ELSEVIER - Findings for skin, hair and nails

What type of hair does the nurse expect to palpate on an adult patient's torso?

Fine vellous

What finding would the nurse record as normal when palpating the patient's nails?

Firm

A reduction in the number of functioning melanocytes is responsible for what age-related change in older adults?

Gray hair

Which findings, related to the hair examination, would the nurse note as normal in an 80-year-old patient?

Gray hair vellus hair on scalp Loss of axillary hair

Which skin examination findings would the nurse consider normal in a 75-year-old patient?

Dry Thin parchment appearance Wrinkled epidermis

When inspecting the hands and feet of a newborn, what normal finding can suggest the gestational age of the patient?

Number of creases

Examining a patient, the nurse notes nails with smooth, even edges, consistent thickness, and a pink coloring with a green tinge in the nail bed. Which finding would the nurse note as abnormal?

Green tinge

While inspecting the nails of a patient, the nurse asks the patient to place the dorsal surfaces of the fingertips together. The nurse expects the nail base angle to be __ degrees or less.

160

Upon inspection of a patient's face and scalp, the nurse identifies destruction of the hair follicles and associated hair loss, which the patient has reported had a sudden onset. What condition does the nurse suspect?

Alopecia areata

Which findings would the nurse consider normal for a middle-aged male patient?

Hair present on back and shoulders Scalp hair loss Coarse terminal hair in the pubis, axillae, and beard

What findings would the nurse identify as normal during palpation of a patient's nails?

Hard texture Smooth texture

The nurse notes a rough, thickened epidermis on a patient who reports skin irritation and excessive itching. What type of lesion does the nurse suspect?

Lichenification

The nurse is inspecting the nails of a patient and notes median nail dystrophy. What findings are suggestive of this condition?

Midline ridge or split, with report of nail biting

The nurse is examining the skin of a newborn and understands that which color changes are normal for this patient?

Mottling Acrocyanosis Deep pink areas Hyperpigmented areas

When inspecting the hair of a 25-year-old man, in which area of the body would the nurse not expect to find hair?

Palms

The nurse is examining the skin of a patient and notes a lesion 0.5 cm in diameter, elevated, firm, and without pus. What type of lesion does the nurse suspect?

Papule

During the skin examination, the nurse notes a liquid-filled vesicle that is elevated. What type of primary lesion does the nurse suspect?

Pustule

During assessment of a middle-aged adult patient, the nurse gently pinches the skin of the patient's forearm. What would the nurse note as an expected finding?

Resilience

The apocrine glands of infants and children do not function. The nurse understands that this affects the skin of these patients in which way?

Results in skin that is less oily than that of adults

Match the secondary skin lesion to its appropriate description. Scar Fissure Scale Exoriation

Scar Replacement of normal skin with fibrous tissue following injury Fissure Crack from the epidermis to dermis Scale Keratinized cells manifesting as flaky skin; may be dry or oily and varying in size Excoriation Loss of the epidermis characterized by a hollowed-out, crusted area

The nurse understands that the hair covering a newborn's body can be classified in which way?

Silky

A decrease in peripheral circulation is responsible for what age-related change in nail growth?

Slower growth

Which terms would the nurse use to describe normal skin texture?

Smooth Soft Even

In which ways would the nurse classify the skin of a newborn?

Smoother than that of an adult Lacking coarse terminal hair Lacking subcutaneous fat

Which findings would the nurse expect to assess for when evaluating a patient for suspected alopecia areata?

Sudden patchy hair loss from the scalp and face

What type of primary skin lesion does the nurse suspect upon noting dilated capillaries that appear as fine, irregular red lines?

Telangiectasia

Upon inspecting a 25-year-old female patient, the nurse notes terminal hair on the patient's upper lip, chin, and scalp, as well as fine vellus hair symmetrically distributed on the patient's body. Which finding does the nurse note as abnormal?

Terminal hair on the upper lip and chin

Which findings would the nurse identify as normal during a skin inspection of a healthy adult patient?

Uniformly tan skin Pigmented nevi

When inspecting the nails of a patient with dark skin, what would the nurse expect to record as normal findings?

Variations of pink coloration Pigment deposits noted Varying opacity noted Some white spots noted