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