Health Assessment

Student Laboratory Guide Chapter 10: Skin, Hair, and Nails

With your lab partner assuming the role of a client, conduct a focused history and examination. Your “student client” may role-play a client with a particular symptom involving the skin, hair, or nails.

History Date:

Name: Gender: M F

Age: Race: LMP:

Occupation:

Source of Data:

Immunizations:

Allergies/Reactions:

Presenting Problem (check all that apply):

Pruritus Rash Lesion Pain/discomfort to skin

Changes in hair

Change in skin color

Change in skin texture

Wounds

Changes in nails

Other: ___

Symptom Analysis of Presenting Problem (onset, location, duration, characteristics, aggravating and alleviating factors, related symptoms, treatment) Present Health Status (include medications, dose, and frequency) Past Medical and Surgical History (include description and dates) Family History Social Habits

Mosby items and derived items © 2009, 2005, 2002 by Mosby, Inc., an affiliate of Elsevier Inc.

Chapter 10 Skin, Hair, and Nails Page 2

Examination

Examination Technique Findings (document findings below)

Skin

INSPECT the skin for general color. INSPECT the skin for localized variations in

skin color.

PALPATE the skin for texture, temperature, moisture, mobility, turgor, and thickness.

Special Circumstances or Advanced Practice

INSPECT and PALPATE the skin for lesions. o Primary Lesions o Secondary Lesions o Vascular Lesions

Skin

Hair

INSPECT and PALPATE the scalp and hair for surface characteristics, hair, distribution, texture, quantity, and color.

INSPECT facial and body hair for distribution, quantity, and texture.

Hair

Nails

INSPECT and PALPATE the nails for shape, contour, consistency, color, thickness, and cleanliness.

INSPECT for artificial nails.

Nails

Mosby items and derived items © 2009, 2005, 2002 by Mosby, Inc., an affiliate of Elsevier Inc.

Chapter 10 Skin, Hair, and Nails Page 3

Nursing Diagnoses and Collaborative Problems Based on the subjective and objective data collected above, identify applicable nursing diagnoses and collaborative problems.

Nursing Diagnoses Collaborative Problems

Mosby items and derived items © 2009, 2005, 2002 by Mosby, Inc., an affiliate of Elsevier Inc.

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