Health Assessment Chapter 14 Hair Skin and Nails LabManual

African Americans are most susceptible to what skin condition

chronic discoid lupus erythematosus

nevus

congenital pigmented area on the skin, like a mole or birthmark

dark skinned client with pale skin and blue-tinged lips and oral mucosa will be assessed for

great degree of a cyanosis

Sudden, generalized hair loss that isn't due to chemotherapy or radiation

hypothyroidism

Terminal hair

scalp and eyebrows longer and generally darker and coarser puberty initiates growth of additional: axillae, perineum, and legs

dark skinned client should be assessed for jaundice using

sclera

papule

solid, elevated, circumscribed, superficial lesion 1 cm or less in diameter

lichenification

thickening of the skin characterized by accentuated skin markings

on a dark skinned client, anemia can be assessed when seeing what skin color

ashen

This is most common on body sites with heavy sun exposure

squamous cell carcinomas

petechiae

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

Sebaceous gland

attached to hair follicles and present throughout the whole body and excrete sebum that waterproofs hair and skin

Apocrine sweat glands

hair follicles at the axillae, perineum, areola of the breasts

Dermis

inner layer of the skin that connect the dermis to the epidermis. fingerprints well-vascularized nerve endings lymph vessels elastic fibers sebaceous glands sweat glands hair follicles

elevated, irregular, reddened mass that can develop due to ear piercing

keloid

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

keratinized epidermal cells

Subcutaneous tissue

loose connective tissue fat cells blood vessels nerves stores fat as an energy reserve provides insulation to conserve internal body heat serves as a cushion to protect bones and internal organs contains vascular pathways supply of nutrients removal of waste products to and from the skin

Freckles are

macules

Genetic component with skin cancer especially with

malignant melanoma

sebum

oily substance that waterproofs hair and skin

Central cyanosis assessment done on

oral mucosa

Squamous cell carcinoma is associated with

overall amount of sun exposure

herpes simplex is

vesicle

small yellowish, brown patches on hands of older adult may be due to

aging of the skin

Bulla

an elevated, circumscribed, fluid-filled lesion greater than 1 cm in diameter

Induration

hardening of the skin, usually caused by edema

Urticaria

hives, pruritic wheels, often transient and allergic to origin

Clubbing is a sign of

hypoxia

using a Wood light to assess for fungus would cause fluorescence to be

blue

Primary function of hair in the nose and eyelashes is to serve as A. response to cold B. filter for dust C. pigment producer D. response to light

B. filter to dust

Skin color depends on melanin and carotene contained in the skin and the A. genetics B. volume of circulating blood C. Lymph vessels D. Vascularity of apocrine glands

B. volume of circulating blood

wheal

elevated, solid, transient lesion; often irregularly shaped or edematous

Eccrine sweat glands

entire skin

Apocrine glands are dormant until puberty and are concentrated in the axillae, the perineum, and the ____ A. areola of the breast B. entire skin surface C. soles of the feet D. adipose tisse

A. areola of the breast

The only layer of the skin that undergoes cell division is the A. innermost layer of epidermis B. outermost layer of epidermis C. innermost layer of dermis D. outermost layer of dermis

A. innermost layer of the epidermis stratum germinativum- and also contains melanin completely replaced every 3 to 4 weeks

An adult male patient visits outpatient center and tells the nurse that he has been experiencing patchy hair loss. This is due to.... A. symptom of stress B. recent radiation therapy C. pigmentation irregularities D. allergies to certain foods

A. symptoms of stress

Short, pale, and fine hair that is present over much of the body is termed A. vellus B. dermal C. lanugo D. terminal

A. vellus also termed peach fuzz

The skin plays a vital role in temperature maintenance, fluid and electrolyte balance, and synthesis of vitamin A. A B. B12 C. C D. D

D. D

Connecting the skin to the underlying structures is/are the A. papillae B. Sebaceous gland C. Dermis layer D. Subcutaneous tissue

D. Subcutaneous tissue

Hair follicles, sebaceous glands, and sweat glands originate from the A. epidermis B. eccrine glands C. keratinized tissue D. dermis

D. dermis

Patient with athlete's foot would have linear cracks on feet called

fissures

Dry skin and skin elasticity is related to adequate

dehydration

Annular

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

Elevated, palpable, solid mass with circumscribed border that measures 1 cm

plaque

Beau lines

recent illness