Ch. 12 Skin, Hair, and Nails (set 2)

1

The nurse is assessing a child who has thick honey-colored crusts on the body. The child's mother tells the nurse, "Last week I found similar blisters on a boy's hand with whom my child playing in the park." Which skin infection does the nurse expect to find in the child? 1 Impetigo 2 Intertrigo 3 Measles (Rubeola) 4 Atopic dermatitis

1, 2

The nurse is assessing a dark skinned patient who has a skin infection. Which interventions does the nurse perform to check whether the patient has subacute bacterial endocarditis? Select all that apply. 1 Check for the presence of petechiae on the buttocks. 2 Check for the presence of petechiae on the abdomen. 3 Check for the presence of yellow papules on the cheeks. 4 Check for the presence of bluish discoloration of the skin. 5 Check for the presence of petechiae on the face, neck and back.

3

The nurse is examining the severity of edema in a patient with swollen legs. The nurse imprints the thumb against the patient's tibia for 3 to 4 seconds and finds that the patient has developed a notch, which lasts for more than a minute after removing the thumb. What score would the nurse give to the patient on a four-point edema scale? 1. 1 2. 2 3. 3 4. 4

1

The nurse is teaching the parent of a newborn about ways to prevent diaper rash. Which statement made by the parent indicates effective learning? 1 "I should change my baby's diapers frequently." 2 "I should use disposable, scented wipes to clean my baby's buttocks." 3 "I should soak the diapers in a heavy detergent solution before washing." 4 "I should use cloth diapers instead of disposable diapers for my baby at home."

3, 4, 5

The nurse suspects jaundice in a dark-skinned patient. What locations of the body should the nurse assess to confirm this diagnosis? Select all that apply. 1 Lips 2 Nail bed 3 Sclera 4 Buccal mucosa 5 Under the tongue

1

Which type of lesion is unilocular, more than 1 cm in diameter, and ruptures easily? 1 Bulla 2 Wheal 3 Papule 4 Macule

1

While assessing a Caucasian patient, the nurse observes that the patient's skin is whitish-pink in color. Which condition may cause this skin tone? 1 Albinism 2 Hyperemia 3 Polycythemia 4 Addison disease

3

While assessing a child with impetigo, the nurse finds honey-colored, crustlike lesions on the child's chin. Which other type of lesion does the nurse expect to find in the child? 1 Scales 2 Papules 3 Pustules 4 Macules

4

While assessing a child, the nurse finds that the child has a large, macular, dark red patch on the right cheek. The child's parent reports that the patch becomes dark when the child cries and in extreme temperatures. Which treatment strategy would be most beneficial for the child? 1 Tissue grafting 2 Chemotherapy 3 Vitamin A supplements 4 Photoablation with yellow laser light

4

While assessing a patient with a skin rash, the nurse finds that the patient has raised red wheals and a series of lesions. What will the nurse teach the patient in order to provide effective treatment? 1 "Avoid consuming foods rich in vitamin A." 2 "Wear woolen clothes that have full sleeves." 3 "Avoid bathing with warm water for a few days." 4 "Maintain a diary with the list of foods that you eat daily."

3

While assessing a patient with an allergic reaction, the nurse finds that the patient has erythematic, weeping lesions on the arms and the elbows. What does the nurse conclude from these findings? 1 The patient has impetigo. 2 The patient has intertrigo. 3 The patient has atopic dermatitis. 4 The patient has chickenpox (varicella).

1

While assessing a patient with neck lymphadenopathy, the nurse finds that the patient has reddish-purple rashes on the face, neck, and arms. Upon further assessment, the nurse finds that the patient does not have Koplik spots in the mouth. What will the nurse document in the patient's chart after the assessment? 1 The patient has rubella. 2 The patient has measles. 3 The patient has impetigo. 4 The patient has intertrigo.

