Coursepoint - Integumentary System

After teaching a group of students about the structure of the skin, the nursing instructor determines that the teaching was successful when the group identifies which of the following as the true skin? Epidermis Dermis Papillary layer Stratum corneum

Dermis

The nurse observes an African-American patient with a large hypertrophied area of scar tissue on the left ear lobe. What does the nurse document this finding as? Atrophy Scar Lichenification Keloid

Keloid

Petechiae are associated with which of the following disorders? Thrombocytopenia Deep vein thrombosis Pulmonary emboli Acute respiratory distress syndrome (ARDS)

Thrombocytopenia

The purpose of melanin is to: determine skin color. form a callus where the skin is subjected to friction. assist in transfer of heat through contact. prevent drying and cracking of the skin and hair.

determine skin color.

The diagnosis of a skin disorder is made chiefly by which of the following? Palpation Visual inspection Biopsy Culture

Visual inspection

The nurse is applying a cold towel to a patient's neck to reduce body heat. How does the nurse understand that the heat is reduced? Conduction Convection Evaporation Radiation

Conduction

While assessing a patient at the clinic the nurse notes patchy, milky white spots. The nurse knows that this finding is a symptom of what? Jaundice Sjogren's syndrome Addison's disease Vitiligo

Vitiligo

The nurse documenting an acute open wound should include which characteristic(s)? Select all that apply. Wound size Periwound skin Wound bed Pattern of eruption

Wound size Periwound skin Wound bed

Which term refers to yellowish waxy deposits on the upper and lower eyelids? Dyschromia Xerosis Neurodermatitis Xanthelasma

Xanthelasma

A patient comes to the clinic and asks the nurse why the skin of the forehead, palms, and soles has a yellow-orange tint. There is no yellowing of the sclera or mucous membranes. What should the nurse question the patient regarding? "Have you been ingesting large quantities of alcohol?" "Have you been diagnosed with Addison's disease?" "Have you been in the sun a lot?" "Have you been eating a large amount of carotene-rich foods?"

"Have you been eating a large amount of carotene-rich foods?"

A client is concerned about finding a few strands of hair on a pillow after sleeping and additional strands on the brush when styling the hair. Which response will the nurse make regarding the client's concern? "Losing hair means the hair follicles are dying." "That is an unusual amount and should be evaluated." "Most people who lose hair have an undiagnosed illness." "There are approximately 100 strands of hair lost per day."

"There are approximately 100 strands of hair lost per day."

During a routine examination of a client's fingernails, the nurse notes a horizontal depression in each nail plate. When documenting this finding, the nurse should use which term? Splinter hemorrhage Beau's line Paronychia Clubbing

Beau's line

A 52-year-old client asks the nurse for interventions for the treatment and prevention of actinic ketatosis. The client is a construction foreman and has actinic ketatosis that is noted only on the right side of the face next to the nose. Which recommendation is appropriate for this client? A. The client should consider changing careers as stress plays a significant role in this condition. B. Recommend the client speaks with a health care provider about currettage which is the most common treatment. C. Avoidance of direct sunlight with protective clothing measures should be discussed with the client. D. Reassure the client that the condition usually resolves if dietary restrictions limiting caffeine and alcohol are followed.

C. Avoidance of direct sunlight with protective clothing measures should be discussed with the client.

A nurse is teaching a client about body keratin composition. What body structures would the nurse include in the teaching? Select all that apply. Fingernails Hair Skin Endocrine glands Subcutaneous tissue

Fingernails Hair Skin

During a routine checkup, a nurse observes the client's skin to be tight and shiny. Which of the following is the correct indication of this sign? Sebum deficiency Fluid retention Dehydration Protein deficiency

Fluid retention

Which of the following actions helps the nurse to determine the quality of the skin turgor? Grasping the skin Inspecting the palmar surface Placing the dorsum of the hand on the surface of the skin Palpating the skin

Grasping the skin

The nurse is assisting with the collection of a Tzanck smear. What is the suspected diagnosis of the patient? Fungal infection Herpes zoster Psoriasis Seborrheic dermatosis

Herpes zoster

A patient has a serum bilirubin concentration of 3 mg/100 mL. What does the nurse observe when performing a skin assessment on this patient? Jaundice Pallor Bronzed appearance Cherry red face

Jaundice

Which of the following could be a possible cause of cyanosis? Carbon monoxide poisoning Fever Anemia Low tissue oxygenation

Low tissue oxygenation

The nurse is preparing to perform a Wood's light examination. Which of the following would be most important for the nurse to do? Apply a special dye to the area. Make sure that the room is darkened. Protect the patient from the light. Obtain samples of the lesion by scraping.

Make sure that the room is darkened.

A patient is visiting the physician to determine what type of allergy is causing a rash. What type of testing does the nurse anticipate the physician will schedule? Skin scrapings Patch test Skin biopsy Tzanck smear

Patch test

A nurse is preparing a patient with a history of allergies for diagnostic testing. Which of the following would the nurse anticipate as being most likely? Skin biopsy Patch testing Tzanck smear Wood's light examination

Patch testing

The nurse is assisting an older adult client with performing activities of daily living (ADL) and is brushing her hair. What does the nurse document as an abnormal finding? Pearly white substance that is attached to the hair shaft that is not removed with brushing Sparse hair, white in color Dry, brittle hair Knots in hair when brushed

Pearly white substance that is attached to the hair shaft that is not removed with brushing

A patient's skin is examined and the nurse notes the presence of herpes simplex/zoster skin lesions. The nurse describes the lesions as: Palpable, solid tumors >3 cm. Pus-filled vesicles; circumscribed and elevated masses >0.5 cm. Flat, mole-like lesions. Flat macules with irregular borders.

Pus-filled vesicles; circumscribed and elevated masses >0.5 cm.

A nurse is assessing a patient with impetigo. The nurse would most likely observe which of the following? Wheal Pustule Vesicle Papule

Pustule

An older adult client's skin has become dry and flaked. Which of the following is the cause of this condition? Reduction in sebum production Reduction in the elasticity of the skin Reduction in melanin production Reduction in estrogen production

Reduction in sebum production

The nurse is reading the physician's report of an elderly client's physical examination. The client demonstrates xanthelasma, which refers to which symptom? Liver spots Dark discoloration of the skin Bright red moles Yellowish waxy deposits on the eyelids

Yellowish waxy deposits on the eyelids

The nurse notes that the client demonstrates generalized pallor and recognizes that this finding may be indicative of albinism. vitiligo. anemia. local arterial insufficiency.

anemia

A 15 year-old pubescent boy is having a sports physical for school. Findings on the face and body indicate that the client is overproducing sebum, which is consistent with the client's age. What is the primary function of sebum? prevents drying and cracking of the skin and hair cooling overwarm skin trapping debris in the external ear contributing to acidity of perspiration to decrease microbial growth

prevents drying and cracking of the skin and hair