Name of the Student MEGAN DEE
Date 04-02-21_______ Score _______
Name of Clinical Instructor NAOMI REMOLADOR_____________________
BEFORE PROCEDURE
1. Identify the patient.
2. Explain the purpose of the respiratory system
examination and answer any questions to the
patient.
3. Perform hand hygiene
ASSESSING THE SKIN
1. Inspect the overall skin coloration
2. Inspect skin for vascularity, bleeding or bruising.
3. Inspect the skin for lesion. Note bruises, scratches,
cuts, inspect bites, and wounds. If present note size,
shape, color, exudates and distribution/pattern
4. Palpate the skin using the back of your hands to
assess the temperature. Wear gloves when
palpating any potentially open area of the skin.
5. Palpate for texture and moisture
JIMENEZ______ Section A19__
ASSESSING THE INTEGUMENTARY SYSTEM
NORMAL FINDINGS DEVIATION FROM NORMAL
MORENA CYANOSIS- a bluish-purple hue of the skin
JAUNDICE-yellowish color of the skin
HYPERPIGMENTATION-skin that has turned darker than normal
LEUKODERMIA–lightening of the skin
HYPERMELANOSIS- overload of melanin or an abnormal distribution
of melanin in the skin
NORMAL PURPURA-discoloration of the skin due to hemorrhage of small blood
vessel
PETECHIAE- round spots as a result of bleeding
FLUSHING-sudden reddening as a result of increase blood flow
BRUISE- happens when a part of the body is injured and blood from
the damaged capillaries
BLEEDING-loss of blood
NONE OTHER THAN 2 MOLES ONE THE RIGHT AND LEFT ULCER-open round sores
FOREARM (2CM), PAPULE-a raised area of skin tissue that's less than 1 centimeter
around
RASHES-an area or irritated / swollen skin.
WHEALS-elevated lesions caused by localized edema
PUSTULE-a bulging patch of skin that's full of a yellowish fluid called
pus
BLISTERS-skin lesions filled with a clear fluid
THE TEMPERATURE IS NORMAL HYPERTHERMIA-abnormally high body temperature
HYPOTHERMIA-abnormally low body temperature
SMOOTH, NOT DRY OR WET (NORMAL) XEROSIS- abnormally dry skin or membranes
XERODERMA PIGMENTOSUM-a hereditary condition characterized by
 extreme sun sensitivity, leading to a very high risk of skin cancer and
other medical problems.
MACERATED SKIN- occurs when skin is in contact with moisture for
too long.
6. Assess for skin turgor by gently pinching the skin NORMAL TURGOR POOR TURGOR- it takes longer for your skin to return to its usual
under the clavicle position.
7. Palpate for edema(which is characterized by NONE EDEMA-refers to swelling and puffiness in different areas of the body
swelling, with taut and shiny skin over the
edematous area.)
8. If lesion are present, put on gloves and palpate the THERE ARE NO LESIONS FOUND
lesion
9. Inspect the nail angle noting if any clubbing is NO CLUBBING CLUBBING-occurs when the tips of the fingers enlarge and the nails
present, as well as the shape and color of the nails. THE COLOR IS NORMAL curve around the fingertips
SQUARE SHAPE LEUKONYCHIA- a condition where white lines or dots appear on the
fingernails or toenails.
ONYCHOLYSIS-painless separation of the nail from the nail bed

10. Palpate the nail for texture and capillary refill
11. Inspect the hair and scalp, Wear gloves for palpation
if lesion or infestation is suspected or if hygiene is
poor.
AFTER THE PROCEDURE
1. Perform hand hygiene
2. Document the findings of the assessment
SMOOTH TRACHYONYCHIA- disorder of the nail unit that most commonly
presents with rough, longitudinally ridged nail
SMOOTH, SHINY, CLEAN CUT HAIR SCALP PSORIASIS-a common skin disorder that makes raised,
SMOOTH SCALP reddish, often scaly patches
ALOPECIA-partial or complete absence of hair from areas of the body
where it normally grows
ANAGEN EFFLUVIUM-refers to hair shedding that arises during the
anagen or growth stage of the hair cycle.
TELOGEN EFFLUVIUM-hair shedding that arises during the telogen or
resting stage of the hair cycle.
RATING RATING