NS372 Chapter 14

The nurse is conducting an emergency assessment and observes a pale skin color, bluish tinged lips, and oral mucosa. This should be documented as .... a) a great degree of cyanosis b) lupus erythematosus c) hyperthyroidism

a) a great degree of cyanosis

While assessing the skin on an older client, the nurse observes small yellowish brown patches on her hand, these spots are... a) signs of infection b) caused by aging of the skin in older adults c) signs of dermatitis

b) caused by aging of the skin in older adults

To assess for anemia in a dark-skinned patient, the nurse should observe the client's skin for a color that appears ... a) ashen b) bluish c) olive

b) ashen

Thickening of the skin characterized by accentuated skin markings a) Lichenification b) Petechiae c) Nevus

a) Lichenification

The nurse assesses a client's buttocks and reveals a small area of broken skin that resembles an erosion. This should be documented a stage __ pressure ulcer. a) I b) II c) III

b) II

An elevated, circumscribed, fluid filled lesion; greater than 1 cm in diameter a) wheal b) bulla c) papule

b) bulla

The nurse is assessing an African American client's skin. After the assessment, the nurse should instruct the client that African American's are more susceptible to ... a) skin cancers than persons of European origin b) chronic discoid lupus erythematous c) genetic predisposition to melanomas c)

b) chronic discoid lupus erythematous

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 exam and tells the nurse 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... a) anxiety related to loss of outdoor activities and altered skin appearance b) risk for ineffective health maintenance related to deficient knowledge of effects of sunlight on skin lesions. c) dry flaking skin and dull dry hair as a result of disease.

b) risk for ineffective health maintenance related to deficient knowledge of effects of sunlight on skin lesions

Describes a lesion that forms a ring around a clear center of normal skin a) annular b) nevus c) petechiae

a) annular

A female client complains that her skin is "dry". The nurse should instruct the client that the skin elasticity is related to adequate ... a) fluid intake b) calcium c) carbohydrates

a) fluid intake

A 20-year old client visits an outpatient center and reports sudden generalized hair loss. After ruling out chemotherapy and radiation, the nurse should assess for symptoms of ... a) hypothyroidism b) hyperthyroidism c) hypoparathyroidism

a) hypothyroidism

While evaluating the nails of an older adult, the nurse observes early clubbing. The nurse should further evaluate the client for signs and symptoms of ... a) hypoxia b) trauma c) anemia

a) hypoxia

Hardening of the skin, usually caused by edema is... a) induration b) urticaria c) papule

a) induration

The only layer of the skin that undergoes cell division is the... a) innermost layer of the epidermis b) outermost layer of the epidermis c) outermost layer of the dermis

a) innermost layer of the epidermis

Hypertrophic scar tissue; prevalent in non-white races a) keloid b) nevus c) bulla

a) keloid

While assessing an adult client, the nurse observes freckles on the clients face. The nurse should document the presence of ... a) macules b) papules c) bulla

a) macules

Squamous cell carcinoma is associated with... a) overall amount of sun exposure b) precursor lesions c) an increase in the rates of melanoma

a) overall amount of sun exposure

Hives, pruritic wheals, often transient and allergic in origin a) urticaria b) papule c) petechiae

a) urticaria

Short, pale, and fine hair that is present over much of the body is termed... a) vellus b) dermal c) lanugo

a) vellus

The nurse is preparing to 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 client's... a) vesicles b) nodules c) bullae

a) vesicles

A client's skin color depends on melanin and carotene contained in the skin, and the ... a) volume of blood circulating in the dermis b) number of lymph vessels near the dermis c) vascularity of the apocrine glands

a) volume of blood circulating in the dermis

___________ lesions are configured in a linear fashion and clustered along a nerve route. a. zosteriform b. annular c. confluent d. polycyclic

a. zosteriform

The apocrine glands are dormant until puberty and are concentrated in the axillae, the perineum, and the .... a) soles of the feet b) areola of the breasts c) in the adipose tissue

b) areola of the breast

A primary function of hair in the nose and eyelashes is to serve as a ... a) respond to cold b) filter for dust c) respond to fright

b) filter for dust

An adult white client visits the doctor, during the skin assessment cyanosis is observed by the client's ... a) nail beds b) oral mucosa c) palms

b) oral mucosa

Solid, elevated, circumscribed, superficial lesion; 1 cm of less in diameter a) urticaria b) papule c) wheal

b) papule

The skin plays a vital role in temperature maintenance, fluid and electrolyte balance, and synthesis of vitamin _. a) A b) C c) D

c) D

A macule is an elevated, palpable, solid mass with a circumscribed border. a. False b. True

a. False

Pressure areas in stage II involve the epidermis, dermis, and subcutaneous tissues. a. False b. True

a. False

Carotene is responsible for yellow color of the skin. a. True b. False

a. True

______ is a condition characterized by generalized loss of pigmentation. a. albinism b. janudice c. cyanosis d. pallor

a. albinism

Perspiration increases with aging because sweat gland activity increases. a. True b. False

b. False

Spoon nails are a characteristic feature of iron deficiency anemia. a. False b. True

b. True

Detachment of the nailplate from the nailbed is called ________. a. clubbing b. onycholysis c. paronychia d. seperation

b. onycholysis

________ refers to the skins elasticity and how quickly the skin returns to its original shape after being pinched. a. mobility b. turgor c. erythema d. alopecia

b. turgor

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... a) Melanoma skin cancers are the most common types of cancers. b) Usually there are precursor lesions for basal cell carcinomas. c) Squamous cell carcinomas are most common on body sites with heavy sun exposure.

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

While assessing the nails of a client, the nurse observes Beau lines. The nurse should ask the client if he's had ... a) chemotherapy b) steroid therapy c) a recent illness

c) a recent illness

Hair follicles, sebaceous glands, and sweat glands originate from the .... a) epidermis b) keratinized tissue c) dermis

c) dermis

An adult client believes he has athlete's foot. The nurse observes that the client has linear cracks in the skin on both feet. The nurse should document the presence of... a) erosion b) scales c) fissures

c) fissures

The nails, located on the distal phalanges of the fingers and toes, are composed of ... a) ectodermal cells b) stratum cells c) keratinized epidermal cells

c) keratinized epidermal cells

A client visits his doctor for a routine physical. After assessment the nurse asks if there's a family history of skin cancer especially a genetic link of ... a) basal skin carcinomas b) squamous cell carcinoma c) malignant melanoma

c) malignant melanoma

Congenital pigmented area on the skin, for example, mole or birthmark a) wheal b) keloid c) nevus

c) nevus

Tiny, flat, purple, or red spots on the surface of the skin resulting from minute hemorrhage a) nevus b) urticaria c) petechiae

c) petechiae

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 ... a) macule b) papule c) plaque

c) plaque

A dark skinned client visits the clinic because he "hasn't been feeling well." To assess the skin for jaundice, the nurse should inspect the client's ... a) abdomen b) legs c) sclera

c) sclera

____ _____ connects the skin to the underlying structures. a) papillae b) sebaceous glands c) subcutaneous tissue

c) subcutaneous tissue

Elevated, solid, transient lesion; often irregularly shaped; an edematous a) bulla b) keloid c) wheal

c) wheal

____ is an oily substance that lubricates hair and skin and reduces water loss through the skin. a. keratin b. sweat c. sebum d. melanin

c. sebum