Practice Assessment: Skin, Hair, and Nails Examination Paper
Practice Assessment: Skin, Hair, and Nails Examination Paper
Ball: Seidel’s Guide to Physical Examination, 8th Edition
Chapter 08: Skin, Hair, and Nails
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Student Checklist: Practice Assessment: Skin, Hair, and Nails Examination
| Assessed Appropriately by Student? | |||
| Yes | No | Comments | |
| I. Inspection and palpation of the skin | |||
| A. Color | X | Brown | |
| B. Uniformity | X | Uniform in color overall.
Darker skin around the elbow, axillae, and knee areas.
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| C. Thickness | X | Thin skin on eyelids. Thick skin on palms and soles of feet. | |
| D. Symmetry | X | Bilaterally symmetrical. | |
| E. Hygiene | X | Clean | |
| F. Lesions | X | No lesions noted. | |
| 1. Primary | X | N/A | |
| 2. Secondary | X | N/A | |
| 3. Size | X | N/A | |
| 4. Shape | X | N/A | |
| 5. Color | X | N/A | |
| 6. Texture | X | N/A | |
| 7. Elevation or depression | X | N/A | |
| 8. Attachment at base | X | N/A | |
| 9. Exudates | X | N/A | |
| 10. Configuration | X | N/A | |
| 11. Location and distribution | X | N/A | |
| G. Odors | X | No body odor | |
| H. Moisture | X | Dry. Axillae and groin area are moist. | |
| I. Temperature | X | Warm to touch | |
| J. Texture | X | Smooth, soft, and even | |
| K. Turgor | X | Immediate skin return | |
| L. Mobility | X | Mobile | |
| II. Inspection and palpation of the hair | X | ||
| A. Color | X | Black | |
| B. Distribution | X | Evenly distributed on the scalp, axillae, and pubic area. | |
| C. Quantity | X | Medium length. | |
| D. Texture | X | Scalp hair is coarse and curly. Shiny, smooth, and resilient hair. | |
| III. Inspection and palpation of the nails | X | ||
| A. Pigmentation, length, symmetry, and ridging or irregularities (redness, swelling, pain, exudate, warts, cysts, or tumors) | Nail beds are pink.
Nail plates are smooth, and convex. Nails have appropriate length. Nail edges are smooth and rounded. Nails are bilaterally symmetrical. Nails are clean, smooth, and neat. |
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| B. Measure nail base angle | X | Nail base angle- 160o on all nails. | |
| C. Texture, firmness, thickness, uniformity, and adherence to nail bed | X | Nail plates are hard and smooth.
Nail bases are firm. Uniform nail thickness. Nail beds are firm on palpation. The nails adhere to the nail bed when gently squeezed.
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Practice Assessment: Skin, Hair, and Nails Examination
Advanced practice nurses are required to have the skills and knowledge necessary to perform many different physical assessments and health examinations. In this course, you will demonstrate your abilities in this area by conducting various optional examinations on a volunteer “patient.â€
In preparation for the Comprehensive (Head-to-Toe) Physical Assessment due in Week 9, it is recommended that you practice conducting an assessment of the skin, hair, and nails this week.
To Prepare
Arrange an appropriate time and setting with your volunteer “patient†to perform a skin, hair, and nails examination.
Download and review the Skin, Hair, and Nails Student Checklist and Key Points, provided in this week’s Learning Resources, and review the Seidel’s Guide to Physical Examination online
Lab Assignment
Perform the skin, hair, and nails examination, covering all of the areas listed in the checklist.
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