sensations warrant further investigation.

Diversity, Spirituality, and Inclusion

Emphasizes awareness and compassion toward individuals irrespective of various identities.
Spirituality focuses on meaningfulness and personal healing.

Abdominal Assessment Techniques

Inspection should show smooth appearance; visible peristalsis and lesions indicate variation.
Auscultation assesses bowel sounds in all quadrants, with absence signaling possible issues.
Palpation checks for tenderness and symmetry; percussion evaluates for costovertebral angle tenderness.

Nutrition Interview

Evaluate weight changes, swallowing difficulties, appetite, and psychosocial influences on nutrition.
Oral feeding assessments ensure proper hygiene, nutrition type adherence, and mental status checks.

Braden Scale for Pressure Sores

Assesses sensory perception, moisture levels, activity, mobility, friction/shear risk, and nutritional status.

Dysphagia Management

Position clients upright and provide appropriate food and liquid consistency to facilitate safe swallowing.

Modified Consistency Diets

Clear, full, and pureed liquids cater to different patient needs based on their swallowing ability.

Enteral Nutrition

Suitable for clients with functional GI systems; methods range from short-term tube feeding to long-term solutions like gastrostomy.

Types of Enteral Formulas

Polymeric, modular, elemental, and specialty formulas meet diverse clinical nutritional needs.

Elimination Aids

Bedpans assist bed-bound patients; enemas stimulate bowel movements, with cleansing and retention types used for varying needs.
Various types of catheters facilitate urinary drainage in patients unable to void naturally.

Medical Terminology

Prefixes and suffixes describe anatomical locations, conditions, procedures, and specialties, aiding in understanding medical language.

Important Components of Nutrition

Carbohydrates provide energy, proteins assist in building and repairing tissues, while fats, vitamins, minerals, and water support various body functions.

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Description

Test your knowledge on tissue health by exploring various aspects of health history, including present health status and observations of the skin. This quiz covers essential topics like pruritus, lesions, and changes in skin and nail conditions. Assess your understanding of expected outcomes and variances in skin observation.