function of integumentary system
loss of superficial epidermis that does not extend to dermis; depressed, moist area
erosion
ruptured vesicles, scratch marks
erosion
Beau's Line
are transverse depressions in the nail that may reflect retarded growth of the nail matrix because of severe illness or more commonly local trauma.
aged skin, arterial insufficiency
atrophy
thin, dry, transparent appearance of epidermis; loss of surface markings; secondary to loss of collagen and elastin; underlying vessels may be visible
atrophy
The nurse is caring for a client who has had emphysema for 10 years. When performing a fingernail assessment, what does the nurse anticipate the client's nails will be documented as? a) Brittle b) Concave c) Discolored d) Clubbing
clubbing
Which of the following is the term for the transfer of heat from the body to a cooler object in contact with it? a) Evaporation b) Conduction c) Radiation d) Lichenification
conduction
dried residue of serum, blood, or pus on skin surface; scab
crust
residue left after vesicle rupture: impetigo, herpes,eczema
crust
encapsulated fluid-filled or semisolid mass in the subcutaneous tissue or dermis
cyst
sebaceous cyst, epidermoid cyst
cyst
hypertrophied scar tissue secondary to excessive collagen formation during healing; elevated, irregular
keloid
elevated palpable, solid mass with circumscribed border
Papule, plaque
The nurse notes several very small, round, red and purple macules on a patient's skin. The patient has a history of anticoagulant use. The nurse records this finding as which of the following? a) Petechiae b) Telangiectasias c) Cherry angiomas d) Ecchymoses
Petechiae
The nurse examines a patient and notices a herpes simplex/zoster skin lesion. How does the nurse document this lesion? a) Papule b) Macule c) Wheal d) Vesicle
Vesicle
Which of the following are yellowish waxy deposits on the upper and lower eyelids? a) Xerosis b) Dyschromia c) Neurodermatitis d) Xanthelasma
Xanthelasma
A client has a rash on the arm that has been treated with an antibiotic without eradicating the rash. What type of examination can be used to determine if the rash is a fungal rash using ultraviolet light? a) Potassium hydroxide test b) A Wood's light examination c) Skin biopsy d) Fungal culture
a wood's light examination
chapped lips or hands, tinea pedis
fissure
linear crack in the skin that may extend to dermis
fissure
-erosion -ulcer -fissure -scales -crust -scar, cicatrix -keloid -atrophy -lichenification
secondary lesions
thickening and roughening of the skin or accentuated skin markings that may be secondary to repeated rubbing, irritation, scratching
lichenification
contact dermatitis
linchenification
Which of the following is a factor that causes wrinkles among older adults? a) Decrease in the production of estrogen b) Decrease in melanin c) Decrease in sebum d) Loss of the subcutaneous tissue
loss of subcutaneous tissue
Flat, nonpalpable skin color change
macule , patch
freckles, flat moles, petechia, rubella, vitiligo, port wine stains, ecchymosis
macule, patch
The nurse is preparing to perform a Wood's light examination. Which of the following would be most important for the nurse to do? a) Protect the patient from the light. b) Obtain samples of the lesion by scraping. c) Apply a special dye to the area. d) Make sure that the room is darkened.
make sure the room is darkened
elevated, palpable, solid mass that extends deeper into dermis than a papule
nodule, tumor
lipoma, squamous cell carcinoma, poorly absorbed injections, dermatofibroma, larger lipoma, carcinoma
nodule, tumor
skin mark left after healing of a wound or lesion; represents replacement by connective tissue of the injured tissue. colors varies
scar
elevated nevi, warts, lichen planus, psoriasis, actinic keratosis
papule, plaque
-macule, patch -papule, plaque -Nodule, tumor -vesicle, bulla -wheal -pustule cyst
primary lesions
acne, impetigo, furucles, carbuncles
pustule
pus-filled vesicle or bulla
pustule
dandruff, psoriasis, dry skin, pityriasis rosea
scales
flakes secondary to desquamated, dead epithelium that may adhere to skin surface, color and texture varies
scales
healed wound or surgical incision
scar
skin loss extending past epidermis; necrotic tissue loss; bleeding and scarring possible
ulcer
stasis ulcer of venous insufficiency, pressure ulcer
ulcer
circumscribed, elevated, palpable mass containing serous fluid
vesicle, bulla
herpes simplex/zoster, varicella, poison ivy, 2nd degree burn (blister), pemphigus, contact dermatitis, large burn blisters, bullous impetigo
vesicle, bulla
elevated mass with transient borders; often irregular; size and color vary. caused by movement of serous fluid into the dermis; does not contain free fluid in a cavity
wheal
uricaria ( hives) , insect bites
wheal