Chapter 14 & 24 Lab Manual Questions

Tiny, flat, purple, or red spots on the surface of the skin resulting from minute hemorrhage

Petechiae

Type of flexion associate with foot extension

Plantar

While assessing an adult client, the nurse observes an elevated, palpable, solid mass with a circumscribed border that measures 1 cm. The nurse documents this as a

Plaque

This subacromial bursae are contained in the

Shoulder joint

The nurse is instructing a group of high school students about risk factors associated with various skin cancers. The nurse should instruct the group that

Squamous cell carcinomas are most common on body sites with heavy sun exposure

The nurse assess an older adult bedridden client in her home, while assessing the client's buttocks, she observes a small area of the skin is broken, and resembles an erosion. Which stage is this pressure ucler?

Stage 2

Movement bringing a limb into or toward a straight condition

Extension

Bones contain yellow marrow that is composed mainly of

Fat

Joints may be classified as cartilaginous, synovial, or

Fibrous

A primary function of hair in the nose and eyelashes is to severe as a

Filter for dust

An adult male client visits the clinic and tells the nurse that he believes he has athlete's foot. The nurse should document the presence of

Fissures

A client visits the clinic and tells the nurse that after playing softball yesterday, he thinks his knee is "locking up". The nurse should preform the McMurray test by asking the client to

Flex the knee and hip while in a supine position

Movement that brings a limb into or toward the body

Flexion

A female client visits the clinic and complains to the nurse that her skin feels "dry." The nurse should instruct the client that skin elasticity is related to adequate

Fluid intake

An adult client tells the nurse that he eats sardines every day. The nurse should instruct the client that a diet high in purines can contribute to

Gouty arthritis

While examining the spine of an adult client, the nurse notes that the client has a flattened lumbar curvature. The nurse should refer the client to a physician for possible

Herniated disc

An older adult client visits the clinic and tells the nurse that she has had shooting pain in both of her legs. The nurse should assess the client for signs and symptoms of

Herniated intervertebral disc

Articulation between the head of the femur and the acetabulum is in the

Hip joint

A client states to the nurse that he has been experiencing sudden generalized hair loss. After determining that the client has not received radiation or chemo, the nurse should further assess the client for signs and symptoms of

Hypothyroidism

While assessing the nails of an older adult, the nurse observes early clubbing. The nurse should further evaluate the client for signs and symptoms of

Hypoxia

The nurse is planning a presentation on osteoporosis to a group of high school student. Which of the following should the nurse plan to include in the presentation

Moderate strenuous exercise tends to increase bone density

Tenderness or pain in the muscle

Myalgia

Congenital pigmented area on the skin. EX: Mole, birthmark

Nevus

An adult white client visits the clinic for the first time. During assessment of the client's skin, the nurse should assess for central cyanosis by observing the client's

Oral mucosa

While assessing the musculoskeletal system of an adult client, the nurse observes hard painless nodules over the distal interphalangeal joints. The nurse should document the presence of

Osteoarthritis

A client with insulin-dependent diabetes visits the clinic and complains of painful hip joints. The nurse should assess the client carefully for signs and symptoms of

Osteomyelitis

A female client visits the clinic and tells the nurse that she began menarche at the age of 16 years. The nurse should instruct the client that she is at a higher risk for

Osteoporosis

Squamous cell carcinoma is associated with

Overall amount of sun exposure

Solid, elevated, circumscribed, superficial lesion; 1 cm or less in diameter

Papule

The external covering of the bone that contains osteoblasts and blood vessels is termed the

Periosteum

Connecting the skin to underlying structures is/are the

Subcutaneous tissue

When the nurse moves a client's leg upward, the nurse is performing

Supination

An adult male client visits the outpatient center and tells the nurse that he has been experiencing patchy hair loss. The nurse should further assess the client for

Symptoms of stress

While assessing an adult client's jaw, the nurse hears a clicking popping sound, and the client expresses pain in the joint. The nurse should further assess the client for

TMJ dysfunction

Skeletal muscles are attached to bones by

Tendons

The nurse is preparing to perform a musculoskeletal examination on an adult client. The nurse has explained to the procedure to the client. The nurse determines the client needs further instructions when the client says

You'll continue with range of motion even if I have discomfort

The aprocrine glands are dormant until puberty and are concentrated in the axillae, the perineum, and the

Areola of the breast

A client visits the clinic and tells the nurse that she has joint pain in her hands, especially in the morning. The nurse should assess the client further for signs and symptoms of

Arthritis

While assessing the elbow of an adult client, the client complains of pain and swelling. The nurse should further assess the client for

Arthritis

To assess for anemia in a dark-skinned client, the nurse should observe the client's skin for a color that appears

Ashen

While assessing muscle strength in an older adult client, the nurse determines the client's knee joint has a rating of 3 and exhibits active motion against gravity. The nurse should document the client's muscle strength as being/having

Average weakness

A client has many bruises around her neck/face and she tells the nurse that the bruises are from "an accident" The nurse suspects that the client may be experiencing

