chapter 55

The nurse is teaching health promotion to a class on osteoporosis prevention. The nurse determines that the participants understand the teaching when they identify that clients need how much sun exposure to synthesize sufficient vitamin D?

30 to 60

Which cells play a role in cutaneous immune system reactions?

Langerhans

Which of the following diagnostics is used to examine cells from herpes zoster?

Tzanck smear

During a routine appointment, a young client presents a piece of hand drawn artwork to the doctor. The client has a "lump of skin" on the longest digit the right hand—the client's coloring hand. What is the pathophysiology behind this lump? Select all that apply.

accelerated & callus

Which of the following describes a total absence of pigment melanin?

albinism

A nurse is teaching a client about body keratin composition. What body structures would the nurse include in the teaching? Select all that apply.

all

A nurse is providing care to a patient who is receiving chemotherapy. The nurse notes that the patient has lost most of the hair on her head. The nurse documents this finding as which of the following?

alopecia

The nurse notes that the client demonstrates generalized pallor and recognizes that this finding may be indicative of

anemia

The nurse is caring for a patient with dark skin who is having gastrointestinal bleeding. How can the nurse determine from skin color change that shock may be present?

ashen grey and dull

A 52-year-old client asks the nurse for interventions for the treatment and prevention of actinic ketatosis. The client is a construction foreman and has actinic ketatosis that is noted only on the right side of the face next to the nose. Which recommendation is appropriate for this client?

avoid sunlight

A patient diagnosed with Addison's disease would be expected to have which of the following skin pigmentations?

bronze

The nurse is assessing the skin of an older adult patient. Which of the following would the nurse identify as abnormal?

bulla

Which of the following observations helps the nurse in determining adequate oxygenation?

capillary refill

An older adult asks about a red papule that is on the right arm that loses color when pressure is applied. In which way will the nurse interpret this finding?

cherry angioma?

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?

clubbing

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?

conduction

When describing the functions of the skin to a group of nursing students, which skin layer would the instructor include as having the capacity to absorb water?

corneum

While reviewing an older adult's medical record, the nurse notes that the patient has solar lentigo. he nurse interprets this as which of the following?

dark discoloration

After teaching a group of students about the structure of the skin, the nursing instructor determines that the teaching was successful when the group identifies which of the following as the true skin?

dermis

A nurse is performing a skin assessment on a client with diabetes and notes furuncles and carbuncles to both lower legs. The client states their skin typically has "issues" but eventually heals if left alone. Which of the targeted teaching topics would most benefit this client?

discuss treatment concerning bacterial infections, blood glucose levels, & basic skin maintenance techniques

The nurse is assessing the skin of a client with tinea pedis and notes a linear crack. The nurse documents this as

fissure

A client asks why they have a buildup of cerumen despite washing their ears every day. Which statement will the nurse make in response?

glands in the ear

Which of the following actions helps the nurse to determine the quality of the skin turgor?

grasping

A patient comes to the clinic and asks the nurse why the skin of the forehead, palms, and soles has a yellow-orange tint. There is no yellowing of the sclera or mucous membranes. What should the nurse question the patient regarding?

have you been eating a lot of carotene-rich foods

The nurse is assisting with the collection of a Tzanck smear. What is the suspected diagnosis of the patient?

herpes zoster

The nurse is assessing the integumentary system of a client with Cushing syndrome. The nurse anticipates which finding?

hirsituism

Production of melanin is controlled by a hormone secreted by which gland?

hypo

Which layer of the skin is made of primarily adipose tissue?

hypodermis

A patient with a history of chronic respiratory illness exhibits nail clubbing. The nurse interprets this finding as indicating which of the following?

hypoxia

The nurse is performing a physical examination of a patient and observes a well-healed old scar on the right shoulder. The scar is hypertrophied, elevated, and irregular without any redness or irritation. The patient states, "I had shoulder surgery about 5 years ago." The nurse documents this finding as which of the following?

keloid

A patient has contact dermatitis on the hand, and the nurse observes an area that is thickened and rough between the thumb and forefinger. What does the nurse know that this is significant of related to repeated scratching and rubbing?

lichenification

Which of the following could be a possible cause of cyanosis?

low tissue

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?

macule

The nurse is preparing to perform a Wood's light examination. Which of the following would be most important for the nurse to do?

make sure room is darkened

Which of the following is the most common cause of hair loss?

male patterned baldness

Which of the following pigments influences hair color?

melanin

A nurse on assesses a client with dark skin and notes new purple-gray cast to the skin on the chest, back, and arms. Which priority nursing intervention should the nurse implement?

oral temperature

The nurse is assisting an older adult client with performing activities of daily living (ADL) and is brushing her hair. What does the nurse document as an abnormal finding?

pearly white

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?

petechiae

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

petechiae

Which area of the brain secretes melanocyte-stimulating hormone?

pit gland

A 15 year-old pubescent boy is having a sports physical for school. Findings on the face and body indicate that the client is overproducing sebum, which is consistent with the client's age. What is the primary function of sebum?

prevents drying & cracking of the skin & hair

The nurse assesses a patient with silvery-white, thick scales on the scalp, elbows, and hand that bleed when picked off. What does the nurse suspect that this patient may have?

psoriasis

The nurse is assessing the fingernails of a patient at the clinic. The nurse observes pitting on the surface of the nail. What disorder is this finding indicative of?

psoriasis

A client has a boil that is located in the left axillary area and is elevated with a raised border, and filled with pus. How would the nurse document this type of lesion?

pustule

An older adult client's skin has become dry and flaked. Which of the following is the cause of this condition?

reduction in sebum production

A client with psoriasis visits the dermatology clinic. When inspecting the affected areas, the nurse expects to see which type of secondary lesion?

scale

Nursing students are reviewing information about various types of skin lesions. The students demonstrate understanding of the information when they identify which of the following as a vascular lesion?

spider angioma

which factor causes wrinkles among older adults

subcutaneous tissue

Sudoriferous glands secrete which type of substance?

sweat

beaus lines

the one with ridges

Petechiae are associated with which of the following disorders?

thrombocytopenia

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

vesicle

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?

vesicles

Which term refers to a condition characterized by destruction of melanocytes in circumscribed areas of the skin?

vitiligo

The nurse is reading the physician's report of an elderly client's physical examination. The client demonstrates xanthelasma, which refers to which symptom?

yellowish waxy deposits on the eyelids