Exam 1: Ch. 60, 61, 63, 64,

papule

A ___ is an elevated palpable solid mass with a circumscribed border and less than 0.5 cm.

comedone

A ___ is the primary lesion of acne caused by sebum blockage in the hair follicle.

macule

A flat, nonpalpable, circumscribed lesion less than 1 cm is a ___.

side

Areas such as the greater trochanter and lateral malleous would be susceptible for clients lying on their ___.

Macule

Assessment of a patient reveals a flat and nonpalpable skin lesion that is 0.5 cm with a circumscribed border. The nurse documents this lesion as which of the following?

independent ADLs

Cleaning and cooking are ___--activities that are important for independent living.

immune

Cutaneous signs of HIV disease appear as ___ function deteriorates.

CD4

Cutaneous signs of HIV disease correlate to low ___ counts.

Pruritus

Dry, rough, scaly skin with the presence of itching is best described as:

secondary

Erosion is a ___ lesion.

sits

For a client who ___ for prolonged periods, such as in a wheelchair, the ischial tuberosity would be highly susceptible to pressure ulcer development.

Dramamine

Health teaching for a patient who suffers from motion sickness would include recommending the use of which one of the following over-the-counter drugs?

facial nerve paralysis

If untreated, squamous cell carcinoma of the external ear can spread through the temporal bone, causing

outward, inward

Inversion and eversion involves moving the foot so that the sole is facing ___ (eversion) and then so that the sole is facing ___ (inversion).

lymph system

Langerhans' cells process invading antigens and transport the antigens to the ___ to activate the T lymphocytes.

melanocytes

Melanin, produced by the ___ in the hair roots, influences hair color.

Thrombocytopenia

Petechiae are associated with which of the following disorders?

primary

Pustules and cysts are classified as ___ skin lesions.

scapula

The ___ would be considered a high risk area for clients lying on their back.

impetigo

The classic lesions of ____ manifest as honey-yellow crusted lesions on an erythematous base.

dense fibers

The client with dermatitis should avoid wool, synthetics, and other ___.

tepid

The client with dermatitis should use ___ bath water and should pat rather than rub the skin dry.

Vestibular

The clinical manifestations of motion sickness are caused by an overstimulation in what system?

Vesicle

The nurse examines a patient and notices a herpes simplex/zoster skin lesion. How does the nurse document this lesion?

Conduction

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?

Purple-gray cast

The nurse is assessing the periwound skin of an African American client for inflammation. The nurse determines that inflammation is present when which characteristic is noted?

"Once I get the infection, I cannot get it again."

The nurse is caring for a client diagnosed with herpes zoster. Which statement by the client needs further clarification by the nurse?

Nits are difficult to move from hair shafts.

The nurse is caring for a client with questionable lice infestation. The nurse is using a bright light focused on an area of the head to confirm the presence of lice. In which manner is it easiest to differentiate nits from dandruff?

It begins as a small, waxy nodule with rolled translucent, pearly borders.

The nurse is conducting a community education program on basal cell carcinoma (BCC). Which statement should the nurse make?

Wear rubber gloves when in contact with soaps.

What advice should the nurse give a client with dermatitis until the etiology of the dermatitis is identified?

The presence of halos around lights.

When conducting an eye exam, the nurse practitioner is aware that a diagnostic clinical manifestation of glaucoma is:

Upper respiratory infections

When discussing diseases of the middle ear, the nursing instructor distinguishes the different types of otitis media. What generally causes purulent otitis media?

Langerhans' cells

Which cells play a role in cutaneous immune system reactions?

Langerhans'

____ cells are accessory cells of the afferent immune system that play a role in cutaneous (skin) immune system reactions.

`

a respiratory consult isn't necessary unless the client has a coexisting respiratory problem.

furuncle

A ___ is a localized skin infection of a single hair follicle.

patch

A ___ is a macule larger than 1 cm, and possibly with an irregular border.

plaque

A ___ is a papule greater than 0.5 cm.

carbuncle

A ____ is a localized skin infection involving several hair follicles.

Vesicles

A client comes to the dermatology clinic with numerous skin lesions. Inspection reveals that the lesions are elevated, sharply defined, less than 0.5 cm in diameter, and filled with serous fluid. When documenting these findings, the nurse should use which term to describe the client's lesions?

Ishihara

A client comes to the eye clinic for a routine check-up. The client tells the nurse he thinks he is color blind. What screening test does the nurse know will be performed on this client to assess for color blindness?