Domestic violence

Backward bending or flexion of a joint

Dorsiflexion

While assessing an adult client's feet for fungal disease using a Wood light, the nurse documents the presence of a fungus when the florescence is

Blue

An elevated, circumscribed, fluid filled lesion; greater than 1 cm in diameter

Bulla

Inflammation of the bursa

Bursitis

A client visits the clinic for a routine physical examination. The nurse prepares to assess the client's skin. The nurse asks the client if there is a family history of skin cancer and should explain to the client that there is a genetic component with skin cancer, especially

Basal cell carcinoma

While assessing an older adult client, the client complains of chronic pain and severe limitations of shoulder movements. The nurse should refer the client to a physician for possible

Calcified tendinitis

While assessing the skin of an older adult client, the nurse observes that the client has small yellowish brown patches on her hands. the nurse should instruct the client that these spots are

Caused by aging of the skin in older adults

The nurse assessing an African American client's skin. After the assessment, the nurse should instruct the client that African Americans are more susceptible to

Chronic discoid lupus erythematosus

The nurse is assessing a dark skinned client who has been transported to the ER by ambo. When the nurse observes that the client's skin appears pale, with blue-tinged lips and oral mucosa, the nurse should document the presence of

A great degree of cyanosis

While assessing the nails of an adult client, the nurse observes Beau lines, the nurse should ask the client if he has had

A recent illness

While assessing an adult client, the nurse observes freckles on the client's face. The nurse should document the presence of

Macules

A client's skin color depends on melanin and carotene contained in the skin, and the

Volume of blood circulating in the dermis

Type of rigidity characterized by jerky movements with passive stretching

Cogwheel

Elevated, solid, transient lesion; often irregularly shaped; an edematous

Wheal

When the nurse moves the client's arm away from the midline of the body, the nurse is performing

Abduction

Moving limbs toward median plane of body

Adduction

Describes a lesion that forms a ring around a clear center of normal skin

Annular

Crackling sound or sensation heard or felt with joint movement

Crepitus

Hair follicles and sebaceous glands and sweat glands originate from the

Dermis

While reviewing a client's chart before seeing the client for the first time, the nurse notes that the client has a diagnosis of Dupuytren contracture. The nurse anticipates that client will exhibit

Inability to extend the ring and little finger

Hardening of the skin, usually caused by edema

Induration

The only layer of the skin that undergoes cell division is the

Innermost layer of the epidermis

An African American female client visits the clinic. She tells the nurse that she has her ears pierced several weeks ago, and an elevated, irregular, reddened mass has now developed at the ear lobe. The nurse should document a

Keloid

Hypertonic scar tissue; prevalent in nonwhite races

Keloid

The nails, located on the distal phalanges of the fingers and toes, are composed of

Keratinized epidermal cells

Abnormal convexity of the posterior curve of spine

Kyphosis

Thickening of the skin characterized by accentuated skin markings

Lichenification

A client visits the clinic and tells the nurse that he has had lower back pain for the past several days. To preform Lasegue test, the nurse should ask the client to

Lie flat and raise his leg to the point of pain

Bones of a synovial joint are held together by

Ligaments

A client who is an active outdoor swimmer recently received a diagnosis of discoid systemic lupus erythematosus, The client visits the clinic for a routine examination and tells the nurse that she continues to swim in the sunlight three times per week. She has accepted her patchy hair loss and wears a wig on occasion. A priority nursing diagnosis for the client is

Risk for ineffective health maintenance related to deficient knowledge of effects of sunlight on skin

While assessing the range of motion in an adult client's shoulders, the client expresses pain and exhibits limited abduction and muscle weakness. The nurse plans to refer the client to a physician for possible

Rotator cuff tear

A darked-skinned client visits the clinic because he "hasn't been feeling well" To assess the client's skin for jaundice, the nurse should inspect the client's

Sclera

The nurse is assessing the spine of an adult client and detects lateral curvature of the thoracic spine with an increase in convexity on the left curved side. The nurse suspects that the client is experiencing

Scoliosis

Hives; pruritic wheals, often transient and allergic in origin

Urticaria

To assess an adult client's skin turgor, the nurse should

Use two fingers to pinch the skin under the clavicle

Short, pale, and fine hair that is present over much of the body is termed

Vellus

The nurse is preparing the examine the skin of an adult client with a diagnosis of herpes simplex. The nurse plans to measure the client's symptomatic lesions and measure the size of the clients

Vesicles

The nurse is caring for an adult client who is in a cast because of a fractured arm. To promote healing of the bone and tissue, the nurse should instruct the client to eat a diet that is high in

Vitamin C

A client tells the nurse that his grandmother had a diagnosis of osteomalacia . The nurse should instruct the client that to decrease the risk factors of it, the clients should have adequate amounts of

Vitamin D

The skin plays a vital role in temperature maintenance, fluid and electrolyte balance, and synthesis of

Vitamin D

One of the functions of a bone is to

produce blood cells