HSN PrepU
A nurse receives report from the shift nurse that a client has new onset of peripheral cyanosis. Where should the nurse focus the assessment of the skin to detect the presence of this condition?
Fingers and toes
A client tells the clinic nurse that his feet and lower legs turn a blue color. On assessment, the nurse notes that the client's oxygenation level is within normal levels. The nurse knows that the blue color the client described is caused by what?
Peripheral cyanosis
A mother brings her 5-year-old son who is of African descent to the clinic. The mother is concerned about recent changes in her child's hair color from black to a copper-red. What is the best response by the nurse?
This could be a sign of malnutrition.
A nurse has been assigned several clients on the hospital unit. Which of the following clients is at highest risk for skin breakdown?
a 30-year-old male who sustained a spinal cord injury who is now paraplegic
An adult male client visits the clinic and tells the nurse that he believes he has athletes foot. The nurse observes that the client has linear cracks in the skin on both feet. The nurse should document the presence of
fissures
The nails, located on the distal phalanges of the fingers and toes, are composed of
keratinized epidermal cells
A nurse is performing an assessment on a client with a long history of hypothyroidism. What findings would the nurse expect with this client?
patchy, thin hair
The nurse assesses an older adult bedridden client in her home. While assessing the client's buttocks, the nurse observes that a small area of the skin is broken and resembles an erosion. The nurse should document the client's pressure ulcer as
stage II
The nurse is caring for a female client with hormone disorder producing excessive testosterone. Which of the following is an expected finding when assessing this client?
Hirsutism
The nurse is assessing a dark-skinned client who has been transported to the emergency room by ambulance. 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