Antiviral

A client has been diagnosed with shingles. Which of the following medication classifications will reduce the severity and prevent development of new lesions?

hyperopia

A client has noticed recently having clearer vision at a distance than up close. What is the term used to describe this client's visual condition?

Ischial tuberosity

A client spends most of his time in a wheelchair. The nurse would be especially alert for the development of pressure ulcers in which area?

Every 3 to 4 hours for sustained effectiveness.

A dermatologist recommends an over-the-counter suspension to relieve pruritus. The nurse advises the patient that the lotion should be applied:

Functional Independence Measure

A nurse is assessing a patient's level of independent functioning. Which tool would the nurse most frequently use?

Assess blood urea nitrogen (BUN) and creatinine levels.

A nurse is caring for a client scheduled to have angiography of the right eye in 1 hour. What is the highest priority nursing intervention?

Develop a written, individual turning schedule.

A nurse is caring for an elderly bedridden adult. To prevent pressure ulcers, which intervention should the nurse include in the care plan?

-Toileting. -Bathing. -Eating.

A nurse is completing an assessment of a client who has just been transferred to the rehabilitation facility. During the health history, the nurse asks about the client's activities of daily living (ADLs). About which areas would the nurse gather information?

21 mm Hg or higher

A patient is suspected of having glaucoma. What reading of IOP would demonstrate an increase resulting from optic nerve damage?

Swing-through

A patient learning to ambulate with crutches advances both crutches and then lifts both feet, moving them forward and landing them in front of the crutches. The patient then repeats this motion. The nurse identifies this as which type of crutch gait?

vascular

A spider angioma is a ___ lesion.

Stage II

The nurse is reading the previous shift's documentation of an open area on the client's sacrum. The wound is documented as a partial-thickness wound whose etiology is pressure. The nurse anticipates the assessment of the client's sacrum will reveal a pressure ulcer in which stage?

petechiae.

The nurse notes that a client has round red macules over the lower extremities. The nurse documents this finding as

Hemoglobin and hematocrit

The nurse observes a client's fingernails have a concave shape. What laboratory studies should the nurse review?

rubber gloves

The nurse should advise the client with dermatitis to wear ___ when coming in contact with any substance such as soap or solvents.

sensorineural

The parent of a young client with severe hearing loss is quite concerned about the child's future independence because of impaired hearing. Which type of hearing loss is usually irreversible?

Tzanck smear

Which diagnostic test is used to examine cells from herpes zoster?

Telangiectasia

Which of the following is a local side effect of topical corticosteroids?

Cornea

Which of the following is the main refracting surface of the eye?

Ensuring that the patient receives eye care to preserve his or her eye function and prevent further visual loss

Which of the following is the role of the nurse toward a patient who is to undergo eye examinations and tests?

Fexofenadine (Allegra)

Which of the following nonsedating antihistamines is appropriate for daytime pruritus?

Melanin

Which of the following pigments influences hair color?

Immune function deterioration

Which of the following reflect the pathophysiology of cutaneous signs of HIV disease?

Autolytic debridement

Which of the following uses the body's own digestive enzymes to break down necrotic tissues?

Eustachian tube

Which portion of the middle ear equalizes pressure?

Moh's micrographic surgery

Which procedure done for skin cancer conserves the most amount of normal tissue?

It is teratogenic in humans.

Which statement is accurate regarding isotretinoin?

dorsiflexion

With ___, the nurse moves the foot up and down toward the leg.

striae

___ are bandlike streaks on the skin, distinguished by color, texture, depression, or elevation from the tissue in which they are found.

Pheromones

___ are hormone-like chemicals that communicate reproductive and social information among the lower animal species.

Melanocytes

___ are the cells that give skin its pigment.

Merkel

___ cell are receptors that transmit stimuli to the axon through a chemical synapse and therefore are associated with the sense of touch.

Sebum

___ is a lubricant that prevents drying and cracking of the skin and hair.

Keratin

___ is a tough protective protein.

Evaporation

___ is the loss of moisture or water.

Convection

___ is the transfer of heat by means of currents of liquids or gases in which warm air molecules move away from the body.

Conduction

___ is the transfer of heat through direct contact

Radiation

___ is the transfer of surface heat in the environment.

Flexion

___ of the hip and knee involves bending the hip by moving the leg forward as afar as possible and then returning it to the neutral position.

Flexion

___ of toes involves bending the toes toward the ball of the foot.

ADLs

___ refer to those activities related to personal care, such as bathing, using the toilet, and eating.