CH. 11 Skin, Hair, Nails
Upon assessing the skin, the nurse finds pustular lesions on the face. The nurse identifies that these could be what?
Acne
A client presents to the health care clinic and reports the appearance of a rough texture and darkening color to the skin around the neck. The nurse knows this client should be assessed for finding of which disease process?
Diabetes mellitus
The terms "generalized," "exposed surfaces," "upper arm," and "skin folds" are used to describe which major characteristic of skin lesions?
Distribution
Loss of elastin, collagen, and subcutaneous fat results in decreased resilience, sagging, wrinkling, and increased fragility of the skin during pregnancy.
False
Skin changes related to aging include melasma, linea nigra, increased sebaceous and cutaneous gland function, and hair loss.
False
The depth of a burn can be superficial, superficial-dermal, dermal, or _____________ thickness.
Full
A nurse is teaching a group of 5th grade children about characteristics of the skin. Which of the following should she mention? Select all that apply.
Protects against damage to the body from sunlight Largest organ of the body Helps make vitamin D in the body Aids in maintaining body temperature
Assessment of the nails and hair is performed as a part of the __________ assessment.
Skin
An elderly client comes to the clinic for evaluation. During the skin assessment, the nurse notes considerable skin tenting. Why does this finding require further assessment?
Tenting indicates dehydration
A nurse is utilizing the Braden Scale for Predicting Pressure Sore Risk during the admission assessment of an older adult client. What assessment parameter will the nurse evaluate when using this scale?
The client's ability to change position
Skin ___________-examination assists patients to identify problematic lesions.
self
A client asks, "What does SPF 15 mean when considering a sunscreen?" What information should the nurse use to base the response to this client's question?
"SPF 15 is the ratio of the number of minutes for treated versus untreated skin to redden with exposure to ultraviolet B rays."
A nurse observes the presence of hirsutism on a female client. The nurse should perform further assessment on this client for findings associated with which disease process?
Cushing's Disease
A wound is assessed for location, size, color, texture, drainage, wound margins, surrounding skin, and healing status.
True
Common integumentary symptoms include pruritus, rash, lesions, or wounds.
True
Skin assessment findings reflect the overall health, hydration, and nutritional status of the patient.
True
The nurse is beginning the examination of the skin of a 25-year-old teacher. She previously visited the office for evaluation of fatigue, weight gain, and hair loss. The previous clinician had a strong suspicion that the client has hypothyroidism. What is the expected moisture and texture of the skin of a client with hypothyroidism?
dry and rough