4

While assessing an adolescent, the nurse finds reddish-brown linear streaks on the toenails. Upon interacting, the nurse learns that the adolescent was injured 2 days ago while playing soccer. What does the nurse expect from this finding? 1 The adolescent has scabies. 2 The adolescent has beau line. 3 The adolescent has acute paronychia. 4 The adolescent has splinter hemorrhages.

3

While caring for a patient with a fungal infection of the nails, the nurse finds that the patient has a greenish discoloration of the skin in the nail plate. Which abnormal nail condition could cause this finding? 1 Scabies 2 Beau Line 3 Onycholysis 4 Splinter hemorrhages

1

While caring for a pregnant patient, the nurse finds that the patient has redness in the palms. Which condition may cause this finding? 1 Increased estrogen level 2 Increased serum bilirubin level 3 Increased serum carotene level 4 Increased white blood cell count

2

While examining the skin of a patient, the nurse finds silver mica-like scales on the patient's elbows and knees. Which condition does the nurse suspect? 1 Cheilosis 2 Psoriasis 3 Ecchymosis 4 Candidiasis

4

A 30-year-old patient tells the nurse, "I have bright red, raised dots on my torso, which have grown in size and number as I got older." For which condition would the nurse screen in this patient? 1 Anasarca 2 Toxic alopecia 3 Alopecia areata 4 Cherry angiomas

3

A pregnant patient reports to the nurse, "I have red rashes on my arms and upper chest." Upon assessing the patient, the nurse finds that the rashes have a red spot in the center and tiny thread-like branches radiating from it. What will the nurse inform the patient after the assessment? 1 "These are caused by an increase in vitamin K levels in the body." 2 "These can be painful sometimes, so apply analgesic cream over them." 3 "These are common during pregnancy and will disappear after delivery." 4 "These can result in a tumor, so consult your health care provider immediately."

4

After assessing a patient the nurse concludes that the patient has folliculitis. Which finding in the patient enabled the nurse to reach this conclusion? 1 The patient has an oval patch of hair loss along the hairline. 2 The patient has a habit of pulling and twisting his or her hair. 3 The patient has thick, yellow scales on the forehead and the scalp. 4 The patient has whiteheads with an erythematous base on the neck.

2

After assessing a patient who has undergone an appendectomy, the nurse documents the presence of a keloid. Which finding enabled the nurse to reach this conclusion? 1 The patient has depressed skin at the site of the surgery. 2 The patient has excess fibrous tissue at the site of the surgery. 3 The patient has thick and dry exudates at the site of the surgery. 4 The patient has thick skin with tightly packed papules at the site of the surgery.

2

After examining the nails of a patient, the nurse concludes that the patient has chronic iron deficiency anemia. Which finding supports the nurse's conclusion? 1 Elevation of inner edge of the nails 2 Concave shaped, spoon-like the nails 3 Tender inflammation of the nail folds 4 Depression across the nail extending to nail bed

4

During an assessment, a patient reports that a mole on his arm has recently changed color. The patient also complains of itching and light bleeding of the mole. What can the nurse suspect from the symptoms? 1 The mole is a birthmark. 2 The patient has freckles. 3 The patient has vitiligo. 4 The patient may have malignant melanoma.

3

During an assessment, the nurse observes that the nail bases of the patient feel soft and spongy on palpitation. On further assessment, the nurse finds out that the angle of the nail base is 180°. What possible condition can the nurse anticipate? 1 Poor self-care 2 Nervousness 3 Pulmonary disease 4 Arterial insufficiency

1, 3, 5

During the health history, the nurse learns that the patient had a red macular rash of the axillae and regional lymphadenopathy due to a tick bite. The nurse also discovers that patient did not undergo any treatment, and the rash disappeared after a month. What additional questions should the nurse ask the patient? Select all that apply. 1 "Do you have weakness?" 2 "Do you have weight gain?" 3 "Do you have fever and chills?" 4 "Do you have frequent urination?" 5 "Do you have joint or muscle aches?"