PrepU Integument

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

Tzanck smear

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

Vesicle

Question 1 See full question 18s During a routine examination of a client's fingernails, the nurse notes a horizontal depression in each nail plate. When documenting this finding, the nurse should use which term? You Selected:

Beau's line

Which diagnostic test would be used if a malignancy is suspected?

Biopsy

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

Bronze

A client has joined a rowing team and has been enjoying the activity for approximately 1 month. The client comes to the clinic for a routine physical examination and shows the nurse the hands, which are observed to have thickened areas in several areas. What does the nurse recognize these are in response to the repeated friction of the oars?

Calluses

Biopsies are performed on which of the following? Select all that apply.

Skin nodules Plaques Ulcers Blisters

After completing a skin assessment of an older adult patient, the nurse documents evidence of lentigines, which indicate which of the following?

Freckles

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

anemia.

A dark-skinned firefighter is admitted to the emergency room with smoke inhalation. An assessment result indicates possible carbon monoxide poisoning. What is the indicator noted on the assessment?

Cherry red color to the nail beds, lips, and oral mucosa

A client has an elevated temperature. The nurse is applying a cool compress to his forehead. This is an example of what type of heat loss?

Conduction

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

Which term describes the transfer of heat from the body to a cooler object in contact with it?

Conduction

Which secondary skin lesions are associated with eczema?

Crusts

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

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

A nurse is preparing a presentation for a group of high school athletes about temperature regulation during activity such as practice. When describing the mechanisms of heat loss, which of the following would the nurse identify as primarily responsible when environmental temperatures are very high?

Evaporation

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?

Hirsutism

Production of melanin is controlled by a hormone secreted by which of the following?

Hypothalamus

During a routine assessment of a client, the nurse notes that the client's nails are concave. Which condition is indicated by this finding?

Iron deficiency anemia

A patient has a serum bilirubin concentration of 3 mg/100 mL. What does the nurse observe when performing a skin assessment on this patient?

Jaundice

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

The nurse observes an African-American patient with a large hypertrophied area of scar tissue on the left ear lobe. What does the nurse document this finding as?

Keloid

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?

Liver Spots

Which factor causes wrinkles among older adults?

Loss of subcutaneous tissue

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

Low tissue oxygenation

What is the most common cause of hair loss?

Male pattern baldness

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

Melanin

Which of the following pigments influences hair color?

Melanin

To detect cyanosis in clients with dark skin, the nurse should assess which area?

Oral Mucosa

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 substance that is attached to the hair shaft that is not removed with brushing

Which condition is associated with bleeding tendencies or emboli to the skin?

Petechiae

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

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

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

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?

Stratum Corneum

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?

The skin is ashen gray and dull.

Nursing students are reviewing information about primary and secondary lesions. The students demonstrate understanding of the information when they identify which of the following as a primary lesion?

Wheal

The nurse documenting an acute open wound should include which characteristic(s)? Select all that apply.

Wound size Periwound skin Wound bed

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

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

hypodermis

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 and cracking of the skin and hair

The nurse is caring for a client with herpes zoster. The nurse documents the lesions as

vesicles