evolve- integumentary.

which statement describes the function of the dermis?

Provides cells for wound healing

Which assessment finding is associated with chronic eczema?

Rough, thick skin

Which description of a vesicle would a nurse recall when reading a report for a client that has interacted with poison ivy and has vesicles on the arm and legs?

a lesion filled with serous drainage

Which recommendations would the nurse include in a client's discharge instructions regarding a home skincare program for psoriasis?

apply an alcohol free, moisturizing lotion several times a day.

Which condition would a nurse suspect when a client reports crumbly, discolored, and thickened toenails? Allergy insect bite fungal infection bacterial infection

fungal infection

Which client statement about self-care measures to prevent dry skin indicates the need for further teaching?

i will use deodorant soap in place of alkaline soap.

Which medication would be prescribed for the client to treat severe nodulocystic acne?

isotretinoin

Which predisposing condition may be present in a client with pitting edema?

kidney disease

Which information would the nurse include in the teaching plan of a client who is receiving combination chemotherapy for stage II Hodgkin disease and is at risk for stomatitis?

" Clean the mouth with a soft toothbrush or a gentle spray."

Which response by the nurse is therapeutic when a male client with ascites is to have a paracentesis and has signed the consent but, while the nurse is caring for him, he says that he has changed his mind and no longer wants the procedure?

"Tell me why you want to refuse the procedure."

Which color would the nurse anticipate when assessing a client's skin tears? Red Grey Black Yellow

-Red A wound caused by skin tears is red in color. A wound caused by full-thickness or third-degree burn is grey or black in color. Wounds with noninvasive necrotic tissue that create an ideal situation for bacterial growth are yellow in color.

At which angle will the nurse place the head of the bed to prevent effects of shearing force when caring for a client who has been in a coma for 2 months and is being maintained on bed rest?

30 degrees

Which percentage of total body surface area (TBSA) would the nurse calculate for a burn victim who has waxy white areas interspersed with pink and red areas on the anterior trunk and all of both arms?

36% 9% for each arm (18% for both arms) and 18% for anterior trunk; the total =36%

Which GI change may be found in the client with burn injuries? Abd distention increased peristalsis Activation of GI motility Increased blood flow to the GI area

Abd. distention The client with burn injuries may have abd. distention due to loss of peristalsis. GI motility may be inhibited. Blood flow may be reduces and mucosal damage might have occurred.

which integumentary change is associated with delayed would healing in a client?

Decreased cell division.

Which changes with a client's hair would be responsible for developing white hair at the age of 23? decreased oils decreased density Decreased estrogen levels Decreased melanocytes

Decreased melanocytes Dry, course hair occurs when there is a decrease in oils. Thinning and loss of hair are due to decreased hair density. Facial hirsutism is due to decreased levels of estrogen.

Which infection is suspected by the primary health care provider when a client reports facial lesions that are surrounded by redness and cause itching with lesions that are found to be thick with a honey-colored crust and surrounded by erythema?

Impetigo

Which interventions would be included in the plan of care for the prevention of a pressure injury? Positioning a client on the trochanter keeping the client's skin directly off plastic surfaces Keeping the head of the bed elevated above 30 degrees Placing a rubber ring or donut under the client's sacral area

Keeping the client's skin directly off plastic surfaces

Which information will the nurse explain to a burn client receiving the open method for wound treatment?

PPE will be worn by staff

which characteristic mental change occurs with delirium and differentiates it from dementia?

Rapid-onset confusion

What type of skin lesion has a wavy border?

Serpiginous

Which finding could be described as visibly dilated, superficial, and cutaneous small blood vessels found on the face and thighs? Tenting Angioma Varicosity Telangiectasia

Telangiectasia a permanent condition characterized by visibly dilated, superficial, and cutaneous small blood vessels. Tenting is the failure of skin to immediately return to the normal position after a gentle pinch. Angioma is a tumor that consists of blood and lymph vessels. Varicosity is the increased prominence of superficial veins.

Which description is associated with a hematoma?

The visible swelling due to extravasation of blood of sufficient size

Which condition would a nurse suspect when a client with a skin infection reports an itching sensation associated with pain at the site of infection and shows erythematous blisters and interdigital scaling and maceration?

Tinea pedis

Which fungal infection is commonly referred to as athlete's foot?

Tinea pedis Tinea cruris= jock itch; Tinea corporis=ringworm; Tinea unguium= onychomycosis

Which changes to the client's skin are caused by the atrophy of eccrine sweat glands?

dry skin

Which finding would indicate that a client needs to be evaluated by the healthcare provider for Alzheimer disease (AD)?

forgets home address

Which intervention would the nurse use for a client with full thickness burns to the chest and anterior right arm?

monitor Vital signs cut off clothing insert urinary cath. remove jewelry establish IV line

Which term would the nurse use to document a 1 cm elevated solid lesion noted on a client's skin?

nodule elevated solid lesion greater than o.5 cm in diameter papule= less than 0.5 vesicle= circumscribed, superficial collection of serous fluid. Pustule= is an elevated, superficial lesion filled with purulent fluid.

Which type of lesion does the client with an elevated, solid lesion measuring 4mm x 4mm in size have?

papule

Which complication is being prevented by the nurse frequently repositioning a client with advanced muscular dystrophy who has respiratory distress?

pressure injuries.

Which direction will the nurse include in the teaching plan for a client with lower extremity arterial disease (LEAD)?

seeking professional treatment for any minor injuries to the extremities.

Which teaching point would the nurse include when teaching a client about how to care for the skin around the colostomy stoma?

wash with soap and water to remove fecal debris and microorganisms.