Skin Post Test
A nurse is collecting data from a client about their skin and nails. Which of the following statements by the client should the nurse identify as needing further assessment?
"I noticed that my fingernails have changed recently"
A nurse is providing teaching to a client who reports acne on their face and chest. Which of the following client statements indicates an understanding of the teaching?
"I should wash the areas frequently with warm water and soap.
A nurse is teaching a young adult about risk factors for developing melanoma. Which of the following client statements indicates an understanding of the teaching?
"The blistering sunburns I had as a child increase my risk for melanoma as an adult"
A nurse is providing teaching to a client who reports extremely dry skin. Which of the following interventions should the nurse recommend?
Apply an alcohol-free lotion.
A nurse is palpating a client's extremities and notes the lower left leg is cooler to the touch than the client's right leg or arms. How should the nurse interpret this finding?
The client might have a blood clot
A nurse is preparing to assess the skin turgor of a client who has manifestations of dehydration. In which of the following locations should the nurse perform the assessment?
Inferior to the collar bone.
A nurse is planning care for a client who has a stage 1 pressure injury on their coccyx. Which of the following interventions should the nurse plan to include?
Limit elevation of the head of the bed to 30 degree or less.
A nurse is caring for a client who has a stage 1 pressure injury. Which of the following information should the nurse include when documenting the characteristics of the wound?
Location of the pressure injury, size of the injury in centimeters, and integrity of the skin surrounding the wound.
A nurse is assessing a client's skin color. Which of the following areas should the nurse check to determine the presence of pallor?
Mucous membranes.
A nurse is assessing a client's skin color. Which of the following findings should the nurse report to the provider?
Pinpoint areas of purplish-red coloration across the abdomen and pale-colored nail beds.
A nurse is examining a lesion on a client's back. Which of the following characteristics should the nurse identify as a possible indication of a malignant skin lesion?
Size of a pencil eraser.
A nurse is inspecting the fingernails of an older adult client. Which of the following findings should the nurse report to the provider?
Spongy nail base
A nurse is examining the texture of an older adult client's skin. Which of the following findings should the nurse report to the provider?
Velvety skin. Velvet skin (skin that feels smoother and softer) is associated with thyroid disorders.
A nurse is evaluating assessment findings of a client's skin. The nurse should identify that which of the following findings is associated with a possible infection?
Vesicles. **Vesicles are small, serous, raised fluid-filled skin lesions. The nurse should identify that they are associated with both chickenpox and shingles infections, and should be reported to the provider.
A nurse is performing a skin assessment on a client. Which of the following findings should the nurse report to the provider?
Yellow discoloration of the palms.
A nurse is preparing to perform a skin assessment on a client. Which of the following tools should the nurse plan to use?
penlight
